Socioeconomic status is a risk factor for poor disease prognosis. No studies of patients with ulcerative colitis (UC) have investigated the association between socioeconomic status and erectile dysfunction (ED), although UC is independently positively associated with ED. Therefore, the purpose of this survey to evaluate this issue in Japanese patients with UC. The study enrolled 165 patients with UC. Education status (low, middle, high) and household income (low, middle, high) were classified in three groups using self-administered surveys. The information regarding the Sexual Health Inventory for Men (SHIM) was obtained using self-administered questionnaires. The definition of mild to moderate or severe ED and severe ED was SHIM score <17 and SHIM score <8, respectively. The prevalence of mild to moderate or severe ED and severe ED was 64.9% and 47.9%, respectively. In crude analysis, household income was inversely associated with mild to moderate or severe ED and severe ED. After adjustment for age, current drinking, current smoking, exercise habit, body mass index, mucosal healing, and duration of UC, high household income was independently and inversely associated with mild to moderate or severe ED (adjusted odds ratio [OR] 0.23, 95% confidence interval [CI] [0.05, 0.93], p for trend = .038) and severe ED (adjusted OR 0.26, 95% CI [0.07, 0.85], p for trend = .024). In contrast, no association between education status and ED was found. In conclusion, household income was independently and inversely associated with ED in Japanese UC patients.
American journal of men's health. 2024 Dec [Epub]
Shinya Furukawa, Teruki Miyake, Osamu Yoshida, Kana Shiraishi, Kazuhiro Tange, Yu Hashimoto, Sen Yagi, Shogo Kitahata, Tomoyuki Ninomiya, Masakazu Hanayama, Seiyuu Suzuki, Naozumi Shibata, Hidehiro Murakami, Katsuhisa Ohashi, Hideomi Tomida, Yasunori Yamamoto, Eiji Takeshita, Yoshio Ikeda, Yoichi Hiasa
Health Services Center, Ehime University, Matsuyama, Japan., Department of Gastroenterology and Metabology, Graduate School of Medicine, Ehime University, Toon, Japan., Department of Inflammatory Bowel Diseases and Therapeutics, Graduate School of Medicine, Ehime University, Toon, Japan., Department of Internal Medicine, Saiseikai Imabari Hospital, Imabari, Japan., Department of Gastroenterology, Ehime Prefectural Central Hospital, Matsuyama, Japan., Department of Gastroenterology, Matsuyama Shimin Hospital, Matsuyama, Japan., Department of Gastroenterology, Sumitomo Besshi Hospital, Niihama, Japan., Department of Gastroenterology, Ehime Prefectural Niihama Hospital, Niihama, Japan., Department of Internal Medicine, Saiseikai Matsuyama Hospital, Matsuyama, Japan., OHASHI Clinic Participate in Gastro-Enterology and Ano-Proctology, Niihama, Japan., Endoscopy Center, Ehime University Hospital, Toon, Japan.