Abstract:
Sexual dysfunction is lack of sexual ideas or thoughts, diminished sexual interest or desire, and
unresponsive sexual desire. Sexual dysfunctions is a prevalent issue that can impact both the
patients' and their spouses' quality of life.Even though Erectile dysfunction is very common and
linked to many medical and health related conditions.There were no study at public hospitals in
harari regional stateS.
Objectives:To determine the prevalence of erectile dysfunction and associated factors among
adult hypertensive patients attendingPublic Hospitals in Harari Region,Eastern Ethiopia,from
January31 to February 29, 2024
Methods:An institutional-based cross-sectional study was conducted among 413participants
selected by systematic random sampling technique.Erectile dysfunction wasassessed with the
International Index of Erectile Function.Data were entered into EPI Data version 3.1 and
analyzed using STATA version 14. Bivariable and multivariable logistic regressions was done to
identify factors associated with Erectile dysfunction. The strength of the association was
presented by 95% CI adjusted odd ratio< 0.05 (P-value) was considered as statistically
significant.
Results:. The prevalence of erectile dysfunction among hypertensive patients was 54%(95% CI
49.2-58.4). Age between 61 and 80years(AOR=3.3,95%CI: 1.06-10.32),having adepression
(AOR=3.1,95%CI: 1.63- 6.16),having an anxiety(AOR=2.3,95%CI: 1.21- 4.41),being in a stage
2 hypertension (AOR=3.2,95%CI:1.09- 9.77),duration of hypertension more than 10 years
(AOR=5.6,95%CI:1.98-16.06),having comorbid medical illnesses (AOR=4.0,95%CI:2.13-
7.53),being on antihypertensive polytherapy (AOR=3.6,95%CI:1.99-6.51), and being physically
inactive(AOR=4.4,95%CI:2.42- 8.07) were significantly associated with erectile dysfunction.
Conclusion:More than half of the study participants had erectile dysfunction.and it appears to be
significantly associated with age, presence of depression and anxiety, stage of hypertension,
duration of the illness, preexisting chronic illnesses, medication polytherapy, and physical
activity.Allhypertensive patientspresenting to a physician should have routine evaluation for
erectile dysfunction so as to recognise it early and reduce its effects
