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The risk of ED in this sample was inversely related to subjects’ a higher level dominance. Men scoring moderate or an excellent source of dominance were approximately double more unlikely to produce ED at follow-up than men with low dominance scores; this finding is line with previous cross-sectional findings through the Massachusetts Male Aging Study regarding magnitude, strength, and direction (3). We know of no other study which has examined dominance with regards to ED. However, dominance continues to be studied regarding many other health outcomes. Contrary to the findings presented herein, dominance may be positively linked to such outcomes as peripheral atherosclerotic disease (43), coronary heart (44), cardiovascular reactivity (45), and mortality (46).

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