Health seeking behaviour in management of erectile dysfunction among men in an urban African population


  • Olajide O. Abiola Department of Surgery, Bowen University Teaching Hospital, Ogbomoso, Nigeria
  • Oluwaseyi J. Adigun Department of Health Education and Health Promotion, University of Ilorin, Ilorin, Nigeria
  • Olushola J. Ajamu Department of Surgery, Lautech University Teaching Hospital, Ogbomoso, Nigeria
  • Oyeronke T. Williams Department of Internal Medicine, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria



African population, Erectile dysfunction, Health seeking behaviour


Background: Erectile dysfunction (ED) is consistent inability to achieve/maintain penile erection sufficiently enough for satisfactory sexual intercourse. It is a major sexual disorder causing significant distress in men with associated poor quality of life. Despite it being a common sexual disorder, many of the affected people do not seek medical care. The study sought to investigate health seeking behaviour in management of ED among urban dwelling African men.

Methods: A cross-sectional descriptive survey method was adopted. The study population comprised of men drawn from an urban setting in Nigeria using a multi-stage sampling technique. Three hypotheses were formulated which were cultural beliefs, financial status and medical access/perception on quality of care will not significantly influence health seeking behaviour for management of ED. Researchers’ designed questionnaire validated by three experts drawn from the relevant fields with reliability co-efficient of 0.77 obtained through split half method by Pearson product moment correlation was used for data collection. The three postulated hypotheses were tested using Person product moment correlation.

Results: All the three hypotheses were rejected at 0.05 alpha level of significance because their calculated r-values were greater than their critical values.

Conclusions: It was concluded that cultural beliefs, financial status and access to medical facilities/perception of quality of care from such medical facilities influence the health seeking behaviour of men in the management of ED.



World Health Organization. Sexual and reproductive health. 2016. Available at Accessed 10 March 2017.

National Institute of Health (NIH) consensus development panel on impotence. JAMA. 1993;270(1):83-90.

Dunn ME. Restoration of couple’s intimacy and relationship vital to re-establishing erectile function. J Am Osteopath. 2004;104(3):6-10.

Balon R. Sexual dysfunction. The brain-body connection. Adv Psychosom Med Basel. 2008;29:1-6.

Olugbenga-Bello AI, Adeoye AO, Adeomi AA, Olajide AO. Prevalence of erectile dysfunction and its risk factors among adult men in a Nigerian community. Nigeria Postgraduate Med J. 2013;20(2):130-5.

Shaeer KZ, Osegbe DN, Siddiqui SH, Razzaque A, Glasser DB, Jaguste V. Prevalence of erectile dysfunction and its correlated among men attending primary care clinics in three countries: Pakistan, Egypt and Nigeria. Int J Impotence Res. 2003;15(1):8-14.

Okwonkwo JEN, Uwakwe R, Obionu C, Okonkwo CV. Communication and sexuality in a Nigerian community. Advances in Conception. 2010;15(1):61-8.

Omisanjo O, Faboya O, Aleetan O, Babatune A, Taiwo A, Ikuerowo S. Prevalence and treatment pattern of erectile dysfunction amongst men in Southwestern Nigeria. Int J Sexual Med. 2014;3(1):1-4.

Ariba AJ, Oladopo OT, Iyaniwura CA, Dada OA. Management of erectile of dysfunction: perception and practices of Nigerian primary care clinicians. SA Fam Pract. 2007;49(9):16-29.

Yovwin DG, Imarhiagbe FA, Obazee EM, Oguike TC. Erectile dysfunction in a sub-saharan African population: profile and correlates in a tertiary care hospital. Sahel Med J. 2015;18:116-20.

Wah-Yun L. Malaysian cultural differences in knowledge, attitudes and practices related to erectile dysfunction. Available at Accessed 24 October 2016.

Shaikh BT, Hatcher J. Health seeking behaviour and health service utilization in Pakistan: challenging the policy makers. J Pub Health. 2004;27(1):49-54.

Moreira jr ED, Brock G, Glasser DB, Nicolosi A, Laumann EO, Paik A. Help-seeking behaviour for sexual problems: the global study of sexual attitudes and behaviors. Int J Clin Pract. 2005;59(1):6-16.

Federal republic of Nigeria: 2006 Population Census. Available at Accessed 19 March 2017.

Vaughn LM, Jacquez F, Baker CB. Cultural health attributions, beliefs, and practices: effects on healthcare and medical education. Open Med Education J. 2009;2:64-74.

Nayak MG, Sharada, Geroge A. Socio-cultural perspectives on health and illness. Nitte University J Health Sci. 2012;2(3):61-7.

Mc Laughlin L, Brun K. Asian and pacific islanders cultural values: considerations for health care decision-making. Health and Work. 1998;23(2):116-26

Ojua TA, Ishor DG, Ndom PF. African cultural practices and health implications for Nigeria rural development. Int Rev Management Business Res. 2013;2(1):176-83.

Mehmet ZSS, Yasin B. Cultural factors in the treatment of sexual dysfunction in Muslim clients. Current Sexual Health Rep. 2016;8(2):57-63.

Afolayan JA, Yakubu MT. Erectile dysfunction management options in Nigeria. J Sexual Med. 2009;6(4):1090-102.

Kiwanuka S, Ekirapa E, Peterson S, Okui O, Rahman MH, Peters D. Access to and utilization of health services for the poor in Uganda. A systematic review of available evidence. Trans Research Society Tropical Med. 2008;102(111):1067-74.

Nabyonga J, Desmet M, Karamagi H, Kadama PY, Omaswa FG, Walker O. Abolition of cost-sharing is pro-poor: evidence from Uganda. Health Policy Plan 2005;20(2):100-8.

Dillip A, Alba S, Mshana R, Hetzel MW, Lengeler C. Acceptability: a neglected dimension of access to health care: findings from a study on childhood convulsions in rural Tanzania. BMC Health Service Res. 2012;12:113.

Oreagba IA, Oshikoya KA, Amachree M. Herbal medicine use among urban residents in Lagos, Nigeria. BMC Complimentary Alternative Med. 2011;11:117. Available at

Takure AO, Adebayo SA, Okeke LI, Olaopa OEO, Shittu OB. Erectile dysfunction among men attending surgical outpatients Department in a Tertiary Hospital in South-Western Nigeria. Nigeria J Surg. 2016;22(1):32-6.

Idung A, Abasiubong F, Ukott I, Udoh S, Unadike B. Prevalence and risk factors of erectile dysfunction in Niger delta region, Nigeria. Afr Health Sci. 2012;12(2):160-5.

Okoh J, Okafor I, Kokonne E, Ajeh I, Isimi C, Olayemi O, et al. Popularity and customer preferences for herbal medicines in Nigeria: a questionnaire based study. Humanities Social Sciences Letters. 2016;4(3):69-76.

Oyedeji R, Abimbola S. How tertiary hospitals can strengthen primary health care in Nigeria. Nigerian Med J. 2014;55(6):519-20.

Okpani A, Abimbola S. Operationalizing universal health coverage in Nigeria through social health insurance. Nig Med J. 2015;56(5):305-10.

Rumun AJ. The socio-cultural patterns of illness and health care in Nigeria. Eu J Hum Social Sci. 2014;30(1):1588-98.






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