The Global Prevalence of Sexual Disorder in Patients with Rheumatoid Arthritis: A Systematic Review and Meta-Analysis

IF 1.1 4区医学 Q3 REHABILITATION Sexuality and Disability Pub Date : 2024-08-03 DOI:10.1007/s11195-024-09865-8

Nader Salari, Arian Hesampour, Amir Abdolmaleki, Pegah Heidarian, Shamarina Shohaimi, Masoud Mohammadi

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Abstract

Rheumatoid arthritis (RA) is an autoimmune-associated pathology with an articular inflammatory basis. RA is diagnosed by severe pain, movement restriction, fatigue, anxiety, depression, and sexual disorder (SD). This pathology can potentially reduce the quality of life and cause many problems. The electronic databases of PubMed, Scopus, Web of Science, Embase, ScienceDirect, and Google Scholar search engine were systematically searched for the papers reporting the prevalence of SD in patients with RA (by August 2023). Following paper collection and data extraction, the Random Effects model was used to perform the data analysis (CMA, v.2). The heterogeneity of studies was assessed using I² index. Following the assessment of 53 eligible studies with a sample size of 9,174 cases, the overall prevalence of SD in RA patients was 32.4% (95% CI:24.4–41.6). Also, the prevalence of SD in RA females and males was 36.5% (95% CI: 26.4–48) and 23.5% (95% CI:12.6–39.4), respectively. Based on the findings, the prevalence of SD among RA individuals was found relatively high; thus, the application of measures seems necessary to prevent sexual disorders in RA cases. These strategies are useful for health policymakers.

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类风湿关节炎患者性障碍的全球患病率：系统回顾与元分析

类风湿性关节炎（RA）是一种以关节炎症为基础的自身免疫相关性疾病。类风湿关节炎可通过剧烈疼痛、活动受限、疲劳、焦虑、抑郁和性功能障碍（SD）来诊断。这种病症可能会降低患者的生活质量，并引发许多问题。研究人员在 PubMed、Scopus、Web of Science、Embase、ScienceDirect 和 Google Scholar 搜索引擎的电子数据库中系统地搜索了报告 RA 患者 SD 发病率的论文（截至 2023 年 8 月）。收集论文和提取数据后，采用随机效应模型进行数据分析（CMA，v.2）。研究的异质性采用I2指数进行评估。在对53项符合条件的研究（样本量为9174例）进行评估后，SD在RA患者中的总体患病率为32.4%（95% CI：24.4-41.6）。此外，SD在RA女性和男性中的患病率分别为36.5%（95% CI：26.4-48）和23.5%（95% CI：12.6-39.4）。根据研究结果，RA 患者的 SD 患病率相对较高；因此，似乎有必要采取措施预防 RA 患者的性障碍。这些策略对卫生决策者很有帮助。

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来源期刊

Sexuality and Disability REHABILITATION-

CiteScore

2.70

自引率

20.00%

发文量

期刊介绍： Sexuality and Disability is an international forum for the publication of peer-reviewed original interdisciplinary scholarly papers that address the psychological and medical aspects of sexuality in relation to rehabilitation. Publishing timely research articles, review articles, case studies, clinical practice reports, brief research reports, survey data reports, and book and film reviews, the journal offers the latest developments in the area of sexuality as it relates to a wide range of disabilities and conditions. Contributions address: clinical and research progress; community programs; independent-living programs; guidelines for clinical practice; special grand-rounds topics; consumer issues; and contemporary developments in special programs in sex education and counseling for people with disabilities. The journal features special issues with internationally renowned guest editors focusing on current topics in sexual health. By publishing research, best-practice, evidence-based, and educational articles, the journal seeks to contribute to the field''s knowledge base and advancement. Sexuality and Disability is an essential resource for the exchange of new knowledge, issues, techniques, and available modalities for researchers and other professionals addressing the psychological and medical aspects of sexuality in rehabilitation, medical, academic, and community settings.