Investigation and analysis on the physical and mental health and sexual function in male population

HUANG Yanping; XU Shiran; LIU Yidong; PENG Yubing; WANG Hongxiang; ZHANG Ming; WANG Zhibo; LU Mujun

doi:10.13263/j.cnki.nja.2025.12.008

Abstract：Objective To investigate the physical health,sexual function,and psychological status of adult males in China.Methods We collected male data from physical examination center by using internet-based application survey including sexual health and psychological questionnaire.The physical examination data encompassed demographic information,glucose and lipid metabolism indicators,uric acid levels,vascular ultrasound,and urinary system ultrasound.The online survey included general information and four questionnaires including Generalized Anxiety Disorder 7-item scale(GAD-7),Patient Health Ques-tionnaire 9-item scale(PHQ-9),International Index of Erectile Function 6-item version(IIEF-6)and Premature Ejaculation Di-agnostic Tool(PEDT).Based on disease diagnostic criteria and questionnaire evaluation standards,SPSS and Excel software were used to statistically analyze the prevalence of various diseases and abnormal conditions.Results A total of 8 235 partici-pants were recruited from physical examination centers,with an average age of(40.5±10.8)years.And 2 299 participants were included from internet data,with an average age of(38.8±9.2)years.Among the overall male population undergoing physical examination,the incidence rate of hyperlipidemia,hyperuricemia and carotid plaques was 64.7％,58.2％and 52.2％,respectively.In individuals under 40 years old,the incidence rates of hyperlipidemia and hyperuricemia were high.And more than 40.0％of the participants showed signs of carotid atherosclerosis.Among those over 50 years old,up to 81.0％of the participants had carotid plaques,and 51.1％had prostate abnormalities.In the population from online survey,the inci-dence rate of erectile dysfunction(ED)and premature ejaculation(PE)was 30.9％and 11.6％,respectively.8.2％of males had both ED and PE simultaneously.Among those under 30 years old,the overall incidence rate of ED and PE was 31.9％and 14.4％,respectively.The prevalence of high depression scores was 23.2％,and high anxiety scores was 17.8％in the general population.Notably,among males aged 31-40,the proportion with high anxiety scores reached 20.4％.Furthermore,31.6％of clerical workers and 39.5％of them had high depression scores,while 30.8％of manual workers and 38.5％of them had high anxiety scores.Conclusion The incidence of metabolic diseases is high among young and middle-aged males,with cardiovascu-lar disease risks and prostate disease incidence gradually increasing with age.Aging is the primary risk factor for ED,but there is a trend of younger onset.And manual workers have a higher risk of developing ED.The levels of anxiety and depression are significantly elevated among middle-aged males,particularly among clerical and manual workers.