TY - JOUR
T1 - A population-based study on the association between gastric ulcers and erectile dysfunction in Taiwan
AU - Keller, Joseph J.
AU - Lin, Hsiao Yu
AU - Chung, Shiu Dong
AU - Lin, Herng Ching
PY - 2012/3
Y1 - 2012/3
N2 - Introduction. While erectile dysfunction (ED) and cardiovascular disease have long been known to share endothelial dysfunction as a common contributory underlying mechanism, little research has been conducted taking endothelial dysfunction as common ground to investigate the potential association between ED and gastric ulcers (GUs). Aim. This population-based case-control study aimed to investigate the association of ED with GU. Methods. This study used data from the Longitudinal Health Insurance Database 2000 in Taiwan. The study group comprised 6,906 patients who visited ambulatory care centers or were hospitalized with a diagnosis of ED. The comparison group was 20,718 randomly selected enrollees. Conditional logistic regression was used to examine associations between ED and prior GU. Main Outcome Measure. The prevalence and risk between cases and controls were calculated of having been previously diagnosed with GU. Results. Of the sampled subjects, 3,861 (14%) were diagnosed before the index date, 1,358 (19.7%) were cases, and 2,503 (12.1%) were controls (P<0.001). After adjusting for hypertension, diabetes, hyperlipidemia, renal disease, coronary heart disease, obesity, alcohol abuse/alcohol dependence syndrome, and socioeconomic status (SES), conditional logistic regression analysis revealed that cases were more likely to have been diagnosed with GU than controls (odds ratio [OR]=1.65, 95% confidence interval [CI]=1.53-1.77). Stratification by age revealed that the youngest group (18-29) of ED patients had the most increased likelihood of having been previously diagnosed with GU when compared with matched controls (OR=4.12, 95% CI=2.41-7.03). The likelihood decreased with age, with the oldest group of ED patients having the least increased likelihood of prior GU when compared with matched controls (OR=1.44, 95%CI=1.23-1.68). Conclusion. Our findings suggest a positive association between prior GU and a subsequent diagnosis with ED.
AB - Introduction. While erectile dysfunction (ED) and cardiovascular disease have long been known to share endothelial dysfunction as a common contributory underlying mechanism, little research has been conducted taking endothelial dysfunction as common ground to investigate the potential association between ED and gastric ulcers (GUs). Aim. This population-based case-control study aimed to investigate the association of ED with GU. Methods. This study used data from the Longitudinal Health Insurance Database 2000 in Taiwan. The study group comprised 6,906 patients who visited ambulatory care centers or were hospitalized with a diagnosis of ED. The comparison group was 20,718 randomly selected enrollees. Conditional logistic regression was used to examine associations between ED and prior GU. Main Outcome Measure. The prevalence and risk between cases and controls were calculated of having been previously diagnosed with GU. Results. Of the sampled subjects, 3,861 (14%) were diagnosed before the index date, 1,358 (19.7%) were cases, and 2,503 (12.1%) were controls (P<0.001). After adjusting for hypertension, diabetes, hyperlipidemia, renal disease, coronary heart disease, obesity, alcohol abuse/alcohol dependence syndrome, and socioeconomic status (SES), conditional logistic regression analysis revealed that cases were more likely to have been diagnosed with GU than controls (odds ratio [OR]=1.65, 95% confidence interval [CI]=1.53-1.77). Stratification by age revealed that the youngest group (18-29) of ED patients had the most increased likelihood of having been previously diagnosed with GU when compared with matched controls (OR=4.12, 95% CI=2.41-7.03). The likelihood decreased with age, with the oldest group of ED patients having the least increased likelihood of prior GU when compared with matched controls (OR=1.44, 95%CI=1.23-1.68). Conclusion. Our findings suggest a positive association between prior GU and a subsequent diagnosis with ED.
KW - Epidemiology
KW - Erectile Dysfunction
KW - Gastric Ulcers
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U2 - 10.1111/j.1743-6109.2011.02614.x
DO - 10.1111/j.1743-6109.2011.02614.x
M3 - Article
C2 - 22239977
AN - SCOPUS:84862820106
SN - 1743-6095
VL - 9
SP - 686
EP - 693
JO - Journal of Sexual Medicine
JF - Journal of Sexual Medicine
IS - 3
ER -
