Prevalence and factors associated with erectile dysfunction among adult men in Moshi municipal, Tanzania: community-based study

Background: Erectile dysfunction (ED) has a negative impact on ones' relationships with poor quality of life as inevitable result. The effects of ED maybe worse in developing countries setting like Tanzania because men's sexual health has been forgotten. Men's sexual and reproductive health needs are not in the national reproductive health strategic. This study aimed to determine the prevalence and factors associated with erectile dysfunction among adult men in Moshi municipality, northern Tanzania. Results: The mean age of the 381 men was 39.6 (SD +/- 16.8) years. The overall prevalence of ED on this study was 29.7%. The severity of ED among study participants was; 13.4% (51), 9.7% (37), 3.7% (14), 2.9% (11) had mild, mild to moderate, moderate and severe erectile dysfunction respectively. Age 40-54 years (Adjusted OR 5.0, 95% CI 2.5-9.9), >= 55 years (aOR 11.7, 95% CI 5.8-23.7) and hypertension (aOR 2.6, 95% CI 1.1-6.4) were independent predictors of ED respectively. Conclusion: The prevalence of ED is high among men in Moshi municipal as 1 out of 3 men have ED. Age and hypertension were independent predictors of ED. These results point to the need of community awareness and education programs to raise awareness among men about existence of ED problem, its consequence and where they can get advice and care in this setting. Further, health providers taking care of hypertensive and men with DM should be equipped with knowledge and skills on early detection for ED and how to counsel and where to refer patients for help.