Review Article
Erectile Dysfunction and Associated Factors Among Adult Hypertensive Patients Attending Outpatient Care at Public Hospitals in Harari Regional State, Eastern Ethiopia
Issue:
Volume 11, Issue 1, March 2025
Pages:
1-14
Received:
18 August 2024
Accepted:
19 September 2024
Published:
13 March 2025
DOI:
10.11648/j.bs.20251101.11
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Abstract: Introduction. Sexual dysfunction is lack of sexual ideas or thoughts, diminished sexual interest or desire, and unresponsive sexual desire. Sexual dysfunctions is a prevalent issue that can impact both the patients' and their spouses' quality of life. Even though Erectile dysfunction is very common and linked to many medical and health related conditions. There was no study at public hospitals in Eastern Ethiopia. Objective. This study was aimed to assess the prevalence of erectile dysfunction and associated factors among hypertensive patients attending Public Hospitals in Harari Region, Eastern Ethiopia. Materias and Methods. An institutional-based cross-sectional study was conducted from January 31 to February 29, 2024 among 413 participants selected by systematic random sampling technique. Erectile dysfunction was assessed with the International Index of Erectile Function. Data were entered into EPI Data version 3.1 and analyzed using STATA version 14. Bivariable and multivariable logistic regressions were done to identify factors associated with Erectile dysfunction. The adjusted odds ratio (AOR) with a 95% confidence interval (CI) was computed when the p-value was less than 0.05, which was considered statistically significant. Results. A total of 413 male adult hypertensive patients were recruited in this study with a 98.3% response rate. The prevalence of erectile dysfunction among hypertensive patients was 54%(95% CI 49.2-58.4). Age between 61 and 80 years (AOR=3.3, 95% CI: 1.06-10.32), having a depression (AOR=3.1, 95%CI: 1.63- 6.16), having an anxiety (AOR=2.3, 95% CI: 1.21-4.41), being in a stage 2 hypertension (AOR=3.2, 95% CI: 1.09- 9.77), duration of hypertension more than 10 years (AOR=5.6, 95% CI: 1.98-16.06), having comorbid medical illnesses (AOR=4.0, 95%, CI: 2.13- 7.53), being on antihypertensive polytherapy (AOR=3.6, 95% CI: 1.99-6.51), and being physically inactive (AOR=4.4, 95% CI: 2.42- 8.07) were significantly associated with erectile dysfunction. Conclusion. More than half of the study participants had erectile dysfunction. and it appears to be significantly associated with age, presence of depression and anxiety, stage of hypertension, duration of the illness, preexisting chronic illnesses, medication polytherapy, and physical activity. All hypertensive patients presenting to a physician should have routine evaluation for erectile dysfunction so as to recognize it early and reduce its effects.
Abstract: Introduction. Sexual dysfunction is lack of sexual ideas or thoughts, diminished sexual interest or desire, and unresponsive sexual desire. Sexual dysfunctions is a prevalent issue that can impact both the patients' and their spouses' quality of life. Even though Erectile dysfunction is very common and linked to many medical and health related cond...
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Research Article
Competence of Laboratory Practitioners on Malaria Microscopy and Associated Factors in Moshi Municipality, North-eastern Tanzania
Issue:
Volume 11, Issue 1, March 2025
Pages:
15-23
Received:
30 June 2025
Accepted:
14 July 2025
Published:
30 July 2025
DOI:
10.11648/j.bs.20251101.12
Downloads:
Views:
Abstract: Accurate detection and confirmation of malaria parasites require good-quality microscopy. Low-quality microscopy can result in incorrect diagnoses and, hence, ineffective treatments. Several factors, including the skills of laboratory personnel, influence the quality of malaria microscopy, posing challenges in malaria diagnosis. The present study assessed the competence of medical laboratory practitioners in malaria microscopy and associated factors in selected health facilities in Moshi Municipality, Tanzania. A cross-sectional study was conducted from May to June 2024, where 147 laboratory practitioners from 45 health facilities in Moshi Municipality were included in the study. Six standardized External Quality Assessment malaria slides were distributed to each health facility. Individual laboratory practitioners in each facility had a choice to read only one of the slides. The competence of laboratory practitioners in malaria microscopy in this study was measured by the accuracy of detection and quantification of malaria parasites. Multiple logistic regression was performed to determine factors associated with good performance in malaria microscopy, where the odds ratio (OR) and corresponding 95% confidence interval were reported. All variables with p-values <0.05 were considered significant. A total of 147 laboratory practitioners participated, and the accuracy of malaria parasite detection and quantification was 46.2% and 36%, respectively. Malaria microscopy training showed an association with the accuracy of malaria slide reading with COR=3.437 (CI=1.681-7.031), p-value=0.001, AOR=2.669 (CI=1.217-5.855), p-value=0.014. Our study results show a low level of proficiency in malaria microscopy among laboratory practitioners in Moshi Municipality. Our study results show a low level of proficiency in malaria microscopy among laboratory practitioners in Moshi Municipality. Refresher training in malaria microscopy could improve the performance of the laboratory practitioners for the detection and quantification of malaria parasites.
Abstract: Accurate detection and confirmation of malaria parasites require good-quality microscopy. Low-quality microscopy can result in incorrect diagnoses and, hence, ineffective treatments. Several factors, including the skills of laboratory personnel, influence the quality of malaria microscopy, posing challenges in malaria diagnosis. The present study a...
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,
Tadesse Misgana,
Abdulselam Asefa,
Tilahun Bete,
Abdi Temesgen,
Abinet Zewudie,
Hirko Asefa,
Shimelis Tilahun
