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To assess the agreement of prevalence of PE according to 3 assessment methods: (i) the ejaculation latency time (ELT) according to the participant's memory; (ii) PEDT and (iii) a direct question about the self-perception of ejaculation as being normal, too early (premature) or retarded.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In this web-based cross-sectional study, men aged \u2265 18 years living in the metropolitan region of S\u00e3o Paulo, Brazil, responded anonymously to an online survey. We used multinomial regression to estimate the association between PE according PEDT criteria and other features and the kappa coefficient to estimate agreement between the assessment methods.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>Association between PEDT-PE, sociodemographic characteristics and sexual and relational behaviors; agreement between PEDT, ELT and self-perception of PE.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Obesity, trying to hold back ejaculation, short or nonexistent foreplay and age &amp;lt;30 years were associated with PEDT \u226511. Men who considered that latency was shorter for oral, anal and vaginal sex than for masturbation were more likely to have probable PE according to PEDT. Possible PE (PEDT scores 9\/10) was associated with trying to hold back ejaculation and considering time for ejaculation shorter for vaginal sex. There was fair agreement between assessments (kappa 0.39; CI:0.28 \u20130.42; P &amp;lt; .001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>PE prevalence varies according to instruments and cut-offs used, with fair agreement between them. This finding shows that the methods evaluate different aspects of the EP syndrome and they must be combined to allow the discrimination between the different types of PE and treatments. Clinical approaches should consider the sexual behavior and relationship of the patient and their distress.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.esxm.2021.100463","type":"journal-article","created":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T06:59:38Z","timestamp":1638946778000},"page":"100463-100463","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"title":["Premature Ejaculation Among Internet Users Living in the Metropolitan Region of S\u00e3o Paulo, Brazil: A Cross-Sectional Comparison Between the Premature Ejaculation Diagnostic Tool (PEDT) and Patient-Reported Latency Time and Perception"],"prefix":"10.1093","volume":"10","author":[{"given":"Margareth de Mello Ferreira","family":"dos Reis","sequence":"first","affiliation":[{"name":"Psychological Care, Sexual Medicine Outpatient Clinic, Urology Department, Faculdade de Medicina do ABC , ,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo Augusto Corr\u00eaa","family":"Barros","sequence":"additional","affiliation":[{"name":"Sexual Medicine Outpatient Clinic, Urology Department, Faculdade de Medicina do ABC , ,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Urology Department, Faculdade de Medicina do ABC , ,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristiano Linck","family":"Pazeto","sequence":"additional","affiliation":[{"name":"Urology Department, Faculdade de Medicina do ABC , ,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willy","family":"Baccaglini","sequence":"additional","affiliation":[{"name":"Urology Department, Faculdade de Medicina do ABC , ,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidney","family":"Glina","sequence":"additional","affiliation":[{"name":"Urology Department, Faculdade de Medicina do ABC , ,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,12,8]]},"reference":[{"key":"2023012008293921300_bib1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596","article-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM-5 [Internet]","author":"American Psychiatric Association","year":"2013"},{"key":"2023012008293921300_bib2","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1002\/sm2.27","article-title":"An evidence-based unified definition of lifelong and acquired premature ejaculation: report of the second International Society for Sexual Medicine Ad Hoc Committee for the definition of premature ejaculation","volume":"2","author":"Serefoglu","year":"2014","journal-title":"Sex Med"},{"key":"2023012008293921300_bib3","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1111\/j.1743-6109.2006.00276.x","article-title":"Changing paradigms from a historical DSM-III and DSM-IV view toward an evidence-based definition of premature ejaculation. 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