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Factors Associated with Sexual Dysfunction in Taiwanese Females with Rheumatoid Arthritis
BMC Women's Health
  • Miao-Chiu Lin, The Buddhist Tzuchi Medical Foundation,
  • Ming-Chi Lu, The Buddhist Tzuchi Medical Foundation
  • Hanoch Livneh, Portland State University
  • Ning-Sheng Lai, The Buddhist Tzuchi Medical Foundation
  • How-Ran Guo, National Cheng Kung University
  • Tzung-Yi Tsai, National Cheng Kung University
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Publication Date
  • Sexual dysfunction,
  • Rheumatoid arthritis,
  • Multiple regression analysis

Background: Patients with rheumatoid arthritis (RA) may experience sexual dysfunction because of symptoms or adverse effects from treatments. Data on female sexual dysfunction (FSD) in Asian females with RA issue are limited. This study investigated the prevalence and factors associated with FSD in Taiwanese patients with RA.

Methods: This cross-sectional study used a purposive sampling method to recruit 195 females with RA from a single hospital in southern Taiwan. Demographic and clinical characteristics were obtained by review of medical records and a structured questionnaire. The Chinese version of the Female Sexual Function Index and the Taiwanese Depression Questionnaire were also administered. Multiple logistic regression analysis was used to identify factors associated with FSD.

Results: The crude and age-standardized prevalence of FSD were 66.8% and 48.2%, respectively. Patients who were older, with a comorbid condition, with more depressive symptoms, and with greater disease activity had a significantly higher risk of FSD.

Conclusion: Our findings indicate that FSD is more common in Taiwanese individuals with RA who have certain specific demographic and clinical characteristics. These findings may help to identify and facilitate the provision of appropriate interventions to ensure better sexual health in female patients with RA.


© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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Citation Information
Lin, M. C., Lu, M. C., Livneh, H., Lai, N. S., Guo, H. R., & Tsai, T. Y. (2017). Factors associated with sexual dysfunction in Taiwanese females with rheumatoid arthritis. BMC Women's Health, 17(1), 12.