日本早泄的患病率和相关因素:日本性医学学会首次全国横断面调查。

IF 4.1 3区 医学 Q1 ANDROLOGY
Masato Shirai, Akira Tsujimura, Shinichiro Fukuhara, Koji Chiba, Tsuyoshi Yoshizawa, Hikaru Tomoe, Kazunori Kimura, Eiji Kikuchi, Eri Maeda, Yoshikazu Sato, Atsushi Nagai, Koichi Nagao, Haruaki Sasaki
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引用次数: 0

摘要

目的:早泄(PE)是全球男性中最常见的性抱怨,但其在日本的患病率及其相关因素仍未得到充分研究。本研究旨在通过一项全国性的横断面调查,确定日本男性中自我报告的PE、终身PE (LPE)和获得性PE (APE)的患病率,并确定相关因素、痛苦水平和求医行为。材料和方法:这项基于互联网的全国性横断面调查由日本性医学学会临床研究促进委员会(JSSM)在20至79岁的日本男性中进行。使用有效的问卷收集数据,包括国际性医学协会(ISSM)的LPE和APE标准。结果:在37485名受邀参与者中,6228人提供了有效回复(回复率:16.61%),其中5331名性活跃男性被纳入分析。自我报告的PE困扰患病率为23.39%。issm定义的LPE和APE发生率分别为0.54%和3.47%。单因素分析发现,勃起功能障碍(ED)、精神药物使用、神经系统疾病、创伤、主动脉瘤手术和伴侣不满是LPE和APE的重要相关因素。多因素分析证实ED为常见的相关因素。尽管51.00%的受访者表示希望治疗,但只有4.81%的人寻求过医疗帮助。结论:本研究首次提供了日本PE的流行病学见解,揭示了显著的患病率,并确定ED是关键的相关因素。尽管非常痛苦,但大多数受影响的个人不寻求医疗帮助,这突出了提高公众认识和更好地获得治疗选择的必要性。未来的研究应侧重于纵向评估,以探索因果关系和评估潜在的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and Factors Associated with Premature Ejaculation in Japan: First Nationwide Cross-Sectional Survey by the Japanese Society for Sexual Medicine.

Purpose: Premature ejaculation (PE) is a most common sexual complaint among men worldwide, but its prevalence and associated factors in Japan remain underexplored. This study aimed to determine the prevalence of self-reported PE, lifelong PE (LPE), and acquired PE (APE) among Japanese men, as well as to identify associated factors, distress levels, and healthcare-seeking behaviors through a nationwide cross-sectional survey.

Materials and methods: This internet-based nationwide cross-sectional survey was conducted among Japanese men from 20 to 79 years old by the Clinical Research Promotion Committee of the Japanese Society for Sexual Medicine (JSSM). Data were collected using validated questionnaires, including the International Society for Sexual Medicine (ISSM) criteria for LPE and APE.

Results: Of 37,485 invited participants, 6,228 provided valid responses (response rate: 16.61%), with 5,331 sexually active men included in the analysis. The prevalence of self-reported PE distress was 23.39%. ISSM-defined LPE and APE were observed in 0.54% and 3.47% of respondents, respectively. Univariate analysis identified erectile dysfunction (ED), psychotropic drug use, neurological diseases, trauma, aortic aneurysm surgery, and partnership dissatisfaction as significant associated factors for both LPE and APE. Multivariate analysis confirmed ED as the common associated factor. Despite 51.00% of respondents expressing a desire for treatment, only 4.81% had sought medical help.

Conclusions: This study provides the first epidemiological insights into PE in Japan, revealing a notable prevalence and identifying ED as a key associated factor. Despite significant distress, most affected individuals do not seek medical help, highlighting the necessity for greater public awareness and better access to treatment options. Future research should focus on longitudinal assessments to explore causal relationships and evaluate potential interventions.

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来源期刊
World Journal of Mens Health
World Journal of Mens Health Medicine-Psychiatry and Mental Health
CiteScore
7.60
自引率
2.10%
发文量
92
审稿时长
6 weeks
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