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Sexual quality of life in inflammatory bowel disease: A multicenter, national-level study

2020-05Journal article Restricted
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dc.contributor.authorRoseira, Joana
dc.contributor.authorMagro, Fernando
dc.contributor.authorFernandes, Samuel
dc.contributor.authorSimoes, Carolina
dc.contributor.authorPortela, Francisco
dc.contributor.authorVieira, Ana Isabel
dc.contributor.authorPatita, Marta
dc.contributor.authorLeal, Carina
dc.contributor.authorLago, Paula
dc.contributor.authorCaldeira, Paulo
dc.contributor.authorGago, Tania
dc.contributor.authorCurrais, Pedro
dc.contributor.authorDias, Claudia Camila
dc.contributor.authorSantiago, Mafalda
dc.contributor.authorDias, Sandra
dc.contributor.authorSousa, Helena Tavares
dc.date.accessioned2021-06-24T11:35:40Z
dc.date.available2021-06-24T11:35:40Z
dc.date.issued2020-05
dc.description.abstractBackground: The impact of inflammatory bowel disease (IBD) on sexual health is a leading concern among patients. Most studies focus on sexual dysfunction rather than patient-perceived sexual quality of life (SQoL). We aimed to assess SQoL in IBD patients compared with healthy controls. Methods: This is a multicenter, cross-sectional study of IBD patients (n = 575 with Crohn's disease and n = 294 with ulcerative colitis), compared with healthy controls (n = 398), that used an anonymous self-administered questionnaire. This multimodal questionnaire included sociodemographic data and 4 validated instruments: Short IBD Questionnaire, Social Desirability Scale, Sexual QoL Questionnaire-Male/Female, Nine-item Patient Health Questionnaire. Results: Inflammatory bowel disease patients reported lower SQoL (men: 77.29 vs 83.83; P < 0.001; women: 70.40 vs 81.63; P < 0.001) compared with controls. Among IBD patients, SQoL was positively correlated with health-related quality of life (HRQoL) and negatively correlated with depression symptoms. Perianal disease was associated with lower HRQoL and higher incidence of depression, but only impacted SQoL in men. In linear regression analysis for men, SQoL was associated with age, marital status, and depression (beta, -2.101; 95% confidence interval [CI], -2.505 to -1.696; P < 0.001). In women, SQoL was associated with depression (beta, -1.973; 95% CI, -2.313 to -1.632; P < 0.001) only. Conclusions: Patients with IBD had impaired SQoL compared with healthy controls. Age, widow status, and depression were independent predictors of SQoL in men with IBD, whereas in women depression was the only independent predictor. Emotional and self-esteem issues were the main concerns reported by IBD patients regarding sexual health.
dc.description.sponsorshipNorth Portugal Regional Operational Programme under the PORTUGAL 2020 Partnership Agreement [NORTE-01-0145-FEDER-000016]
dc.description.sponsorshipEuropean Regional Development FundEuropean Commission
dc.description.versioninfo:eu-repo/semantics/publishedVersion
dc.identifier.doi10.1093/ibd/izz185
dc.identifier.issn1078-0998
dc.identifier.urihttp://hdl.handle.net/10400.1/16507
dc.language.isoeng
dc.peerreviewedyes
dc.publisherOxford University Press
dc.subjectSexual quality of life
dc.subjectPatient-reported outcomes
dc.subjectInflammatory bowel disease
dc.subjectCrohn's disease
dc.subjectUlcerative colitis
dc.subject.otherGastroenterology & Hepatology
dc.titleSexual quality of life in inflammatory bowel disease: A multicenter, national-level study
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage755
oaire.citation.issue5
oaire.citation.startPage746
oaire.citation.titleInflammatory Bowel Diseases
oaire.citation.volume26
person.familyNameRoseira
person.familyNameCaldeira
person.familyNameSousa
person.givenNameJoana
person.givenNamePaulo
person.givenNameHelena Tavares
person.identifier.ciencia-id1112-F0B2-19A3
person.identifier.ciencia-idCF1F-1163-1C4A
person.identifier.orcid0000-0002-5098-8729
person.identifier.orcid0000-0002-2404-6295
person.identifier.orcid0000-0002-6626-205X
rcaap.rightsrestrictedAccess
rcaap.typearticle
relation.isAuthorOfPublication077331f1-402e-455f-8e16-e475d62bc73a
relation.isAuthorOfPublication3def3720-8982-4c46-801d-af640d508b59
relation.isAuthorOfPublication6b1d11dd-486f-4fb3-b41f-02e1cf6a5c2e
relation.isAuthorOfPublication.latestForDiscovery3def3720-8982-4c46-801d-af640d508b59

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