KNOWLEDGE, ATTITUDE, CONFIDENCE AND BARRIERS IN THE PRACTICE OF ERECTILE DYSFUNCTION SCREENING AMONG PRIMARY HEALTHCARE PROVIDERS IN TAIPING PERAK, MALAYSIA
Erectile dysfunction (ED) is associated with coronary artery disease. However, ED screening is poorly practiced in the primary care setting.
To assess the primary healthcare providers' knowledge and attitude towards ED and to determine the confidence and barriers in the screening of ED.
A cross-sectional study using self-administered questionnaires was conducted at 11 government health clinics in Taiping in 2018 involving healthcare providers who run the outpatient and non-communicable disease unit. Mann-Whitney U test, Kruskal-Wallis tests and Chi-square test were employed for data analysis.
Of total 77 participants, 38 (49.4%) participants scored above median knowledge. Participants who were doctors, users of clinical practice guide in ED and perceived adequate training scored higher in knowledge (p<0.05). The highest percentage of correct responses was smoking as a cause of ED (98.7%), the lowest was prevalence of ED (18.2%). All participants perceived ED as an important health issue and felt that proper treatment is required. Only 16 (20.8%) participants had confidence in ED screening practice. Lack of training in ED screening and assessment was the barrier that significantly affect the confidence of practice (p=0.012).
The knowledge on ED and confidence in its screening were unsatisfactory. Primary healthcare providers need to be trained adequately on ED screening, assessment and management for CVD prevention and quality of life improvement.