Prevalence of Sexual Disorders in Patients With Rheumatoid Arthritis and Associated Factors

Santos-Moreno, P.; Castro, Carlos A.; Villarreal, L.; Buitrago, Diana

doi:10.1016/j.esxm.2020.04.003

Cited by 6 publications

(6 citation statements)

References 24 publications

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“…Of relevance, each definition was also differentiated from the other one by specific contents (such as risks and consequences for/of sexual-related diseases for SH, and the family project life stage associated for RH), which might be threatened by the underlying rheumatic disease. Our results are in accordance with a recent systematic review and meta-analysis, 5 which demonstrated that RA diagnosis had a significant and negative impact on female sexual function, 26 which has been corroborated in patients from the Latin American region 16 . Similar results had been observed in qualitative studies that highlighted SH was affected in RA females 27 and in patients with rheumatic diseases from both sexes, highly represented by RA patients 27 .…”

Section: Discussionsupporting

confidence: 92%

“…Our results are in accordance with a recent systematic review and meta-analysis, 5 which demonstrated that RA diagnosis had a significant and negative impact on female sexual function, 26 which has been corroborated in patients from the Latin American region. 16 Similar results had been observed in qualitative studies that highlighted SH was affected in RA females 27 and in patients with rheumatic diseases from both sexes, highly represented by RA patients. 27 Further on, there is evidence that fear of being abandoned by the partner is an emotional experience due to RA and can decrease sexual activities.…”

Section: Discussionsupporting

confidence: 78%

“…The current level of SRH-related knowledge in RA patients has been primarily integrated based on quantitative studies performed in White populations 13–15 . Santos-Moreno et al 16 identified sexual disorders in one third of 1436 Colombian patients with RA, a slightly lower percentage than previously described. However, nationality and ethnicity determine the particular cultural background that influences patient perceptions and views about ways in which SRH is conceptualized and explored 15 .…”

Section: Introductionmentioning

confidence: 99%

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How Do Mexican Patients With Rheumatoid Arthritis Define Sexual and Reproductive Health? A Content Analysis Study

Ledón-LLanes¹,

Guaracha-Basáñez

Valverde-Hernández

et al. 2022

J Clin Rheumatol

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Background: A patient-centered approach is essential for promoting sexual health (SH) and reproductive health (RH) in rheumatoid arthritis patients. The study aimed to describe and interpret Mexican rheumatoid arthritis outpatients' testimonies of their SH and RH definitions.Methods: Qualitative and quantitative content analysis was conducted on free-text comments from 219 and 223 descriptions of patients' SH and RH definitions, respectively. A comprehensive system of major themes, categories, and subcategories was structured for each definition. The representational foundations of these categories and the context of their production were analyzed. Integration of quantitative and qualitative content analysis was used to comprehend patients' definitions of SH and RH. Internal review board approved the study.Results: Ten major themes emerged for each definition, and their assigned frequencies differed between SH and RH definitions, and between groups of patients integrated according to age, education level, and sex. Both definitions had similar contents, expressed in the shared major themes and categories, and in managing at the same time SH-and RH-related contents within each definition. The "overall prevention-patient oriented care" major theme defined a common core for both definitions' contents. Meanwhile, a diversity of meanings was also evident particularly at the subcategory level. Conclusions:In our population, SH content was distinguished by related diseases and their consequences, individual actions directed to prevention, and couple mentions. Meanwhile, RH was distinguished by a primarily biological perspective of the reproductive function, which was required at a particular life stage to concrete a family project.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

How Do Mexican Patients With Rheumatoid Arthritis Define Sexual and Reproductive Health? A Content Analysis Study

Ledón-LLanes¹,

Guaracha-Basáñez

Valverde-Hernández

et al. 2022

J Clin Rheumatol

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“…A newly published study found sexual dysfunction to be prevalent in one-third of patients with RA, and gender, age above 50 years, disease activity, mental health, and cohabitation were among factors associated with sexual dysfunction. 34 The present study found no significant association between sexual dysfunction and disease activity (measured with the HAQ) or cohabitation. However, significant associations were present between general questions about sex life and disease activity, depression, loneliness, and alcohol consumption.…”

Section: Discussioncontrasting

confidence: 82%

Sexual Health and Dysfunction in Patients With Rheumatoid Arthritis: A Cross-sectional Single-Center Study

et al. 2020

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Introduction An increased risk of sexual health problems is seen among patients with chronic illnesses. The background is likely to be multifactorial, but it remains poorly understood. Aim To investigate the sexual health and functioning of patients with rheumatoid arthritis (RA) and to examine gender differences, general population comparisons, and possible somatic, psychological, and disease-specific determinants. Methods A cross-sectional study using a digital questionnaire distributed among 380 patients diagnosed with RA in a Danish university hospital outpatient setting. Main Outcome Measure A range of patient-reported outcomes were obtained, including scores from the validated rating scale Changes in Sexual Functioning Questionnaire. Furthermore, individual medical record information was collected. Results A total of 329 patients (250 women and 79 men) were included (age range: 25–73 years; mean age: 57.2 years). The Changes in Sexual Functioning Questionnaire scoring indicated an overall sexual dysfunction in 33.8% of men and 58.1% of women.More than one-third (37.6%) of patients felt that RA had made their sex life more complicated, and 32.4% feared that this might someday be the case. In total, 29.2% patients had experienced sexual problems due to their RA treatment. Of the respondents who experienced RA-related fatigue, 46.5% reported that this impacted negatively on their sexual activity. The risk of one or more sexual health adversities was significantly correlated with female gender, older age, moderate or severe depression, moderate to moderately high loneliness, more than 2 comorbidities, and a fatigue score above 75 out of 100 on a visual analogue scale. Compared to the general population, significantly fewer patients with RA considered their sex life important, and significantly fewer patients appraised their current sex life as good or very good. Moreover, significantly more women with RA (32.1%) than women from the general population (15.7%) had not had any sex life during the past year. A vast majority of patients with RA (93.5% of women and 85.5% of men) had not discussed sexual issues with a health-care professional during the last 5 years. Of all, 32.5% would like health-care professionals to address sexual topics in the consultation occasionally. Conclusion Sexual dysfunction is highly prevalent in patients with RA, but the problems are not regularly addressed in consultations provided by the rheumatology department. Bay LT, Graugaard C, Nielsen DS, et al. Sexual Health and Dysfunction in Patients With Rheumatoid Arthritis: A Cross-sectional Single-Center Study. Sex Med 2020;8:615–630.

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“…Without early diagnosis and treatment, the disease may result in progressive disability and damage to multiple organs [ 2 ]. Limitations associated with the disease, both physical and psychological, may affect patients’ sex lives [ 3 ]. RA can affect sexual function in various ways, including pain, joint stiffness and swelling, chronic fatigue, and limitations in activities of daily living [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Sexual Dysfunction and Quality of Life in Patients with Rheumatoid Arthritis

Tański¹,

Dudek

Tomasiewicz

et al. 2022

IJERPH

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Background: Sexual health is a major component of human well-being. As repeatedly shown in research, satisfaction with sex life and sexual fulfillment correlate positively with quality of life (QoL) in most of its aspects. It is thus true that a reduced quality of one’s sex life and lack of sexual fulfillment can contribute to poorer QoL overall. The aim of this study is to describe an assessment of sexual dysfunction and factors affecting sexual dysfunctions of patients with rheumatoid arthritis (RA). Material and methods: 171 consecutive RA patients (mean age 48.3 ± 14.6) attending the rheumatology outpatient clinic. Standardized questionnaires used in the study were the sexological questionnaire, WHOQOL-BREF to assess QoL level, Disease Acceptance Scale, and VAS scale to assess pain intensity. Results: The mean duration of the disease in the study group was 13 ± 9 years, mean score of subjective assessment of mobility was 6.2 ± 1.6, and the mean score of the DAS-28 was 4.0 ± 1.9. The study group presented a mean level of disease acceptance (AIS 29.6 ± 11.6). The comparative analysis showed significant differences in reaching orgasm and declared sexual dysfunctions. These problems occurred more often in women than in men (34.2% vs. 18% and 43% vs. 40%, respectively). In univariate analysis, factors correlating positively with the frequency of declaring sexual dysfunction were subjective motor score less < 6 points, AIS < 36 points, WHOQOL-BREF < 59 points, disease activity ≥3.5 points, and VAS > 3. In multivariate logistic regression analysis, independent factors positively correlating with frequency of sexual dysfunction declaration were general QoL (β = 1.255; p = 0.035) and pain limiting social life (β = 1.564; p = 0.030). The absence of comorbidities correlated negatively and reduced the prevalence of sexual dysfunction (β = −1.030; p = 0.043). Patients with reduced QoL and patients with pain limiting social life had 3.5 and 4.8 times higher risk of sexual dysfunction than other patients, respectively. In contrast, those without comorbidities were 2.8 times more likely to be free of sexual dysfunction than those diagnosed with other chronic diseases besides RA. Conclusions: Sexual dysfunction is an emerging problem in both men and women with RA. The absence of comorbidities is an independent determinant of sexual dysfunction, whereas poor QoL and pain limiting social life are independent determinants that exacerbate sexual dysfunction in both genders.

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Prevalence of Sexual Disorders in Patients With Rheumatoid Arthritis and Associated Factors

Cited by 6 publications

References 24 publications

How Do Mexican Patients With Rheumatoid Arthritis Define Sexual and Reproductive Health? A Content Analysis Study

How Do Mexican Patients With Rheumatoid Arthritis Define Sexual and Reproductive Health? A Content Analysis Study

Sexual Health and Dysfunction in Patients With Rheumatoid Arthritis: A Cross-sectional Single-Center Study

Sexual Dysfunction and Quality of Life in Patients with Rheumatoid Arthritis

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