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The effect of alcohol drinking on erectile dysfunction in Chinese men

International Journal of Impotence Research volume 22, pages 272–278 (2010)Cite this article

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Abstract

Erectile dysfunction (ED), smoking, and alcohol drinking are common in middle-aged men. Although smoking has been shown to be a risk factor of ED in Chinese and other populations, the relationship between drinking alcohol and ED is not clear. The Family Planning Association of Hong Kong conducted the Men Health Survey in 2004. In all, 1506 men aged 20–70 years were recruited by stratified random sampling of the male population. Face-to-face interviews were used to collect information on drinking and smoking and other life style factors, morbidities, and sociodemographic status during household visits. The more sensitive information on sexual activity and ED was obtained by a self-completed questionnaire at the end of the interview. A total of 816 subjects aged 31–60 years currently active in sexual activity were included in the present analysis. Compared with never drinkers, alcohol drinkers who consumed three or more standard drinks (one standard drink equals 12 g of alcohol) a week were more likely to report EDs as defined by having both sexual dissatisfaction and erectile difficulty (odds ratio (OR)=2.27, 95% confidence interval (CI)=1.28–4.03) after adjusting for age and cigarette smoking. When analyzed separately by smoking habit, the risks were higher in current smokers (OR=2.27, 95% CI=1.01–5.11) than never smokers (OR=1.91, 95% CI=0.68–5.35). Our results suggest that alcohol drinking of three or more standard drinks per week might reduce sexual satisfaction and impair erectile function in current smokers and might have less effect in never smokers.

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References

  1. National Institutes of Health Consensus Conference. Impotence: NIH consensus development panel on impotence. JAMA 1993; 27: 83–90.

    Google Scholar 

  2. Ponizovsky AM . Clinical and psychosocial factors associated with quality of life in alcohol-dependent men with erectile dysfunction. J Sex Med 2008; 5: 2347–2358.

    Article  Google Scholar 

  3. Carbone DJ, Seftel AD . Erectile dysfunction: diagnosis and treatment in older men. Geriatrics 2002; 57: 18.

    PubMed  Google Scholar 

  4. Rastogi S, Rodriguez JJ, Kapur V, Schwarz ER . Why do patients with heart failure suffer from erectile dysfunction? A critical review and suggestions on how to approach this problem. Int J Impot Res 2005; 17: S25–S36.

    Article  Google Scholar 

  5. Bacon CG, Mittleman MA, Kawachi I, Giovannucci E, Glasser DB, Rimm EB . A prospective study of risk factors for erectile dysfunction. J Urol 2006; 176: 217–221.

    Article  Google Scholar 

  6. Lam T, Abdulla A, Ho L, Yip A, Fan S . Smoking and sexual dysfunction in Chinese males: findings from men's health survey. Int J Impot Res 2006; 18: 364–369.

    Article  CAS  Google Scholar 

  7. Eaton CB, Liu YL, Mittleman MA, Miner M, Glasser DB, Rimm EB . A retrospective study of the relationship between biomarkers of atherosclerosis and erectile dysfunction in 988 men. Int J Impot Res 2007; 19: 218–225.

    Article  CAS  Google Scholar 

  8. Austoni E, Mirone V, Parazzini F, Fasolo CB, Turchi P, Pescatori ES et al. Smoking as a risk factor for erectile dysfunction: data from the andrology prevention weeks 2001–2002: a study of the Italian Society of Andrology (S.I.A). Eur Urol 2005; 48: 810–818.

    Article  Google Scholar 

  9. World Health Organization. International Guide for Monitoring Alcohol Consumption and Related Harm. World Health Organization: Geneva, 2000.

  10. Puddey IB, Rakic V, Dimmitt SB, Beilin LJ . Influence of pattern of drinking on cardiovascular disease and cardiovascular risk factors--a review. Addiction 1999; 94: 649.

    Article  CAS  Google Scholar 

  11. Mamedov MN . Metabolic risk factors as a connecting link for men's health issues. J Mens Health 2008; 5: 18–22.

    Article  Google Scholar 

  12. Akkus E, Kadioglu A, Esen A, Doran S, Ergen A, Anafarta K et al. Prevalence and correlates of erectile dysfunction in Turkey: a population-based study. Eur Urol 2002; 41: 298–304.

    Article  Google Scholar 

  13. Shiri R, Koskimaki J, Hakama M, Hakkinen J, Huhtala H, Tammela TLJ et al. Effect of life-style factors on incidence of erectile dysfunction. Int J Impot Res 2004; 16: 389–394.

    Article  CAS  Google Scholar 

  14. Cheng JYW, Ng EML, Chen RYL, Ko JSN . Alcohol consumption and erectile dysfunction: meta-analysis of population-based studies. Int J Impot Res 2007; 19: 343–352.

    Article  CAS  Google Scholar 

  15. Bai Q, Xu QQ, Jiang H, Zhang WL, Wang XH, Zhu JC . Prevalence and risk factors of erectile dysfunction in three cities of China: a community-based study. Asian J Androl 2004; 6: 343–348.

    PubMed  Google Scholar 

  16. He J, Reynolds K, Chen J, Chen CS, Wu X, Duan X et al. Cigarette smoking and erectile dysfunction among Chinese men without clinical vascular disease. Am J Epidemiol 2007; 166: 803–809.

    Article  Google Scholar 

  17. Mak R, Backer GD, Kornitzer M, De Meyer JM . Prevalence and correlates of erectile dysfunction in a population-based study in Belgium. Eur Urol 2002; 41: 132–138.

    Article  Google Scholar 

  18. Mirone V, Ricci E, Gentile V, Basile Fasolo C, Parazzini F . Determinants of erectile dysfunction risk in a large series of Italian men attending andrology clinics. Eur Urol 2004; 45: 87–91.

    Article  CAS  Google Scholar 

  19. Cho BL, Kim YS, Choi YS, Hong MH, Seo HG, Lee SY et al. Prevalence and risk factors for erectile dysfunction in primary care: results of a Korean study. Int J Impot Res 2003; 15: 323–328.

    Article  CAS  Google Scholar 

  20. Green JSA, Holden STR, Ingram P, Bose P, George DPS, Bowsher WG . An investigation of erectile dysfunction in Gwent, Wales. BJU Int 2001; 88: 551–553.

    Article  CAS  Google Scholar 

  21. de Boer BJ, Bots ML, Lycklama a Nijeholt AA, Moors JP, Pieters HM, Verheij TJ . Erectile dysfunction in primary care: prevalence and patient characteristics. The ENIGMA study. Int J Impot Res 2004; 16: 358–364.

    Article  CAS  Google Scholar 

  22. Martin-Morales A, Sanchez-Cruz JJ, Saenz de Tejada I, Rodriguez-Vela L, Jimenez-Cruz JF, Burgos-Rodriguez R . Prevalence and independent risk factors for erectile dysfunction in Spain: results of the Epidemiologia de la Disfuncion Erectil Masculina Study. J Urol 2001; 166: 569.

    Article  CAS  Google Scholar 

  23. Derby CA, Mohr BA, Goldstein I, Feldman HA, Johannes CB, McKinlay JB . Modifiable risk factors and erectile dysfunction: can lifestyle changes modify risk? Urology 2000; 56: 302–306.

    Article  CAS  Google Scholar 

  24. Millett C, Wen LM, Rissel C, Smith A, Richters J, Grulich A et al. Smoking and erectile dysfunction: findings from a representative sample of Australian men. Tob Control 2006; 15: 136–139.

    Article  CAS  Google Scholar 

  25. Polsky JY, Aronson KJ, Heaton JPW, Adams MA . Smoking and other lifestyle factors in relation to erectile dysfunction. BJU Int 2005; 96: 1355–1359.

    Article  Google Scholar 

  26. Bortolotti A, Parazzini F, Colli E, Landoni M . The epidemiology of erectile dysfunction and its risk factors. Int J Androl 1997; 20: 323–334.

    Article  CAS  Google Scholar 

  27. Sugimori H, Yoshida K, Tanaka T, Baba K, Nishida T, Nakazawa R et al. Relationships between erectile dysfunction, depression, and anxiety in Japanese subjects. J Sex Med 2005; 2: 390–396.

    Article  Google Scholar 

  28. Kupelian V, Link CL, Rosen RC, McKinlay JB . Socioeconomic status, not race/ethnicity, contributes to variation in the prevalence of erectile dysfunction: results from the Boston Area Community Health (BACH) Survey. J Sex Med 2008; 5: 1325–1333.

    Article  Google Scholar 

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Acknowledgements

We thank all the members of the Men's Health Survey Steering Committee, the Family Planning Association of Hong Kong, and the participants of the study.

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Authors and Affiliations

  1. Department of Nursing Studies, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China

    A C K Lee

  2. Department of Community Medicine, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China

    L M Ho & T H Lam

  3. Department of Surgery, Kwong Wah Hospital, Hong Kong, China

    A W C Yip

  4. The Family Planning Association of Hong Kong, Hong Kong, China

    S Fan

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  1. A C K Lee
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  2. L M Ho
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  4. S Fan
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  5. T H Lam
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Correspondence to T H Lam.

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Lee, A., Ho, L., Yip, A. et al. The effect of alcohol drinking on erectile dysfunction in Chinese men. Int J Impot Res 22, 272–278 (2010). https://doi.org/10.1038/ijir.2010.15

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