Logistic regression analyses assessing factors associated with SD in women and men and ED in men with IBD
Factor . | SD in Women (n = 36)a . | SD in Men (n = 13)a . | ED in Men (n = 22)b . | |||
---|---|---|---|---|---|---|
Univariable Analysis (95% CI) . | P Value . | Univariable Analysis (95% CI) . | P Value . | Univariable Analysis (95% CI) . | P Value . | |
Age | 1.03 (0.99-1.07) | .15 | 1.00 (0.96-1.05) | .88 | 1.02 (0.98-1.07) | .26 |
Body mass index | 0.99 (0.91-1.08) | .81 | 0.93 (0.79-1.11) | .42 | 0.96 (0.85-1.13) | .77 |
Long-term relationship (≥1 y) | 1.56 (0.09-26.47) | .76 | >1000 (0.00 -) | 1.00 | >1000 (0.00 -) | 1.00 |
Crohn’s disease vs ulcerative colitis | 0.77 (0.25-2.37) | .65 | 1.34 (0.38-4.73) | .65 | 2.26 (0.75-6.83) | .15 |
Disease duration | 1.04 (0.98-1.09) | .19 | 0.89 (0.94-1.06) | .89 | 1.00 (0.95-1.05) | .92 |
Current corticosteroid use | 1.08 (0.23-5.01) | .93 | 2.00 (0.43-9.42) | .38 | 0.82 (0.18-3.65) | .79 |
Corticosteroid use in year | 0.78 (0.26-2.35) | .65 | 2.25 (0.60-8.41) | .23 | 1.69 (0.51-5.56) | .39 |
Immunomodulator use | 0.48 (0.16-1.42) | .18 | 0.81 (0.23-2.87) | .75 | 0.91 (0.31-2.65) | .86 |
Anti-tumor necrosis factor use | 1.39 (0.41-4.74) | .60 | 1.67 (0.37-7.65) | .51 | 1.15 (0.29-4.62) | .85 |
Psychotropic medication use | 1.80 (0.54-6.03) | .34 | 3.15 (0.61-16.37) | .17 | 2.75 (0.55-13.67) | .22 |
Antihypertensive use | — | — | 1.43 (0.32-6.38) | .64 | 2.64 (0.70-10.03) | .15 |
Opiate use | 0.62 (0.08-4.72) | .64 | — | — | — | — |
Other major comorbidityc | 1.39 (0.41-4.74) | .60 | 3.64 (0.81-16.33) | .09 | 2.43 (0.58-10.23) | .23 |
Prior diagnosis of anxiety or depression | 1.80 (0.54-6.03) | .34 | 2.61 (0.39-17.56) | .33 | 2.76 (0.42-18.01) | .29 |
Irritable bowel syndrome | 1.69 (0.30-9.56) | .55 | — | — | — | — |
Current smoking | 0.61 (0.11-3.30) | .56 | 4.88 (0.28-86.35) | .28 | 1.85 (0.11-31.12) | .67 |
Excess alcohol intaked | 1.44 (0.12-17.12) | .77 | — | — | — | — |
Previous abdominal surgery | 5.33 (1.34-21.20) | .02e | 0.76 (0.18-3.22) | .71 | 0.70 (0.21-2.36) | .56 |
Hormonal contraceptive use | 0.77 (0.18-3.21) | .72 | — | — | — | — |
Current or previous perianal disease | 6.56 (0.72-59.85) | .10 | 0.75 (0.07-7.88) | .81 | 0.25 (0.03-2.53) | .24 |
Baseline Hb | 0.98 (0.93-1.02) | .30 | 0.94 (0.89-0.98) | .01e | 0.95 (0.90-0.99) | .02 |
Elevated baseline fCal (≥200 μg/g) | 1.19 (0.39-3.59) | .76 | 0.86 (0.24-3.03) | .81 | 0.81 (0.27-2.41) | .70 |
Active IBD symptoms (HBI ≥5, SCCAI ≥5) | 3.21 (1.03-9.98) | .04e | 0.68 (0.19-2.40) | .55 | 0.98 (0.34-2.83) | .97 |
Active endoscopic disease (SES-CD ≥3, UCEIS ≥2) | 1.62 (0.56-4.70) | .37 | 0.44 (0.12-1.55) | .20 | 0.57 (0.20-1.65) | .30 |
Reduced quality of life (IBDQ-32 <169) | 2.29 (0.76-6.88) | .139 | 1.29 (0.36-4.63) | .69 | 1.64 (0.54-4.94) | .38 |
Moderate or severe stress symptoms (PSS-10 ≥14) | 5.13 (1.50-17.55) | <.01e | 3.70 (0.96-14.29) | .06 | 5.44 (1.58-18.71) | <.01e |
Severe depressive symptoms (PHQ-9 ≥10) | 4.80 (1.45-15.87) | .01e | 2.96 (0.69-12.72) | .14 | 5.29 (1.20-23.30) | .03e |
Severe anxiety symptoms (GAD-7 ≥10) | 1.64 (0.44-6.14) | .46 | 4.67 (0.98-22.25) | .05 | 16.80 (1.90-148.64) | .01 |
Factor . | SD in Women (n = 36)a . | SD in Men (n = 13)a . | ED in Men (n = 22)b . | |||
---|---|---|---|---|---|---|
Univariable Analysis (95% CI) . | P Value . | Univariable Analysis (95% CI) . | P Value . | Univariable Analysis (95% CI) . | P Value . | |
Age | 1.03 (0.99-1.07) | .15 | 1.00 (0.96-1.05) | .88 | 1.02 (0.98-1.07) | .26 |
Body mass index | 0.99 (0.91-1.08) | .81 | 0.93 (0.79-1.11) | .42 | 0.96 (0.85-1.13) | .77 |
Long-term relationship (≥1 y) | 1.56 (0.09-26.47) | .76 | >1000 (0.00 -) | 1.00 | >1000 (0.00 -) | 1.00 |
Crohn’s disease vs ulcerative colitis | 0.77 (0.25-2.37) | .65 | 1.34 (0.38-4.73) | .65 | 2.26 (0.75-6.83) | .15 |
Disease duration | 1.04 (0.98-1.09) | .19 | 0.89 (0.94-1.06) | .89 | 1.00 (0.95-1.05) | .92 |
Current corticosteroid use | 1.08 (0.23-5.01) | .93 | 2.00 (0.43-9.42) | .38 | 0.82 (0.18-3.65) | .79 |
Corticosteroid use in year | 0.78 (0.26-2.35) | .65 | 2.25 (0.60-8.41) | .23 | 1.69 (0.51-5.56) | .39 |
Immunomodulator use | 0.48 (0.16-1.42) | .18 | 0.81 (0.23-2.87) | .75 | 0.91 (0.31-2.65) | .86 |
Anti-tumor necrosis factor use | 1.39 (0.41-4.74) | .60 | 1.67 (0.37-7.65) | .51 | 1.15 (0.29-4.62) | .85 |
Psychotropic medication use | 1.80 (0.54-6.03) | .34 | 3.15 (0.61-16.37) | .17 | 2.75 (0.55-13.67) | .22 |
Antihypertensive use | — | — | 1.43 (0.32-6.38) | .64 | 2.64 (0.70-10.03) | .15 |
Opiate use | 0.62 (0.08-4.72) | .64 | — | — | — | — |
Other major comorbidityc | 1.39 (0.41-4.74) | .60 | 3.64 (0.81-16.33) | .09 | 2.43 (0.58-10.23) | .23 |
Prior diagnosis of anxiety or depression | 1.80 (0.54-6.03) | .34 | 2.61 (0.39-17.56) | .33 | 2.76 (0.42-18.01) | .29 |
Irritable bowel syndrome | 1.69 (0.30-9.56) | .55 | — | — | — | — |
Current smoking | 0.61 (0.11-3.30) | .56 | 4.88 (0.28-86.35) | .28 | 1.85 (0.11-31.12) | .67 |
Excess alcohol intaked | 1.44 (0.12-17.12) | .77 | — | — | — | — |
Previous abdominal surgery | 5.33 (1.34-21.20) | .02e | 0.76 (0.18-3.22) | .71 | 0.70 (0.21-2.36) | .56 |
Hormonal contraceptive use | 0.77 (0.18-3.21) | .72 | — | — | — | — |
Current or previous perianal disease | 6.56 (0.72-59.85) | .10 | 0.75 (0.07-7.88) | .81 | 0.25 (0.03-2.53) | .24 |
Baseline Hb | 0.98 (0.93-1.02) | .30 | 0.94 (0.89-0.98) | .01e | 0.95 (0.90-0.99) | .02 |
Elevated baseline fCal (≥200 μg/g) | 1.19 (0.39-3.59) | .76 | 0.86 (0.24-3.03) | .81 | 0.81 (0.27-2.41) | .70 |
Active IBD symptoms (HBI ≥5, SCCAI ≥5) | 3.21 (1.03-9.98) | .04e | 0.68 (0.19-2.40) | .55 | 0.98 (0.34-2.83) | .97 |
Active endoscopic disease (SES-CD ≥3, UCEIS ≥2) | 1.62 (0.56-4.70) | .37 | 0.44 (0.12-1.55) | .20 | 0.57 (0.20-1.65) | .30 |
Reduced quality of life (IBDQ-32 <169) | 2.29 (0.76-6.88) | .139 | 1.29 (0.36-4.63) | .69 | 1.64 (0.54-4.94) | .38 |
Moderate or severe stress symptoms (PSS-10 ≥14) | 5.13 (1.50-17.55) | <.01e | 3.70 (0.96-14.29) | .06 | 5.44 (1.58-18.71) | <.01e |
Severe depressive symptoms (PHQ-9 ≥10) | 4.80 (1.45-15.87) | .01e | 2.96 (0.69-12.72) | .14 | 5.29 (1.20-23.30) | .03e |
Severe anxiety symptoms (GAD-7 ≥10) | 1.64 (0.44-6.14) | .46 | 4.67 (0.98-22.25) | .05 | 16.80 (1.90-148.64) | .01 |
Abbreviations: CI, confidence interval; CRP, C-reactive protein; ED, erectile dysfunction; fCal, fecal calprotectin; FSFI, Female Sexual Function Index; GAD-7, Generalized Anxiety Disorder-7; Hb, hemoglobin; HBI, Harvey-Bradshaw index; IBD, inflammatory bowel disease; IBDQ-32, Inflammatory Bowel Disease Questionnaire-32; IIEF, International Index of Erectile Function; PHQ-9, Patient Health Questionnaire-9; PSS-10, Perceived Stress Scale 10; SCCAI, Simple Clinical Colitis Activity Index; SD, sexual dysfunction; SES-CD, Simple Endoscopic Score for Crohn’s Disease; UCEIS, Ulcerative Colitis Endoscopic Index of Severity.
aFSFI ≤26.55 and IIEF ≤42.9.
bED domain score of IIEF ≤26.
cChronic respiratory, cardiac, gastrointestinal (excluding IBD and irritable bowel syndrome), gynecological condition, or current/previous malignancy (excluding squamous cell skin cancer or basal cell skin cancer).
d≥14 units/week (women); ≥21 units/week (men).
eSelected for multivariable analysis.
Logistic regression analyses assessing factors associated with SD in women and men and ED in men with IBD
Factor . | SD in Women (n = 36)a . | SD in Men (n = 13)a . | ED in Men (n = 22)b . | |||
---|---|---|---|---|---|---|
Univariable Analysis (95% CI) . | P Value . | Univariable Analysis (95% CI) . | P Value . | Univariable Analysis (95% CI) . | P Value . | |
Age | 1.03 (0.99-1.07) | .15 | 1.00 (0.96-1.05) | .88 | 1.02 (0.98-1.07) | .26 |
Body mass index | 0.99 (0.91-1.08) | .81 | 0.93 (0.79-1.11) | .42 | 0.96 (0.85-1.13) | .77 |
Long-term relationship (≥1 y) | 1.56 (0.09-26.47) | .76 | >1000 (0.00 -) | 1.00 | >1000 (0.00 -) | 1.00 |
Crohn’s disease vs ulcerative colitis | 0.77 (0.25-2.37) | .65 | 1.34 (0.38-4.73) | .65 | 2.26 (0.75-6.83) | .15 |
Disease duration | 1.04 (0.98-1.09) | .19 | 0.89 (0.94-1.06) | .89 | 1.00 (0.95-1.05) | .92 |
Current corticosteroid use | 1.08 (0.23-5.01) | .93 | 2.00 (0.43-9.42) | .38 | 0.82 (0.18-3.65) | .79 |
Corticosteroid use in year | 0.78 (0.26-2.35) | .65 | 2.25 (0.60-8.41) | .23 | 1.69 (0.51-5.56) | .39 |
Immunomodulator use | 0.48 (0.16-1.42) | .18 | 0.81 (0.23-2.87) | .75 | 0.91 (0.31-2.65) | .86 |
Anti-tumor necrosis factor use | 1.39 (0.41-4.74) | .60 | 1.67 (0.37-7.65) | .51 | 1.15 (0.29-4.62) | .85 |
Psychotropic medication use | 1.80 (0.54-6.03) | .34 | 3.15 (0.61-16.37) | .17 | 2.75 (0.55-13.67) | .22 |
Antihypertensive use | — | — | 1.43 (0.32-6.38) | .64 | 2.64 (0.70-10.03) | .15 |
Opiate use | 0.62 (0.08-4.72) | .64 | — | — | — | — |
Other major comorbidityc | 1.39 (0.41-4.74) | .60 | 3.64 (0.81-16.33) | .09 | 2.43 (0.58-10.23) | .23 |
Prior diagnosis of anxiety or depression | 1.80 (0.54-6.03) | .34 | 2.61 (0.39-17.56) | .33 | 2.76 (0.42-18.01) | .29 |
Irritable bowel syndrome | 1.69 (0.30-9.56) | .55 | — | — | — | — |
Current smoking | 0.61 (0.11-3.30) | .56 | 4.88 (0.28-86.35) | .28 | 1.85 (0.11-31.12) | .67 |
Excess alcohol intaked | 1.44 (0.12-17.12) | .77 | — | — | — | — |
Previous abdominal surgery | 5.33 (1.34-21.20) | .02e | 0.76 (0.18-3.22) | .71 | 0.70 (0.21-2.36) | .56 |
Hormonal contraceptive use | 0.77 (0.18-3.21) | .72 | — | — | — | — |
Current or previous perianal disease | 6.56 (0.72-59.85) | .10 | 0.75 (0.07-7.88) | .81 | 0.25 (0.03-2.53) | .24 |
Baseline Hb | 0.98 (0.93-1.02) | .30 | 0.94 (0.89-0.98) | .01e | 0.95 (0.90-0.99) | .02 |
Elevated baseline fCal (≥200 μg/g) | 1.19 (0.39-3.59) | .76 | 0.86 (0.24-3.03) | .81 | 0.81 (0.27-2.41) | .70 |
Active IBD symptoms (HBI ≥5, SCCAI ≥5) | 3.21 (1.03-9.98) | .04e | 0.68 (0.19-2.40) | .55 | 0.98 (0.34-2.83) | .97 |
Active endoscopic disease (SES-CD ≥3, UCEIS ≥2) | 1.62 (0.56-4.70) | .37 | 0.44 (0.12-1.55) | .20 | 0.57 (0.20-1.65) | .30 |
Reduced quality of life (IBDQ-32 <169) | 2.29 (0.76-6.88) | .139 | 1.29 (0.36-4.63) | .69 | 1.64 (0.54-4.94) | .38 |
Moderate or severe stress symptoms (PSS-10 ≥14) | 5.13 (1.50-17.55) | <.01e | 3.70 (0.96-14.29) | .06 | 5.44 (1.58-18.71) | <.01e |
Severe depressive symptoms (PHQ-9 ≥10) | 4.80 (1.45-15.87) | .01e | 2.96 (0.69-12.72) | .14 | 5.29 (1.20-23.30) | .03e |
Severe anxiety symptoms (GAD-7 ≥10) | 1.64 (0.44-6.14) | .46 | 4.67 (0.98-22.25) | .05 | 16.80 (1.90-148.64) | .01 |
Factor . | SD in Women (n = 36)a . | SD in Men (n = 13)a . | ED in Men (n = 22)b . | |||
---|---|---|---|---|---|---|
Univariable Analysis (95% CI) . | P Value . | Univariable Analysis (95% CI) . | P Value . | Univariable Analysis (95% CI) . | P Value . | |
Age | 1.03 (0.99-1.07) | .15 | 1.00 (0.96-1.05) | .88 | 1.02 (0.98-1.07) | .26 |
Body mass index | 0.99 (0.91-1.08) | .81 | 0.93 (0.79-1.11) | .42 | 0.96 (0.85-1.13) | .77 |
Long-term relationship (≥1 y) | 1.56 (0.09-26.47) | .76 | >1000 (0.00 -) | 1.00 | >1000 (0.00 -) | 1.00 |
Crohn’s disease vs ulcerative colitis | 0.77 (0.25-2.37) | .65 | 1.34 (0.38-4.73) | .65 | 2.26 (0.75-6.83) | .15 |
Disease duration | 1.04 (0.98-1.09) | .19 | 0.89 (0.94-1.06) | .89 | 1.00 (0.95-1.05) | .92 |
Current corticosteroid use | 1.08 (0.23-5.01) | .93 | 2.00 (0.43-9.42) | .38 | 0.82 (0.18-3.65) | .79 |
Corticosteroid use in year | 0.78 (0.26-2.35) | .65 | 2.25 (0.60-8.41) | .23 | 1.69 (0.51-5.56) | .39 |
Immunomodulator use | 0.48 (0.16-1.42) | .18 | 0.81 (0.23-2.87) | .75 | 0.91 (0.31-2.65) | .86 |
Anti-tumor necrosis factor use | 1.39 (0.41-4.74) | .60 | 1.67 (0.37-7.65) | .51 | 1.15 (0.29-4.62) | .85 |
Psychotropic medication use | 1.80 (0.54-6.03) | .34 | 3.15 (0.61-16.37) | .17 | 2.75 (0.55-13.67) | .22 |
Antihypertensive use | — | — | 1.43 (0.32-6.38) | .64 | 2.64 (0.70-10.03) | .15 |
Opiate use | 0.62 (0.08-4.72) | .64 | — | — | — | — |
Other major comorbidityc | 1.39 (0.41-4.74) | .60 | 3.64 (0.81-16.33) | .09 | 2.43 (0.58-10.23) | .23 |
Prior diagnosis of anxiety or depression | 1.80 (0.54-6.03) | .34 | 2.61 (0.39-17.56) | .33 | 2.76 (0.42-18.01) | .29 |
Irritable bowel syndrome | 1.69 (0.30-9.56) | .55 | — | — | — | — |
Current smoking | 0.61 (0.11-3.30) | .56 | 4.88 (0.28-86.35) | .28 | 1.85 (0.11-31.12) | .67 |
Excess alcohol intaked | 1.44 (0.12-17.12) | .77 | — | — | — | — |
Previous abdominal surgery | 5.33 (1.34-21.20) | .02e | 0.76 (0.18-3.22) | .71 | 0.70 (0.21-2.36) | .56 |
Hormonal contraceptive use | 0.77 (0.18-3.21) | .72 | — | — | — | — |
Current or previous perianal disease | 6.56 (0.72-59.85) | .10 | 0.75 (0.07-7.88) | .81 | 0.25 (0.03-2.53) | .24 |
Baseline Hb | 0.98 (0.93-1.02) | .30 | 0.94 (0.89-0.98) | .01e | 0.95 (0.90-0.99) | .02 |
Elevated baseline fCal (≥200 μg/g) | 1.19 (0.39-3.59) | .76 | 0.86 (0.24-3.03) | .81 | 0.81 (0.27-2.41) | .70 |
Active IBD symptoms (HBI ≥5, SCCAI ≥5) | 3.21 (1.03-9.98) | .04e | 0.68 (0.19-2.40) | .55 | 0.98 (0.34-2.83) | .97 |
Active endoscopic disease (SES-CD ≥3, UCEIS ≥2) | 1.62 (0.56-4.70) | .37 | 0.44 (0.12-1.55) | .20 | 0.57 (0.20-1.65) | .30 |
Reduced quality of life (IBDQ-32 <169) | 2.29 (0.76-6.88) | .139 | 1.29 (0.36-4.63) | .69 | 1.64 (0.54-4.94) | .38 |
Moderate or severe stress symptoms (PSS-10 ≥14) | 5.13 (1.50-17.55) | <.01e | 3.70 (0.96-14.29) | .06 | 5.44 (1.58-18.71) | <.01e |
Severe depressive symptoms (PHQ-9 ≥10) | 4.80 (1.45-15.87) | .01e | 2.96 (0.69-12.72) | .14 | 5.29 (1.20-23.30) | .03e |
Severe anxiety symptoms (GAD-7 ≥10) | 1.64 (0.44-6.14) | .46 | 4.67 (0.98-22.25) | .05 | 16.80 (1.90-148.64) | .01 |
Abbreviations: CI, confidence interval; CRP, C-reactive protein; ED, erectile dysfunction; fCal, fecal calprotectin; FSFI, Female Sexual Function Index; GAD-7, Generalized Anxiety Disorder-7; Hb, hemoglobin; HBI, Harvey-Bradshaw index; IBD, inflammatory bowel disease; IBDQ-32, Inflammatory Bowel Disease Questionnaire-32; IIEF, International Index of Erectile Function; PHQ-9, Patient Health Questionnaire-9; PSS-10, Perceived Stress Scale 10; SCCAI, Simple Clinical Colitis Activity Index; SD, sexual dysfunction; SES-CD, Simple Endoscopic Score for Crohn’s Disease; UCEIS, Ulcerative Colitis Endoscopic Index of Severity.
aFSFI ≤26.55 and IIEF ≤42.9.
bED domain score of IIEF ≤26.
cChronic respiratory, cardiac, gastrointestinal (excluding IBD and irritable bowel syndrome), gynecological condition, or current/previous malignancy (excluding squamous cell skin cancer or basal cell skin cancer).
d≥14 units/week (women); ≥21 units/week (men).
eSelected for multivariable analysis.
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