Views of Mexican outpatients with rheumatoid arthritis on sexual and reproductive health: A cross-sectional study.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2021
2021
Historique:
received:
25
09
2020
accepted:
30
12
2020
entrez:
28
1
2021
pubmed:
29
1
2021
medline:
16
6
2021
Statut:
epublish
Résumé
Rheumatoid arthritis (RA) impacts sexual and reproductive health (SRH), which is a prominent component of a patient´s quality of life and highly influenced by the cultural background. The aim of the study was to explore the interest of Mexican outpatients with RA in SRH and to examine patient view on SRH. This cross-sectional study surveyed 303 consecutive outpatients with RA on their perceptions of SRH importance, SRH satisfaction, access to SRH information, preferences regarding SRH communication with healthcare professionals, and understanding of SRH (qualitative open-ended descriptions). Descriptive statistics and inferential analysis were used. Patient knowledge of each dimension of SRH was rated based on pre-specified criteria. Two assessors assigned ten major themes to each patient´s description of both dimensions of SRH. Patients perceived their SRH as an important component of their general health and wished to address the topic, although few had access to such communication. Female patients assigned lesser importance to SRH, showed lesser degree of satisfaction with SRH, and expressed preference for a truthful physician. Age showed a linear association with individual survey responses, except for satisfaction with reproductive health dimension. There was a linear association between increased age and decreased years of formal education with a lower level of SRH knowledge. Ten major themes emerged for each of the two dimensions of the SRH construct, although most individual descriptions were assigned to one or two major themes. Further education and assessment of SRH in Mexican patients with RA is warranted.
Sections du résumé
BACKGROUND
Rheumatoid arthritis (RA) impacts sexual and reproductive health (SRH), which is a prominent component of a patient´s quality of life and highly influenced by the cultural background. The aim of the study was to explore the interest of Mexican outpatients with RA in SRH and to examine patient view on SRH.
METHODS
This cross-sectional study surveyed 303 consecutive outpatients with RA on their perceptions of SRH importance, SRH satisfaction, access to SRH information, preferences regarding SRH communication with healthcare professionals, and understanding of SRH (qualitative open-ended descriptions). Descriptive statistics and inferential analysis were used. Patient knowledge of each dimension of SRH was rated based on pre-specified criteria. Two assessors assigned ten major themes to each patient´s description of both dimensions of SRH.
RESULTS
Patients perceived their SRH as an important component of their general health and wished to address the topic, although few had access to such communication. Female patients assigned lesser importance to SRH, showed lesser degree of satisfaction with SRH, and expressed preference for a truthful physician. Age showed a linear association with individual survey responses, except for satisfaction with reproductive health dimension. There was a linear association between increased age and decreased years of formal education with a lower level of SRH knowledge. Ten major themes emerged for each of the two dimensions of the SRH construct, although most individual descriptions were assigned to one or two major themes.
CONCLUSIONS
Further education and assessment of SRH in Mexican patients with RA is warranted.
Identifiants
pubmed: 33507948
doi: 10.1371/journal.pone.0245538
pii: PONE-D-20-30316
pmc: PMC7842945
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0245538Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Musculoskeletal Care. 2012 Jun;10(2):76-89
pubmed: 22223288
J Rehabil Med. 2012 Jul;44(8):658-63
pubmed: 22729793
J Psychosom Res. 2009 Nov;67(5):417-23
pubmed: 19837204
BMC Womens Health. 2017 Feb 14;17(1):12
pubmed: 28196535
Psychol Health Med. 2018 Jan;23(1):114-125
pubmed: 28635309
Musculoskeletal Care. 2005;3(1):44-53
pubmed: 17041993
Clin Rheumatol. 2017 Dec;36(12):2789-2797
pubmed: 29098475
BMC Med Inform Decis Mak. 2020 Aug 6;20(1):181
pubmed: 32762745
Eur J Emerg Med. 2001 Sep;8(3):221-3
pubmed: 11587468
Adv Rheumatol. 2018 May 24;58(1):1
pubmed: 30657055
Arthritis Res Ther. 2009;11(1):R26
pubmed: 19228421
Rheumatol Int. 2018 Jun;38(6):1103-1114
pubmed: 29644435
Arch Med Res. 2004 Jan-Feb;35(1):66-75
pubmed: 15036803
Ann Rheum Dis. 2015 Oct;74(10):1836-41
pubmed: 24833784
Joint Bone Spine. 2019 Jul;86(4):475-481
pubmed: 30579917
J Sex Res. 2002 Feb;39(1):73-8
pubmed: 12476261
Clin Rheumatol. 2012 Apr;31(4):601-6
pubmed: 22108779
BMJ. 2003 Aug 23;327(7412):426-7
pubmed: 12933730
Rheumatol Int. 2020 Sep;40(9):1481-1491
pubmed: 32621138
Ann Rheum Dis. 2016 Apr;75(4):715-20
pubmed: 26314921
Arthritis Care Res (Hoboken). 2011 Mar;63(3):358-65
pubmed: 21080446
Lancet. 2007 Oct 20;370(9596):1453-7
pubmed: 18064739
Scand J Rheumatol. 1979;8(4):214-6
pubmed: 534315
Menopause. 2016 Mar;23(3):243-56
pubmed: 26731686
Soc Sci Med. 2003 Apr;56(8):1617-28
pubmed: 12639579
Clin Exp Rheumatol. 2019 Jul-Aug;37(4):608-614
pubmed: 30620286
Semin Arthritis Rheum. 2020 Jun;50(3):557-573
pubmed: 32165034
BMC Musculoskelet Disord. 2010 Oct 15;11:240
pubmed: 20950461
Arthritis Rheum. 2003 Feb 15;49(1):51-8
pubmed: 12579593
Best Pract Res Clin Rheumatol. 2008 Aug;22(4):621-41
pubmed: 18783741
J Sex Med. 2012 Oct;9(10):2664-70
pubmed: 22906191
Arthritis Rheum. 2011 Jun;63(6):1517-21
pubmed: 21380995
Clin Rheumatol. 2007 Jan;26(1):30-8
pubmed: 16508697
Arch Fam Med. 2000 Nov-Dec;9(10):1156-63
pubmed: 11115223
PLoS One. 2018 Mar 19;13(3):e0193780
pubmed: 29554152
Arthritis Care Res (Hoboken). 2017 Aug;69(8):1142-1149
pubmed: 27723275
Clin Rheumatol. 2015 Jun;34(6):1047-51
pubmed: 25677567
West J Med. 1999 Mar;170(3):167-9
pubmed: 10214104
J Clin Rheumatol. 2021 Apr 1;27(3):97-101
pubmed: 31789996
Clin Exp Rheumatol. 1999 Jul-Aug;17(4):413-7
pubmed: 10464550
Nurs Health Sci. 2013 Sep;15(3):398-405
pubmed: 23480423
Arthritis Care Res (Hoboken). 2019 Aug;71(8):1132-1140
pubmed: 30106516
Rheumatology (Oxford). 2015 Sep;54(9):1709-12
pubmed: 25957439
J Transcult Nurs. 2003 Jul;14(3):180-5
pubmed: 12861920
Nat Rev Rheumatol. 2017 Aug;13(8):485-493
pubmed: 28680137
Arthritis Care Res (Hoboken). 2012 May;64(5):668-74
pubmed: 22344961
Iran Red Crescent Med J. 2015 Oct 13;17(10):e19005
pubmed: 26568849
Rheumatol Int. 2009 Jun;29(8):853-60
pubmed: 19152092
Qual Health Res. 2018 Oct;28(12):1910-1922
pubmed: 29962283
Scand J Rheumatol. 2012 May;41(3):202-7
pubmed: 22360422
Qual Health Res. 2016 Oct;26(12):1674-88
pubmed: 27578852
Rheumatol Int. 2021 Feb;41(2):409-414
pubmed: 32797280
Rheumatology (Oxford). 2008 May;47(5):690-7
pubmed: 18375972
Clin Rheumatol. 2006 Nov;25(6):822-30
pubmed: 16521053
J Rheumatol. 2018 Oct;45(10):1375-1382
pubmed: 29858239
Rheumatology (Oxford). 2005 Jan;44(1):105-10
pubmed: 15381792
J Rheumatol. 2019 Apr;46(4):397-404
pubmed: 30647184
Rheumatology (Oxford). 2011 Jun;50(6):1162-7
pubmed: 21292737
Arch Intern Med. 2007 Jul 23;167(14):1503-9
pubmed: 17646604
Int J Rheum Dis. 2012 Oct;15(5):468-77
pubmed: 23083037
J Clin Rheumatol. 2012 Oct;18(7):327-35
pubmed: 23047532
Ortop Traumatol Rehabil. 2009 Jul-Aug;11(4):346-59
pubmed: 19828917
J Sex Med. 2010 Apr;7(4 Pt 2):1598-607
pubmed: 20388160
J Adv Nurs. 1997 Jan;25(1):170-7
pubmed: 9004026
Arthritis Rheum. 2006 Jun 15;55(3):385-93
pubmed: 16739207
Int J Qual Health Care. 2003 Jun;15(3):261-6
pubmed: 12803354
Scand J Occup Ther. 2006 Sep;13(3):193-9
pubmed: 17042467
Scand J Rheumatol. 2008 May-Jun;37(3):194-9
pubmed: 18465454
BMJ Open. 2014 Feb 05;4(2):e004081
pubmed: 24500612
Cult Health Sex. 2009 Apr;11(3):251-66
pubmed: 18608345
Health Hum Rights. 2017 Dec;19(2):279-293
pubmed: 29302182
Womens Health (Lond). 2008 Mar;4(2):195-201
pubmed: 19072521
Rev Med Inst Mex Seguro Soc. 2011 Nov-Dec;49(6):599-604
pubmed: 22176821
J Rheumatol. 2007 Jun;34(6):1248-60
pubmed: 17407220
Sex Med. 2020 Dec;8(4):615-630
pubmed: 32912833
Rheumatology (Oxford). 2003 Feb;42(2):280-6
pubmed: 12595623