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The Cumulative Effects of Medication Use, Drug Use, and Smoking on Erectile Dysfunction Among Men Who Have Sex with Men

Hart, TA and Moskowitz, D and Cox, C and Li, X and Ostrow, DG and Stall, RD and Gorbach, PM and Plankey, M (2012) The Cumulative Effects of Medication Use, Drug Use, and Smoking on Erectile Dysfunction Among Men Who Have Sex with Men. Journal of Sexual Medicine, 9 (4). 1106 - 1113. ISSN 1743-6095

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Introduction. Erectile dysfunction (ED) is highly prevalent among human immunodeficiency virus-seropositive (HIV+) men who have sex with men (MSM). There is a need for additional research to determine the correlates of HIV+ and HIV-seronegative (HIV-) MSM, especially regarding nonantiretroviral medication use. Aims. This study examined the prevalence of ED and the sociodemographic, medical conditions, medication use, and substance use correlates of ED among HIV+ and HIV- MSM. Methods. A modified version of the International Index of Erectile Function (IIEF) for MSM was self-administered by participants enrolled in the Multicenter AIDS Cohort Study, an ongoing prospective study of the natural and treated histories of HIV infection among MSM in the United States. The study sample included 1,340 participants, including 612 HIV+ and 728 HIV- men. Poisson regression with robust error variance was used to estimate prevalence ratios of ED in multivariable models in combined (HIV+/-) and separate analyses. Main Outcome Measure. ED was determined by the summed scores of a modified version of the IIEF validated among MSM. Results. Twenty-one percent of HIV+ MSM and 16% of HIV- MSM reported ED. Being >55years of age, black race, cumulative pack years of smoking, cumulative antihypertensive use, and cumulative antidepressant use had significant positive associations with the prevalence of ED in the total sample. Among HIV+ men, duration of antihypertensive use and antidepressant use were significantly associated with increasing prevalence of ED. Among HIV- men, being >55years of age, black race, and cigarette smoking duration were associated with increased prevalence of ED. Conclusion. Predictors of ED may differ by HIV status. Although smoking cessation and effective medication management may be important as possible treatment strategies for ED among all MSM, there may be a burden on sexual functioning produced by non-HIV medications for HIV+ men. Hart TA, Moskowitz D, Cox C, Li X, Ostrow DG, Stall RD, Gorbach PM, and Plankey M. The cumulative effects of medication use, drug use, and smoking on erectile dysfunction among men who have sex with men. © 2012 International Society for Sexual Medicine.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Hart, TA
Moskowitz, D
Cox, C
Li, X
Ostrow, DG
Stall, RDrstall@pitt.eduRSTALL
Gorbach, PM
Plankey, M
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 January 2012
Date Type: Publication
Journal or Publication Title: Journal of Sexual Medicine
Volume: 9
Number: 4
Page Range: 1106 - 1113
DOI or Unique Handle: 10.1111/j.1743-6109.2011.02648.x
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 1743-6095
Date Deposited: 12 Jun 2013 20:53
Last Modified: 02 Feb 2019 13:55


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