Advertisement

Response to Letter Regarding the Article “Association of E-Cigarettes With Erectile Dysfunction: The Population Assessment of Tobacco and Health Study”

      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.
      • Johannes CB
      • Araujo AB
      • Feldman HA
      • Derby CA
      • Kleinman KP
      • McKinlay JB.
      Incidence of erectile dysfunction in men 40 to 69 years old: longitudinal results from the Massachusetts male aging study.
      ,
      • Selvin E
      • Burnett AL
      • Platz EA.
      Prevalence and risk factors for erectile dysfunction in the U.S.
      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

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Preventive Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      REFERENCES

        • Johannes CB
        • Araujo AB
        • Feldman HA
        • Derby CA
        • Kleinman KP
        • McKinlay JB.
        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
        • Selvin E
        • Burnett AL
        • Platz EA.
        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
        • Szumilas K
        • Szumilas P
        • Grzywacz A
        • Wilk A.
        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
        • Smith RP
        • Coward RM
        • Kovac JR
        • Lipshultz LI.
        The evidence for seasonal variations of testosterone in men.
        Maturitas. 2013; 74: 208-212https://doi.org/10.1016/j.maturitas.2012.12.003