AbstractBackground: Tobacco use is a leading preventable cause of global morbidity and mortality, responsible for over 8 million deaths annually. Despite public health efforts, smoking remains prevalent, particularly among men. It is linked to various health issues, including cardiovascular diseases, respiratory disorders, and cancers, and significantly impacts male sexual health, contributing to erectile dysfunction (ED), reduced libido, and premature ejaculation. ED, the inability to maintain an erection, is the most commonly reported issue. Smoking-induced sexual dysfunction is primarily due to vascular impairment, hormonal changes, and psychological effects, with smoking cessation improving erectile function.
Aim of the study: This study aims to investigate the prevalence of sexual dysfunction among male tobacco users.
Methods: This cross-sectional observational study was conducted at the Department of Psychiatry, Medical College for Womens and Hospital, Dhaka, Bangladesh from January 2024 to December 2024. A purposive sampling method was used to enrol 110 married male participants, aged 18 and above, who were current or former tobacco users. Exclusion criteria included individuals with unrelated psychiatric conditions or substance abuse. Data were collected through a structured questionnaire assessing demographic details, tobacco use history, and sexual dysfunction using the IIEF. Associated risk factors such as diabetes, hypertension, and obesity were analyzed using logistic regression. Statistical analysis was performed with SPSS, and results were considered significant at p≤0.05.
Result: A total of 110 participants were included, with the majority in the 26-35 age group (27.27%). The most common education level was secondary (45.45%), and most participants were employed (68.18%). Tobacco use was prevalent, with 72.73% smoking cigarettes and 63.64% using tobacco daily. Sexual dysfunction was reported by 63.64%, with erectile dysfunction being the most common (40.91%). Diabetes, obesity, depression, cardiovascular disease, and hypertension were identified as significant risk factors, with diabetes showing the highest odds ratio (OR = 2.5). The study highlights the significant prevalence of sexual dysfunction and its associated risk factors.
Conclusion: This study reveals a high prevalence of sexual dysfunction in tobacco users, with 63.64% reporting issues, primarily erectile dysfunction and decreased libido. Long-term daily tobacco use, along with comorbidities like diabetes, hypertension, and depression, significantly contribute to sexual health deterioration.
