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RESEARCH ARTICLE

Use of single-question screening for erectile dysfunction: a study of at-risk Asian men in primary health care

Yan Zheng Daniel Lim A , Wei Jie Nicholas Hong A , Guo Yuan How A , Andrew Arjun Sayampanathan A , Sheng Hao Joshua Lim A , Meng Kam Richard Lee C , Balasubramanian Srilatha B D E and P. Ganesan Adaikan B
+ Author Affiliations
- Author Affiliations

A Yong Loo Lin School of Medicine, National University of Singapore, 5 Lower Kent Ridge Road, Singapore 119074.

B Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University Health System, 1E Kent Ridge Road, Singapore 119228.

C National Healthcare Group Polyclinics, 3 Fusionopolis Link, Nexus@one-north South Tower, # 05-10, Singapore 138543.

D Research & Data Analytics, Singapore Cancer Society, 15 Enggor Street, Realty Centre, #04-01, Singapore 079716.

E Corresponding author. Email: srilatha_b@singaporecancersociety.org.sg

Sexual Health 15(4) 376-378 https://doi.org/10.1071/SH17225
Submitted: 26 December 2017  Accepted: 29 March 2018   Published: 16 July 2018

Abstract

This study assesses the validity of a single-question screener for erectile dysfunction (ED) in men at risk in comparison to a standard validated tool – the five-item version of the International Index of Erectile Function (IIEF-5). A total of 174 men with at least one risk factor for ED were studied, with 58.0% and 10.9% of the study respondents meeting the criteria for their erectile impairment by IIEF-5 and single-question screener respectively. Our results suggest that in spite of high feasibility, a simplified, single-question screener has low sensitivity in capturing ED prevalence, even in an at-risk population, within the Asian context.


References

[1]  Khera M, Goldstein I. Erectile dysfunction. BMJ Clin Evid 2011; 2011 1803

[2]  DeLay KJ, Haney N, Hellstrom WJG. Modifying risk factors in the management of erectile dysfunction: a review. World J Men’s Health 2016; 34 89–100.
Modifying risk factors in the management of erectile dysfunction: a review.Crossref | GoogleScholarGoogle Scholar |

[3]  Tan HM, Low WY, Ng CJ, Chen KK, Sugita M, Ishii N, Marumo K, Lee SW, Fisher W, Sand M. Prevalence and correlates of erectile dysfunction (ED) and treatment seeking for ED in Asian men: the Asian men’s attitudes to life events and sexuality (MALES) study. J Sex Med 2007; 4 1582–92.
Prevalence and correlates of erectile dysfunction (ED) and treatment seeking for ED in Asian men: the Asian men’s attitudes to life events and sexuality (MALES) study.Crossref | GoogleScholarGoogle Scholar |

[4]  Tan JK. Erectile dysfunction in Singapore: prevalence and its associated factors–a population-based study. Singapore Med J 2003; 44 20–6.

[5]  Sanchez E, Pastuszak AW, Khera M. Erectile dysfunction, metabolic syndrome, and cardiovascular risks: facts and controversies. Transl Androl Urol 2017; 6 28–36.
Erectile dysfunction, metabolic syndrome, and cardiovascular risks: facts and controversies.Crossref | GoogleScholarGoogle Scholar |

[6]  De Berardis G, Pellegrini F, Franciosi M, Pamparana F, Morelli P, Tognoni G, Nicolucci A, EDEN Study Group Management of erectile dysfunction in general practice. J Sex Med 2009; 6 1127–34.
Management of erectile dysfunction in general practice.Crossref | GoogleScholarGoogle Scholar |

[7]  Ho CC, Singam P, Hong GE, Zainuddin ZM. Male sexual dysfunction in Asia. Asian J Androl 2011; 13 537–42.
Male sexual dysfunction in Asia.Crossref | GoogleScholarGoogle Scholar |

[8]  Nicolosi A, Glasser DB, Kim SC, Marumo K, Laumann EO, GSSAB Investigators’ Group Sexual behaviour and dysfunction and help-seeking patterns in adults aged 40–80 years in the urban population of Asian countries. BJU Int 2005; 95 609–14.
Sexual behaviour and dysfunction and help-seeking patterns in adults aged 40–80 years in the urban population of Asian countries.Crossref | GoogleScholarGoogle Scholar |

[9]  Le Strat Y, Dubertret C. A single question to screen for major depression in the general population. Compr Psychiatry 2013; 54 831–4.
A single question to screen for major depression in the general population.Crossref | GoogleScholarGoogle Scholar |

[10]  Smith PC, Schmidt SM, Allensworth-Davies D, Saitz R. Validation of a single-question alcohol screening test. J Gen Intern Med 2009; 24 783–8.
Validation of a single-question alcohol screening test.Crossref | GoogleScholarGoogle Scholar |

[11]  O’Donnell AB, Araujo AB, Goldstein I, McKinlay JB. The validity of a single-question self-report of erectile dysfunction. Results from the Massachusetts Male Aging Study. J Gen Intern Med 2005; 20 515–9.
The validity of a single-question self-report of erectile dysfunction. Results from the Massachusetts Male Aging Study.Crossref | GoogleScholarGoogle Scholar |

[12]  Rhoden EL, Telöken C, Sogari PR, Vargas Souto CA. The use of the simplified International Index of Erectile Function (IIEF-5) as a diagnostic tool to study the prevalence of erectile dysfunction. Int J Impot Res 2002; 14 245–50.
The use of the simplified International Index of Erectile Function (IIEF-5) as a diagnostic tool to study the prevalence of erectile dysfunction.Crossref | GoogleScholarGoogle Scholar |