中国男性对生活事件和性态度的研究:在Asian MALES研究中勃起功能障碍的患病率和相关的健康关注问题

Chinese Men's Attitudes to Life Events and Sexuality: Prevalence of Erectile Dysfunction and Related Health Concerns Among Chinese Men in Asian MALES Study

目的：Asian MALES中国研究的目的是确定中国一般人群中勃起功能障碍（erectile dysfunction，ED）的患病率和相关健康问题；探讨男性对这些健康问题的态度和行为。方法：Ⅰ期试验包括2055名20～75岁男性；采用标准的问卷调查。Ⅱ期试验包括225名来自Ⅰ期试验和其他来源的ED患者。主要观察指标：ED患病率和相关态度。结果：AsianMALES中国试验样本中男性总的ED患病率为5．9％。ED患病率随年龄增加而增加。男性的共患疾病和危险因素包括高血压、心血管疾病、良性前列腺增生、糖尿病、抑郁症，这些人群中的ED患病率较高；同时ED男性中上述疾病的患病率也较高。AsianMALESⅡ期试验结果表明，中国男性想寻求治疗的比例仅为17％，如果寻求治疗他们更愿意从西医处寻求帮助。结论：中国男性人群中ED患病率高，ED与某些疾病密切相关。对于中国男性，我们应该加大力度宣传ED的相关知识，并告知针对ED症状进行安全有效治疗的必要性。

Objective ： The aims of Asian Men＇s Attitudes to Life Events and Sexuality （ Asian MALES） -China study were to identify the prevalence of erectile dysfunction（ED） and related health concerns in the general male population in China, and to examine the attitudes and behaviors of men in relation to these health issues. Methods ： A total of 2055 men aged 20 - 75 years were included in Phase-Ⅰ MALES study using a standardized questionnaire, and another 225 recruited from the sub-sample of Phase-Ⅰ MALES participants with reported ED and some ED patients from other sources were involved in Phase-Ⅱ Asian MALES- China study, with the prevalence of ED and men＇s associated attitudes as the main measure. Results ： The overall rate of ED in the Asian MALES-China sample was 5.9%. The rate of self-reported ED rose with age increase. A higher rate of ED was reported in men with co-morbid medical conditions and risk factors, including cardiovascular disease, hypertension, dyslipidemia, and depression, and so were the rates of these co-morbid conditions in ED patients. Data from Phase-Ⅱ Asian MALES-China indicated that among men with reported ED, only 17% would seek treatment. Conclusion ： The rate of ED is high in Chinese men and it is associated with co-morbid conditions. For Chinese men, it is necessary to know more about ED and to seek safe and effective treatment of its symptoms.