Table 3.

Logistic regression analyses assessing factors associated with SD in women and men and ED in men with IBD

FactorSD in Women (n = 36)aSD in Men (n = 13)aED in Men (n = 22)b
Univariable Analysis (95% CI)P ValueUnivariable Analysis (95% CI)P ValueUnivariable Analysis (95% CI)P Value
Age1.03 (0.99-1.07).151.00 (0.96-1.05).881.02 (0.98-1.07).26
Body mass index0.99 (0.91-1.08).810.93 (0.79-1.11).420.96 (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 colitis0.77 (0.25-2.37).651.34 (0.38-4.73).652.26 (0.75-6.83).15
Disease duration1.04 (0.98-1.09).190.89 (0.94-1.06).891.00 (0.95-1.05).92
Current corticosteroid use1.08 (0.23-5.01).932.00 (0.43-9.42).380.82 (0.18-3.65).79
Corticosteroid use in year0.78 (0.26-2.35).652.25 (0.60-8.41).231.69 (0.51-5.56).39
Immunomodulator use0.48 (0.16-1.42).180.81 (0.23-2.87).750.91 (0.31-2.65).86
Anti-tumor necrosis factor use1.39 (0.41-4.74).601.67 (0.37-7.65).511.15 (0.29-4.62).85
Psychotropic medication use1.80 (0.54-6.03).343.15 (0.61-16.37).172.75 (0.55-13.67).22
Antihypertensive use1.43 (0.32-6.38).642.64 (0.70-10.03).15
Opiate use0.62 (0.08-4.72).64
Other major comorbidityc1.39 (0.41-4.74).603.64 (0.81-16.33).092.43 (0.58-10.23).23
Prior diagnosis of anxiety or depression1.80 (0.54-6.03).342.61 (0.39-17.56).332.76 (0.42-18.01).29
Irritable bowel syndrome1.69 (0.30-9.56).55
Current smoking0.61 (0.11-3.30).564.88 (0.28-86.35).281.85 (0.11-31.12).67
Excess alcohol intaked1.44 (0.12-17.12).77
Previous abdominal surgery5.33 (1.34-21.20).02e0.76 (0.18-3.22).710.70 (0.21-2.36).56
Hormonal contraceptive use0.77 (0.18-3.21).72
Current or previous perianal disease6.56 (0.72-59.85).100.75 (0.07-7.88).810.25 (0.03-2.53).24
Baseline Hb0.98 (0.93-1.02).300.94 (0.89-0.98).01e0.95 (0.90-0.99).02
Elevated baseline fCal (≥200 μg/g)1.19 (0.39-3.59).760.86 (0.24-3.03).810.81 (0.27-2.41).70
Active IBD symptoms (HBI ≥5, SCCAI ≥5)3.21 (1.03-9.98).04e0.68 (0.19-2.40).550.98 (0.34-2.83).97
Active endoscopic disease (SES-CD ≥3, UCEIS ≥2)1.62 (0.56-4.70).370.44 (0.12-1.55).200.57 (0.20-1.65).30
Reduced quality of life (IBDQ-32 <169)2.29 (0.76-6.88).1391.29 (0.36-4.63).691.64 (0.54-4.94).38
Moderate or severe stress symptoms (PSS-10 ≥14)5.13 (1.50-17.55)<.01e3.70 (0.96-14.29).065.44 (1.58-18.71)<.01e
Severe depressive symptoms (PHQ-9 ≥10)4.80 (1.45-15.87).01e2.96 (0.69-12.72).145.29 (1.20-23.30).03e
Severe anxiety symptoms (GAD-7 ≥10)1.64 (0.44-6.14).464.67 (0.98-22.25).0516.80 (1.90-148.64).01
FactorSD in Women (n = 36)aSD in Men (n = 13)aED in Men (n = 22)b
Univariable Analysis (95% CI)P ValueUnivariable Analysis (95% CI)P ValueUnivariable Analysis (95% CI)P Value
Age1.03 (0.99-1.07).151.00 (0.96-1.05).881.02 (0.98-1.07).26
Body mass index0.99 (0.91-1.08).810.93 (0.79-1.11).420.96 (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 colitis0.77 (0.25-2.37).651.34 (0.38-4.73).652.26 (0.75-6.83).15
Disease duration1.04 (0.98-1.09).190.89 (0.94-1.06).891.00 (0.95-1.05).92
Current corticosteroid use1.08 (0.23-5.01).932.00 (0.43-9.42).380.82 (0.18-3.65).79
Corticosteroid use in year0.78 (0.26-2.35).652.25 (0.60-8.41).231.69 (0.51-5.56).39
Immunomodulator use0.48 (0.16-1.42).180.81 (0.23-2.87).750.91 (0.31-2.65).86
Anti-tumor necrosis factor use1.39 (0.41-4.74).601.67 (0.37-7.65).511.15 (0.29-4.62).85
Psychotropic medication use1.80 (0.54-6.03).343.15 (0.61-16.37).172.75 (0.55-13.67).22
Antihypertensive use1.43 (0.32-6.38).642.64 (0.70-10.03).15
Opiate use0.62 (0.08-4.72).64
Other major comorbidityc1.39 (0.41-4.74).603.64 (0.81-16.33).092.43 (0.58-10.23).23
Prior diagnosis of anxiety or depression1.80 (0.54-6.03).342.61 (0.39-17.56).332.76 (0.42-18.01).29
Irritable bowel syndrome1.69 (0.30-9.56).55
Current smoking0.61 (0.11-3.30).564.88 (0.28-86.35).281.85 (0.11-31.12).67
Excess alcohol intaked1.44 (0.12-17.12).77
Previous abdominal surgery5.33 (1.34-21.20).02e0.76 (0.18-3.22).710.70 (0.21-2.36).56
Hormonal contraceptive use0.77 (0.18-3.21).72
Current or previous perianal disease6.56 (0.72-59.85).100.75 (0.07-7.88).810.25 (0.03-2.53).24
Baseline Hb0.98 (0.93-1.02).300.94 (0.89-0.98).01e0.95 (0.90-0.99).02
Elevated baseline fCal (≥200 μg/g)1.19 (0.39-3.59).760.86 (0.24-3.03).810.81 (0.27-2.41).70
Active IBD symptoms (HBI ≥5, SCCAI ≥5)3.21 (1.03-9.98).04e0.68 (0.19-2.40).550.98 (0.34-2.83).97
Active endoscopic disease (SES-CD ≥3, UCEIS ≥2)1.62 (0.56-4.70).370.44 (0.12-1.55).200.57 (0.20-1.65).30
Reduced quality of life (IBDQ-32 <169)2.29 (0.76-6.88).1391.29 (0.36-4.63).691.64 (0.54-4.94).38
Moderate or severe stress symptoms (PSS-10 ≥14)5.13 (1.50-17.55)<.01e3.70 (0.96-14.29).065.44 (1.58-18.71)<.01e
Severe depressive symptoms (PHQ-9 ≥10)4.80 (1.45-15.87).01e2.96 (0.69-12.72).145.29 (1.20-23.30).03e
Severe anxiety symptoms (GAD-7 ≥10)1.64 (0.44-6.14).464.67 (0.98-22.25).0516.80 (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.

Table 3.

Logistic regression analyses assessing factors associated with SD in women and men and ED in men with IBD

FactorSD in Women (n = 36)aSD in Men (n = 13)aED in Men (n = 22)b
Univariable Analysis (95% CI)P ValueUnivariable Analysis (95% CI)P ValueUnivariable Analysis (95% CI)P Value
Age1.03 (0.99-1.07).151.00 (0.96-1.05).881.02 (0.98-1.07).26
Body mass index0.99 (0.91-1.08).810.93 (0.79-1.11).420.96 (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 colitis0.77 (0.25-2.37).651.34 (0.38-4.73).652.26 (0.75-6.83).15
Disease duration1.04 (0.98-1.09).190.89 (0.94-1.06).891.00 (0.95-1.05).92
Current corticosteroid use1.08 (0.23-5.01).932.00 (0.43-9.42).380.82 (0.18-3.65).79
Corticosteroid use in year0.78 (0.26-2.35).652.25 (0.60-8.41).231.69 (0.51-5.56).39
Immunomodulator use0.48 (0.16-1.42).180.81 (0.23-2.87).750.91 (0.31-2.65).86
Anti-tumor necrosis factor use1.39 (0.41-4.74).601.67 (0.37-7.65).511.15 (0.29-4.62).85
Psychotropic medication use1.80 (0.54-6.03).343.15 (0.61-16.37).172.75 (0.55-13.67).22
Antihypertensive use1.43 (0.32-6.38).642.64 (0.70-10.03).15
Opiate use0.62 (0.08-4.72).64
Other major comorbidityc1.39 (0.41-4.74).603.64 (0.81-16.33).092.43 (0.58-10.23).23
Prior diagnosis of anxiety or depression1.80 (0.54-6.03).342.61 (0.39-17.56).332.76 (0.42-18.01).29
Irritable bowel syndrome1.69 (0.30-9.56).55
Current smoking0.61 (0.11-3.30).564.88 (0.28-86.35).281.85 (0.11-31.12).67
Excess alcohol intaked1.44 (0.12-17.12).77
Previous abdominal surgery5.33 (1.34-21.20).02e0.76 (0.18-3.22).710.70 (0.21-2.36).56
Hormonal contraceptive use0.77 (0.18-3.21).72
Current or previous perianal disease6.56 (0.72-59.85).100.75 (0.07-7.88).810.25 (0.03-2.53).24
Baseline Hb0.98 (0.93-1.02).300.94 (0.89-0.98).01e0.95 (0.90-0.99).02
Elevated baseline fCal (≥200 μg/g)1.19 (0.39-3.59).760.86 (0.24-3.03).810.81 (0.27-2.41).70
Active IBD symptoms (HBI ≥5, SCCAI ≥5)3.21 (1.03-9.98).04e0.68 (0.19-2.40).550.98 (0.34-2.83).97
Active endoscopic disease (SES-CD ≥3, UCEIS ≥2)1.62 (0.56-4.70).370.44 (0.12-1.55).200.57 (0.20-1.65).30
Reduced quality of life (IBDQ-32 <169)2.29 (0.76-6.88).1391.29 (0.36-4.63).691.64 (0.54-4.94).38
Moderate or severe stress symptoms (PSS-10 ≥14)5.13 (1.50-17.55)<.01e3.70 (0.96-14.29).065.44 (1.58-18.71)<.01e
Severe depressive symptoms (PHQ-9 ≥10)4.80 (1.45-15.87).01e2.96 (0.69-12.72).145.29 (1.20-23.30).03e
Severe anxiety symptoms (GAD-7 ≥10)1.64 (0.44-6.14).464.67 (0.98-22.25).0516.80 (1.90-148.64).01
FactorSD in Women (n = 36)aSD in Men (n = 13)aED in Men (n = 22)b
Univariable Analysis (95% CI)P ValueUnivariable Analysis (95% CI)P ValueUnivariable Analysis (95% CI)P Value
Age1.03 (0.99-1.07).151.00 (0.96-1.05).881.02 (0.98-1.07).26
Body mass index0.99 (0.91-1.08).810.93 (0.79-1.11).420.96 (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 colitis0.77 (0.25-2.37).651.34 (0.38-4.73).652.26 (0.75-6.83).15
Disease duration1.04 (0.98-1.09).190.89 (0.94-1.06).891.00 (0.95-1.05).92
Current corticosteroid use1.08 (0.23-5.01).932.00 (0.43-9.42).380.82 (0.18-3.65).79
Corticosteroid use in year0.78 (0.26-2.35).652.25 (0.60-8.41).231.69 (0.51-5.56).39
Immunomodulator use0.48 (0.16-1.42).180.81 (0.23-2.87).750.91 (0.31-2.65).86
Anti-tumor necrosis factor use1.39 (0.41-4.74).601.67 (0.37-7.65).511.15 (0.29-4.62).85
Psychotropic medication use1.80 (0.54-6.03).343.15 (0.61-16.37).172.75 (0.55-13.67).22
Antihypertensive use1.43 (0.32-6.38).642.64 (0.70-10.03).15
Opiate use0.62 (0.08-4.72).64
Other major comorbidityc1.39 (0.41-4.74).603.64 (0.81-16.33).092.43 (0.58-10.23).23
Prior diagnosis of anxiety or depression1.80 (0.54-6.03).342.61 (0.39-17.56).332.76 (0.42-18.01).29
Irritable bowel syndrome1.69 (0.30-9.56).55
Current smoking0.61 (0.11-3.30).564.88 (0.28-86.35).281.85 (0.11-31.12).67
Excess alcohol intaked1.44 (0.12-17.12).77
Previous abdominal surgery5.33 (1.34-21.20).02e0.76 (0.18-3.22).710.70 (0.21-2.36).56
Hormonal contraceptive use0.77 (0.18-3.21).72
Current or previous perianal disease6.56 (0.72-59.85).100.75 (0.07-7.88).810.25 (0.03-2.53).24
Baseline Hb0.98 (0.93-1.02).300.94 (0.89-0.98).01e0.95 (0.90-0.99).02
Elevated baseline fCal (≥200 μg/g)1.19 (0.39-3.59).760.86 (0.24-3.03).810.81 (0.27-2.41).70
Active IBD symptoms (HBI ≥5, SCCAI ≥5)3.21 (1.03-9.98).04e0.68 (0.19-2.40).550.98 (0.34-2.83).97
Active endoscopic disease (SES-CD ≥3, UCEIS ≥2)1.62 (0.56-4.70).370.44 (0.12-1.55).200.57 (0.20-1.65).30
Reduced quality of life (IBDQ-32 <169)2.29 (0.76-6.88).1391.29 (0.36-4.63).691.64 (0.54-4.94).38
Moderate or severe stress symptoms (PSS-10 ≥14)5.13 (1.50-17.55)<.01e3.70 (0.96-14.29).065.44 (1.58-18.71)<.01e
Severe depressive symptoms (PHQ-9 ≥10)4.80 (1.45-15.87).01e2.96 (0.69-12.72).145.29 (1.20-23.30).03e
Severe anxiety symptoms (GAD-7 ≥10)1.64 (0.44-6.14).464.67 (0.98-22.25).0516.80 (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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