Comparison of self-report and objective measures of male sexual dysfunction in a Japanese primary care setting:a cross-sectional,self-administered mixed methods survey  

作　　者：Yuki Takeuchi Ryohei Otsuka Hajime Kojima Michael D Fetters 

机构地区：[1]Teine Family Medicine Clinic,Teine Keijinkai Hospital,Sapporo,Hokkaido,Japan [2]Mixed Methods Program,Department of Family Medicine,University of Michigan,Ann Arbor,Michigan,USA

出　　处：《Family Medicine and Community Health》2021年第1期18-27,共10页家庭医学与社区卫生（英文）

基　　金：This study was approved by a research ethics committee of Teine Keijinkai Hospital(ID 2018-166).

摘　　要：Objectives Erectile dysfunction(ED)is a common problem among middle-aged males and men often do not talk about sexual problems with their primary care physicians(PCPs).We hypothesised that many Japanese men who meet the criteria for ED would not recognise their condition based on responses to an internationally validated scale.Our secondary aims were to examine potential barriers to seeking treatment for ED by their PCPs.We sought to elucidate their perspectives about male sexual dysfunction qualitatively.Through merging of the quantitative and qualitative findings,we sought an enhanced understanding of the factors affecting sexual dysfunction treatment.Design A cross-sectional,self-administered mixed methods survey was distributed at a suburban family medicine clinic in Sapporo,Japan.Eligible participants were 40 to 69-year old men who came for routine scheduled visits from 5 November to 21 December 2018.During the office visit,participants completed a confidential 11-item survey addressing sexual dysfunction including the 5-item version of the International Index of Erectile Function scale and open-ended questioning.setting Teine Family Medicine Clinic,a suburban family medicine clinic in Sapporo,Japan.Participants We enroled 66 male patients aged 40-69 years who presented for routine outpatient care in the Teine Family Medicine Clinic.results Of surveyed participants,39%(26/66)reported having sexual dysfunction,but 92%(61/66)met ED criteria.Of respondents,48%(16/33)had desire for treatment,but only one man had discussed sexual dysfunction with his PCP.Among the 12 desiring treatment from PCPs,the main barriers to discussing were shame(n=7)and lack of awareness that PCPs can treat ED(n=5).These men’s perspectives about sexual dysfunction included viewing sexual dysfunction as normal ageing,attributing sexual dysfunction to decreased libido,considering sexual activity for a healthy life,having good rapport with PCPs,having incomplete knowledge about treatment and lacking an intimate relationship.Through a resu

关 键 词：ROUTINE sectional measures 

分 类 号：R73[医药卫生—肿瘤]