Rheumatoid arthritis and sexuality: A patient survey in FranceReport as inadecuate

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BMC Musculoskeletal Disorders

, 13:170

Epidemiology of musculoskeletal disorders


BackgroundThe objective of this study was to evaluate the impact of rheumatoid arthritis RA on patients’ sexuality and identify disease and other factors such as fatigue that most influence sexual relationships.

MethodsA specific pretested questionnaire was sent to all members of a French patient association ANDAR. Questions related to demographics, disease status, quality of life utility, EQ-5D, pain, psychological status mood, fatigue and emotional and sexual relationships. To isolate the impact of RA, an attempt was made to include a matched sample from the general population.

ResultsThe analysis included 1271 patients, but only 70 controls agreed to participate and comparisons should therefore be considered with caution. The two groups were similar in terms of age, gender distribution, living conditions and diseases other than RA. However, patients scored worse for global health, mood, fatigue, had a lower utility 0.55 versus 0.65. Controls were more active sexually 69% versus 63%, in particular women 71% versus 60%. Age, gender, living alone, physical function and mood were significant predictors for being sexually active for patients; for controls, age and overall quality of life utility were significant predictors.

ConclusionsWhile it is known that RA has a negative impact on patients’ sexuality, there have been few attempts to quantify the problem. Our study highlights the negative impact of RA on patients’ sexuality, and triggers the question how to include this aspect into care.

KeywordsRheumatoid arthritis Fatigue Quality of life Sexuality  Download fulltext PDF

Author: Gisela Kobelt - Brigitte Texier-Richard - Sylvain Mimoun - Anne-Sophie Woronoff - David-Romain Bertholon - Aleth Perdriger -

Source: https://link.springer.com/

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