{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T12:01:04Z","timestamp":1793275264872,"version":"4.5.0"},"reference-count":50,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>We aimed to evaluate the association between sleep quality and erectile dysfunction in young university students.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross-sectional survey was conducted in men aged 18\u201330 years from Universidad Ricardo Palma, Lima, Peru. The survey comprised the International Index of Erectile Function, Pittsburgh Sleep Quality Index, Berlin questionnaire, and questions related to sociodemographic data. Prevalence ratios were estimated with generalized linear models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 381 participants, the median age was 23 years. Half of the students (50.9%) had poor sleep quality, of which 72.7% had mild erectile dysfunction and 20.6% mild to moderate dysfunction. Prevalence of erectile dysfunction was significantly higher in students with poor sleep quality than in students with good sleep quality (aPR = 6.48; 95% CI: 4.58\u20139.17) after adjusting for age, academic year, nutritional status, and sleep apnea. In a subsequent exploratory analysis, sleep apnea was associated with a higher prevalence of erectile dysfunction (aPR = 1.19; 95% CI: 1.01\u20131.39), while overweight (aPR = 0.85; 95% CI: 0.76\u20130.95) and obesity (aPR = 0.65; 95% CI: 0.52\u20130.82) were associated with a lower prevalence of this condition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Poor sleep quality was independently associated with erectile dysfunction in young university students. This finding suggests that male students are at risk for sexual problems due to possible academic demands and relationship issues.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.932718","type":"journal-article","created":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T05:35:04Z","timestamp":1675229704000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":13,"title":["Poor sleep quality and erectile dysfunction in students from a Peruvian University: A cross-sectional study"],"prefix":"10.3389","volume":"11","author":[{"given":"Pierina","family":"Gutierrez-Velarde","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario J.","family":"Valladares-Garrido","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Ichiro","family":"Peralta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor J.","family":"Vera-Ponce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Antonio","family":"Grandez-Urbina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,2,1]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1016\/S0022-5347(17)34871-1","article-title":"Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study","volume":"151","author":"Feldman","year":"1994","journal-title":"J Urol."},{"key":"B2","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1016\/j.sxmr.2019.06.008","article-title":"Epidemiology update of erectile dysfunction in eight countries with high burden","volume":"8","author":"Goldstein","year":"2020","journal-title":"Sex Med Rev."},{"key":"B3","doi-asserted-by":"publisher","first-page":"216","DOI":"10.4067\/S0718-85602016000300002","article-title":"Prevalencia de disfunci\u00f3n er\u00e9ctil y factores asociados en pacientes con indicaci\u00f3n de rehabilitaci\u00f3n card\u00edaca","volume":"35","author":"Santib\u00e1\u00f1ez","year":"2016","journal-title":"Revista chilena de cardiolog"},{"key":"B4","doi-asserted-by":"publisher","first-page":"79","DOI":"10.21037\/tau.2016.09.06","article-title":"Erectile dysfunction in fit and healthy young men: psychological or pathological?","volume":"6","author":"Rastrelli","year":"2017","journal-title":"Transl Androl Urol."},{"key":"B5","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1080\/0092623X.2012.665818","article-title":"Are early and current erectile problems associated with anxiety and depression in young men? A retrospective self-report study","volume":"38","author":"Jern","year":"2012","journal-title":"J Sex Marital Ther."},{"key":"B6","doi-asserted-by":"publisher","first-page":"261","DOI":"10.5534\/wjmh.180045","article-title":"Sleep, sleep disorders, and sexual dysfunction","volume":"37","author":"Cho","year":"2019","journal-title":"World J Mens Health."},{"key":"B7","doi-asserted-by":"publisher","first-page":"S218","DOI":"10.1139\/apnm-2020-0034","article-title":"Sleep duration and health in adults: an overview of systematic reviews","volume":"45","author":"Chaput","year":"2020","journal-title":"Appl Physiol Nutr Metab"},{"key":"B8","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1016\/j.sleep.2016.08.006","article-title":"Short sleep duration and health outcomes: a systematic review, meta-analysis, and meta-regression","volume":"32","author":"Itani","year":"2017","journal-title":"Sleep Med."},{"key":"B9","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1016\/j.amjmed.2018.09.021","article-title":"Sleep disorders","volume":"132","author":"Pavlova","year":"2019","journal-title":"Am J Med."},{"key":"B10","doi-asserted-by":"publisher","first-page":"101429","DOI":"10.1016\/j.smrv.2021.101429","article-title":"Sleep disturbances and first onset of major mental disorders in adolescence and early adulthood: A systematic review and meta-analysis","volume":"57","author":"Scott","year":"2021","journal-title":"Sleep Med Rev."},{"key":"B11","doi-asserted-by":"publisher","first-page":"846","DOI":"10.1111\/ijcp.12629","article-title":"Increased risk of erectile dysfunction among patients with sleep disorders: A nationwide population-based cohort study","volume":"69","author":"Lin","year":"2015","journal-title":"Int J Clin Pract."},{"key":"B12","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1007\/s11154-020-09541-0","article-title":"Associations between body mass index, waist circumference and erectile dysfunction: A systematic review and meta-analysis","volume":"21","author":"Pizzol","year":"2020","journal-title":"Rev Endocr Metab Disord."},{"key":"B13","doi-asserted-by":"publisher","first-page":"S171","DOI":"10.1016\/j.jsxm.2018.04.106","article-title":"Erectile dysfunction associated to decrease in sleep quality in young adults of a Peruvian university","volume":"15","author":"Grandez-Urbina","year":"2018","journal-title":"J Sex Med."},{"key":"B14","first-page":"S35","article-title":"Constructing and evaluating the \u201cSexual Health Inventory for Men: IIEF-5\u201d as a diagnostic tool for erectile dysfunction","volume":"10","author":"Rosen","year":"1998","journal-title":"Int J Impot Res."},{"key":"B15","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1590\/S1726-46342011000300011","article-title":"Validaci\u00f3n psicom\u00e9trica del instrumento \u00edndice internacional de funci\u00f3n er\u00e9ctil en pacientes con disfunci\u00f3n er\u00e9ctil en Per\u00fa","volume":"28","author":"Zegarra","year":"2011","journal-title":"Rev Peru Med Exp Salud Publica."},{"key":"B16","doi-asserted-by":"publisher","first-page":"e13490","DOI":"10.2196\/13490","article-title":"Validation of the electronic version of the International Index of Erectile Function (IIEF-5 and IIEF-15): A crossover study","volume":"21","author":"van Kollenburg","year":"2019","journal-title":"J Med Internet Res."},{"key":"B17","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research","volume":"28","author":"Buysse","year":"1989","journal-title":"Psychiatry Res."},{"key":"B18","unstructured":"Validarion of the Pittsburgh sleep quality index in a peruvian sample2330\n            Luna-SolisY\n            Robles-AranaY\n            Aguero-PalaciosY\n          Anales de salud mental212015"},{"key":"B19","doi-asserted-by":"publisher","first-page":"485","DOI":"10.7326\/0003-4819-131-7-199910050-00002","article-title":"Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome","volume":"131","author":"Netzer","year":"1999","journal-title":"Ann Intern Med."},{"key":"B20","first-page":"8","article-title":"Validaci\u00f3n colombiana del cuestionario de Berl\u00edn","volume":"61","author":"Polan\u00eda-Dussan","year":"2013","journal-title":"Revista de la Facultad de Medicina"},{"key":"B21","doi-asserted-by":"publisher","first-page":"1687","DOI":"10.1016\/j.jsxm.2020.06.009","article-title":"Shift work sleep disorder and night shift work significantly impair erectile function","volume":"17","author":"Rodriguez","year":"2020","journal-title":"J Sex Med."},{"key":"B22","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1002\/da.22064","article-title":"Relationship between sleep disturbance and depression, anxiety, and functioning in college students","volume":"30","author":"Nyer","year":"2013","journal-title":"Depress Anxiety."},{"key":"B23","doi-asserted-by":"publisher","first-page":"3147","DOI":"10.1111\/j.1743-6109.2009.01372.x","article-title":"Sleep apnea is an independent correlate of erectile and sexual dysfunction","volume":"6","author":"Budweiser","year":"2009","journal-title":"J Sex Med."},{"key":"B24","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1590\/0102-311X00077313","article-title":"Bias of using odds ratio estimates in multinomial logistic regressions to estimate relative risk or prevalence ratio and alternatives","volume":"30","author":"Camey","year":"2014","journal-title":"Cad Saude Publica."},{"key":"B25","doi-asserted-by":"publisher","first-page":"16003","DOI":"10.1038\/nrdp.2016.3","article-title":"Erectile dysfunction","volume":"2","author":"Yafi","year":"2016","journal-title":"Nat Rev Dis Primers."},{"key":"B26","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1038\/ijir.2014.34","article-title":"Psychological determinants of erectile dysfunction among middle-aged men","volume":"27","author":"Aghighi","year":"2015","journal-title":"Int J Impot Res."},{"key":"B27","doi-asserted-by":"publisher","first-page":"1134","DOI":"10.1210\/jcem.86.3.7296","article-title":"Disruption of the nocturnal testosterone rhythm by sleep fragmentation in normal men","volume":"86","author":"Luboshitzky","year":"2001","journal-title":"J Clin Endocrinol Metab."},{"key":"B28","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1111\/j.1365-2265.2012.04419.x","article-title":"Sleep timing may modulate the effect of sleep loss on testosterone","volume":"77","author":"Schmid","year":"2012","journal-title":"Clin Endocrinol (Oxf)."},{"key":"B29","doi-asserted-by":"publisher","first-page":"570","DOI":"10.1111\/and.12631","article-title":"Association between personal basic information, sleep quality, mental disorders and erectile function: A cross-sectional study among 334 Chinese outpatients","volume":"49","author":"Cheng","year":"2017","journal-title":"Andrologia"},{"key":"B30","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1185\/030079904125003467","article-title":"The multinational Men's Attitudes to Life Events and Sexuality (MALES) study: Prevalence of erectile dysfunction and related health concerns in the general population","volume":"20","author":"Rosen","year":"2004","journal-title":"Curr Med Res Opin."},{"key":"B31","doi-asserted-by":"publisher","first-page":"1019","DOI":"10.1016\/j.sleep.2009.08.016","article-title":"Prevalence of erectile dysfunction complaints associated with sleep disturbances in S\u00e3o Paulo, Brazil: A population-based survey","volume":"11","author":"Andersen","year":"2010","journal-title":"Sleep Med."},{"key":"B32","doi-asserted-by":"publisher","first-page":"2166","DOI":"10.1111\/j.1743-6109.2009.01542.x","article-title":"Erectile dysfunction and correlated factors in Brazilian men aged 18-40 years","volume":"7","author":"Martins","year":"2010","journal-title":"J Sex Med."},{"key":"B33","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1111\/j.1743-6109.04041.x","article-title":"Prevalence of erectile dysfunction among young adults: Results of a large-scale survey","volume":"1","author":"Heruti","year":"2004","journal-title":"J Sex Med."},{"key":"B34","doi-asserted-by":"publisher","first-page":"e13078","DOI":"10.1111\/ijcp.13078","article-title":"Real-world observational results from a database of 48 million men in the United States: Relationship of cardiovascular disease, diabetes mellitus and depression with age and erectile dysfunction","volume":"72","author":"Goldstein","year":"2018","journal-title":"Int J Clin Pract."},{"key":"B35","doi-asserted-by":"publisher","first-page":"e13395","DOI":"10.1111\/and.13395","article-title":"Associations between erectile dysfunction and psychological disorders (depression and anxiety): A cross-sectional study in a Chinese population","volume":"51","author":"Yang","year":"2019","journal-title":"Andrologia."},{"key":"B36","unstructured":"Association of depression\/anxiety with lower urinary tract symptoms and erectile dysfunction in Chinese men aged from 22 to 50 years60912\n            ZhangK\n            He LJ YuW\n            WangY\n            BaiWJ\n            WangXF\n          23939173Beijing Da Xue Xue Bao Yi Xue Ban.452013"},{"key":"B37","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1016\/j.sleep.2015.05.018","article-title":"Sleep disorders increase risk of subsequent erectile dysfunction in individuals without sleep apnea: A nationwide population-base cohort study","volume":"17","author":"Chen","year":"2016","journal-title":"Sleep Med."},{"key":"B38","doi-asserted-by":"publisher","first-page":"e0132510","DOI":"10.1371\/journal.pone.0132510","article-title":"Erectile dysfunction in patients with sleep apnea\u2013A nationwide population-based study","volume":"10","author":"Chen","year":"2015","journal-title":"PLoS ONE."},{"key":"B39","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1016\/0090-4295(90)80262-L","article-title":"Prevalence of sleep apnea in men with erectile dysfunction","volume":"36","author":"Hirshkowitz","year":"1990","journal-title":"Urology."},{"key":"B40","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1016\/j.jpsychores.2018.07.005","article-title":"The sleep and sex survey: Relationships between sexual function and sleep","volume":"112","author":"Seehuus","year":"2018","journal-title":"J Psychosom Res."},{"key":"B41","doi-asserted-by":"publisher","first-page":"855","DOI":"10.1111\/bju.13961","article-title":"Sleep disorders in patients with erectile dysfunction","volume":"120","author":"Kalejaiye","year":"2017","journal-title":"BJU Int."},{"key":"B42","doi-asserted-by":"publisher","first-page":"1033","DOI":"10.1016\/j.urology.2005.11.040","article-title":"Defining association between sleep apnea syndrome and erectile dysfunction","volume":"67","author":"Teloken","year":"2006","journal-title":"Urology."},{"key":"B43","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1038\/s41443-018-0017-7","article-title":"Association between obstructive sleep apnea and erectile dysfunction: A systematic review and meta-analysis","volume":"30","author":"Kellesarian","year":"2018","journal-title":"Int J Impot Res."},{"key":"B44","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1016\/j.sleh.2017.04.006","article-title":"Erectile dysfunction is independently associated with apnea-hypopnea index and oxygen desaturation index in elderly, but not younger, community-dwelling men","volume":"3","author":"Martin","year":"2017","journal-title":"Sleep Health."},{"key":"B45","doi-asserted-by":"publisher","first-page":"138","DOI":"10.5534\/wjmh.180026","article-title":"Obesity and erectile dysfunction: From bench to clinical implication","volume":"37","author":"Moon","year":"2019","journal-title":"World J Mens Health."},{"key":"B46","doi-asserted-by":"publisher","first-page":"e50252","DOI":"10.1371\/journal.pone.0050252","article-title":"Mola C, Pillay TD, Diez-Canseco F, Gilman RH, Smeeth L, Miranda JJ. Body Mass Index and Self-Perception of Overweight and Obesity in Rural, Urban and Rural-to-Urban Migrants: PERU MIGRANT Study","volume":"7","author":"Loret","year":"2012","journal-title":"PLoS ONE."},{"key":"B47","first-page":"A121","article-title":"Validity of self-reported height, weight, and body mass index: findings from the national health and nutrition examination survey, 2001-2006","volume":"6","author":"Merrill","year":"2009","journal-title":"Prev Chronic Dis."},{"key":"B48","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1007\/BF01542466","article-title":"The role of anxiety on sexual arousal","volume":"19","author":"Hale","year":"1990","journal-title":"Arch Sex Behav."},{"key":"B49","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/j.jadohealth.2012.01.008","article-title":"Sexual dysfunctions among young men: Prevalence and associated factors","volume":"51","author":"Mialon","year":"2012","journal-title":"J Adolesc Health."},{"key":"B50","doi-asserted-by":"publisher","first-page":"1397","DOI":"10.1016\/j.jsxm.2022.06.012","article-title":"Type D Personality independently predicts erectile dysfunction in taiwanese young men","volume":"19","author":"Fan","year":"2022","journal-title":"J Sex Med."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.932718\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T05:35:14Z","timestamp":1675229714000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.932718\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,1]]},"references-count":50,"alternative-id":["10.3389\/fpubh.2023.932718"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2023.932718","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,1]]},"article-number":"932718"}}