We thank Capodicasa et al. for their response to our article in which they noted that
the diagnosis of erectile dysfunction (ED) was based on a single question that may
result in unreliable prevalence estimates. In our article, we discussed that a single
item may not have captured patients with mild symptoms or subclinical ED and that
this could potentially lead to a slight underestimation in ED prevalence. However,
we used data from the nationally representative Population Assessment of Tobacco or
Health (PATH) study yielding reliable population-level estimates. The observed ED
prevalence estimate was consistent with other population-level studies in the U.S.,
many of which used a single item.
1
,2
As such, this is likely the true updated estimate for ED in the U.S. Finally, a single
question can be useful for screening patients for ED in large population-based studies
where clinical examination using a long-validated measure may be impractical.To read this article in full you will need to make a payment
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REFERENCES
- Incidence of erectile dysfunction in men 40 to 69 years old: longitudinal results from the Massachusetts male aging study.J Urol. 2000; 163: 460-463https://doi.org/10.1016/S0022-5347(05)67900-1
- Prevalence and risk factors for erectile dysfunction in the U.S.Am J Med. 2007; 120: 151-157https://doi.org/10.1016/j.amjmed.2006.06.010
- The effects of e-cigarette vapor components on the morphology and function of the male and female reproductive systems: a systematic review.Int J Environ Res Public Health. 2020; 17: 6152https://doi.org/10.3390/ijerph17176152
- The evidence for seasonal variations of testosterone in men.Maturitas. 2013; 74: 208-212https://doi.org/10.1016/j.maturitas.2012.12.003
Article Info
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Published online: June 09, 2022
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© 2022 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
