ERECTILE DYSFUNCTION AND ASSOCIATED FACTORS AMONG ADULT HYPERTENSIVE PATIENTS ATTENDING OUTPATIENT CARE AT PUBLIC HOSPITALS IN HARARI REGIONAL STATE ,EASTERN ETHIOPIA.

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