Prevalence and predictors of erectile dysfunction in adult male outpatient clinic attendees in Johor, Malaysia

INTRODUCTION@#Erectile dysfunction (ED) is a serious global burden that affects men as well as their partners. This study aimed to determine the prevalence and predictors of ED among male outpatient clinic attendees in Johor, Malaysia.@*METHODS@#We conducted a cross-sectional study of Malaysian men aged ≥ 18 years attending two major outpatient clinics in Johor Bahru and Segamat in Johor, Malaysia, between 1 January 2016 and 31 March 2016. Subjects were chosen via simple random sampling and 400 patients were recruited. The study instrument was a survey form that consisted of three sections: sociodemographic and comorbid profile, validated English and Malay versions of the 15-item International Index of Erectile Function, and the 21-item Depression Anxiety Stress Scale.@*RESULTS@#The overall prevalence of self-reported ED was 81.5%. The prevalence of ED according to severity was as follows: mild (17.0%), mild to moderate (23.8%), moderate (11.3%) and severe (29.5%). Multivariate analysis showed that ED was associated with increasing age (odds ratio [OR] 4.023, 95% confidence interval [CI] 1.633-9.913), Indian as compared to Malay ethnicity (OR 3.252, 95% CI 1.280-8.262), secondary as compared to tertiary education (OR 2.171, 95% CI 1.203-3.919), single as compared to married status (OR 6.119, 95% CI 2.542-14.734) and stress (OR 4.259, 95% CI 1.793-10.114).@*CONCLUSION@#ED has significant prevalence and severity among adult male outpatient clinic attendees in Johor. Increasing age, Indian ethnicity, lower educational level, singlehood and stress were significant predictors of ED.

Epidemiology of Inflammatory Bowel Disease in Southern Peninsular Malaysia

Aim: To record the incidence and prevalence ofinflammatory bowel disease (IBD), its social demographics,clinical characteristics and treatment, in the state of Johor,Malaysia.Methods: Hospital Sultanah Aminah, Johor Bahru, is the onlypublic hospital in Johor with a Gastroenterology service.Data on all existing and new IBD patients managed by theGastroenterology Unit in 2016 were collected. Incidence andprevalence of IBD in 2016 were then calculated based on theestimated population of Johor and Johor Bahru.Results: Twenty-five new cases of IBD were diagnosed in2016. Among the 25 cases, 13 cases were Crohn’s disease(CD), 10 were ulcerative colitis (UC) and two were IBDUnclassified (IBDU). The crude incidence of IBD, CD, UC andIBDU were 0.68, 0.36, 0.27, and 0.05 per 100,000 populationrespectively. Ethnic Indians had the highest incidence of IBDat 4.21 followed by Malays and Chinese at 0.56 and 0.18 per100,000 population respectively. A total of 156 IBD caseswere captured. Amongst them, 85 cases were UC, 68 caseswere CD and three cases were IBDU, hence the prevalence ofIBD, UC, CD and IBDU were 4.27, 2.33, 1.86 and 0.08 per100,000 population respectively. Similarly, Indians had thehighest prevalence at 16.84, followed by Chinese at 4.06 andMalays at 3.44 per 100,000 population.Conclusions: The incidence of IBD in Johor is comparable tothat of a previous study in northern Peninsular Malaysia.The ethnicity preponderance is similar to the previousstudies conducted in Malaysia.