Abstract
OBJECTIVES
To determine if race/ethnicity impacts disclosure of erectile function.
METHODS
Data on age, education, erectile function, and past medical history were obtained
from the National Health and Nutrition Examination Survey. Response rates to a single
survey question regarding erectile function were calculated and compared between race/ethnicity
groups. Two subgroups were created by excluding non-responders to questions about
hypertension and prostate disease to control for overall non-responsiveness and urologic
health literacy.
RESULTS
Our final cohort consisted of 4,694 men. Overall, 3,898 (83.0%) responded to the erectile
function survey question. Race/ethnicity was a significant factor in overall response
rates to the Erectile function question: 85.2% in non-hispanic white, 82.3% in non-hispanic
black, 81.2% in hispanic, and 64.8% in other subjects (P<.001). Race/ethnicity remained significantly associated with responses rates among
both subgroups. Multivariate logistic regression using the prostate disease subgroup
showed that non-hispanic black (AOR = 2.02, 95% CI 1.01-4.03, P = .047) and hispanic (AOR = 2.18, 95% CI 1.19-4.00, P = .012) participants were significantly more likely to not disclose their erectile
function compared to non-hispanic white participants after controlling for age and
education.
CONCLUSION
Non-hispanic black and hispanic men were significantly less likely to disclose their
erectile function than non-hispanic white men in an anonymous, nationally representative
survey. A better understanding of how cultural differences affect reporting of erectile
function is important in improving patient care and accurately studying outcomes of
urological procedures.
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Article info
Publication history
Published online: June 06, 2022
Accepted:
May 23,
2022
Received:
January 27,
2022
Footnotes
Financial Disclosure: The authors declare that they have no relevant financial interests.
Identification
Copyright
© 2022 Published by Elsevier Inc.
