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Preference for gender of health care provider in management of erectile dysfunction

Abstract

We investigated whether a preference by patients regarding the gender of a health care provider to manage erectile dysfunction (ED) may be a factor in the diagnosis and care of this condition, whose broader medical significance is an area of increasing interest. A brief questionnaire was completed by 1087 adult males in a primary care setting. The questionnaire explored provider gender preference and other possible biases. The prevalence of ED in the 40–69 age group in our population was 68.8%. The prevalence was 81% in the age group of 70 and more. Of those who reported having experienced ED, 51.5% had discussed it with a provider, and 28.1% had been treated. Approximately, 57% expressed no provider gender preference, regardless of history of ED. Of those who stated a preference, approximately 75% prefer male providers. However, also among those who state a preference, Hispanics are not as likely as non-Hispanics to prefer a male provider (P=0.03). Most believe that males and females are equally qualified to manage ED, but among those who have a different opinion, the gender perceived more favorably is male. The issue of privacy during the discussion of ED was also very important to the respondents in this study.

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References

  1. Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E et al. Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 2005; 17: 39–57.

    Article  CAS  Google Scholar 

  2. Lewis RW, Fugl-Meyer KS, Bosch R, Fugl-Meyer AR, Laumann EO, Lizza E et al. Epidemiology/risk factors of sexual dysfunction. J Sex Med 2004; 1: 35–39.

    Article  Google Scholar 

  3. Nicolosi A, Laumann EO, Glasser DB, Moreira A, Paik A, Gingell C et al. Sexual behavior and sexual dysfunctions after age 40: the Global Study of Sexual Attitudes and Behaviors. Urology 2004; 64: 991–997.

    Article  Google Scholar 

  4. Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB . Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol 1994; 151: 54–61.

    Article  CAS  Google Scholar 

  5. Grover SA, Lowensteyn I, Kaouache M, Marchand S, Coupal L, DeCarolis E et al. The prevalence of erectile dysfunction in the primary care setting: importance of risk factors for diabetes and vascular disease. Arch Intern Med 2006; 166: 213–219.

    Article  Google Scholar 

  6. Althof SE . Quality of life and erectile dysfunction. Urology 2002; 59: 803–810.

    Article  Google Scholar 

  7. Shabsigh R, Klein LT, Seidman S, Kaplan SA, Lehrhoff BJ, Ritter JS . Increased incidence of depressive symptoms in men with erectile dysfunction. Urology 1998; 52: 848–852.

    Article  CAS  Google Scholar 

  8. Litwin MS, Nied RJ, Dhanani N . Health-related quality of life in men with erectile dysfunction. J Gen Intern Med 1998; 13: 159–166.

    Article  CAS  Google Scholar 

  9. NIH Consensus Conference. NIH consensus development panel on impotence. JAMA 1993; 270: 83–90.

    Article  Google Scholar 

  10. Rosen RC, Fisher WA, Eardley I, Niederberger C, Nadel A, Sand M . The Multinational Men's Attitudes to Life Events and Sexuality (MALES) study: prevalence of erectile dysfunction and related health concerns in the general population. Curr Med Res Opin 2004; 20: 607–617.

    Article  Google Scholar 

  11. http://bayerus.dev.h2web.com/msms/news/index.cfm?mode=detail&id=D9BAB916-0CAA-AB39-278057E7FDE84D2C.

  12. Seftel A . Male hypogonadism. Part I: epidemiology of hypogonadism. Int J Impot Res. 2006; 18: 115–120.

    Article  CAS  Google Scholar 

  13. Seftel A . Erectile Dysfunction aDecade Later: another Paradigm Shift. J Urol 2006; 176: 10–11.

    Article  Google Scholar 

  14. Montorsi P, Ravagnani PM, Galli S, Salonia A, Briganti A, Werba JP et al. Association between erectile dysfunction and coronary artery disease: matching the right target with the right test in the right patient. Eur Urol 2006; 50: 721–731.

    Article  Google Scholar 

  15. Montorsi P, Montorsi F, Schulman CC . Is erectile dysfunction the ‘tip of the iceberg’ of a systemic vascular disorder? Eur Urol 2003; 44: 352–354.

    Article  Google Scholar 

  16. Kupelian V, Shabsigh R, Araujo AB, O'Donnell AB, McKinlay JB . Erectile dysfunction as a predictor of the metabolic syndrome in aging men: results from the Massachusetts Male Aging Study. J Urol 2006; 176: 222–226.

    Article  Google Scholar 

  17. Johnson AM . Do women prefer care from female or male obstetrician–gynecologists? A study of patient gender preference. J Am Osteopath Assoc 2005; 105: 369–379.

    PubMed  Google Scholar 

  18. Lafta RK . Practitioner gender preference among gynecologic patients in Iraq. Health Care Women Int 2006; 27: 125–130.

    Article  Google Scholar 

  19. Weitzman PF, Chang G, Reynoso H . Middle-aged and older latino american women in the patient–doctor interaction. J Cross-Cultural Gerontol 2004; 19: 221–239.

    Article  Google Scholar 

  20. Tamez EG . Familism, machismo and child rearing practices among Mexican Americans. J Psychosoc Nurs Ment Health Serv. 1981; 19: 21–25.

    CAS  PubMed  Google Scholar 

  21. Toussaint L, Webb JR . Gender differences in the relationship between empathy and forgiveness. J Soc Psychol 2005; 145: 673–685.

    Article  Google Scholar 

  22. Hakim J, Subit M, Maroon M, Jacques CH, Zaslau S . Screening for erectile dysfunction in the primary care practice: results of a survey. W V Med J 2005; 101: 67–70.

    PubMed  Google Scholar 

  23. Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Pena BM . Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res 1999; 11: 319–326.

    Article  CAS  Google Scholar 

  24. Cappelleri JC, Siegel RL, Glasser DB, Osterloh IH, Rosen RC . Relationship between patient self-assessment of erectile dysfunction and the sexual health inventory for men. Clin Ther 2001; 23: 1707–1719.

    Article  CAS  Google Scholar 

  25. Jiann BP, Yu CC, Su CC, Tsai JY . Compliance of sildenafil treatment for erectile dysfunction and factors affecting it. Int J Impot Res 2006; 8: 146–149.

    Article  Google Scholar 

  26. Shann S, Wilson JD . Patients' attitudes to the presence of medical students in a genitourinary medicine clinic: a cross sectional survey. Sex Transm Infect 2006; 82: 52–54.

    Article  CAS  Google Scholar 

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Acknowledgements

This work was supported by an Educational Research Grant Award from the Consortium for Improvement in Erectile Function.

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Correspondence to R S Tan.

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Carrejo, M., Balla, D. & Tan, R. Preference for gender of health care provider in management of erectile dysfunction. Int J Impot Res 19, 474–479 (2007). https://doi.org/10.1038/sj.ijir.3901553

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