Emotional and psychosexual well-being is influenced by ethnicity and birthplace in women and individuals with polycystic ovary syndrome in the UK and India.
Abstract
Abstract
Objective: To assess the association of ethnicity and birthplace on emotional and psychosexual well-being in women with polycystic ovary syndrome (PCOS).
Design: Cross-sectional study.
Setting: Community recruitment via social media campaigns.
Population: Women with PCOS completing an online questionnaire in September-October 2020 (UK) and May-June 2021 (India).
Methods: The survey has five components, with a baseline information and sociodemographic section followed by four validated questionnaires: Hospital Anxiety and Depression Scale (HADS); Body Image Concern Inventory (BICI); Beliefs About Obese Persons Scale (BAOP); and Female Sexual Function Index (FSFI).
Main outcome measures: We used adjusted linear and logistic regression models, adjusting for age, education, marital status and parity, to evaluate the impact of ethnicity and birthplace on questionnaire scores and outcomes (anxiety and/or depression, HADS ≥ 11; body dysmorphic disorder (BDD), BICI ≥ 72).
Results: A total of 1008 women with PCOS were included. Women of non-white ethnicity (613/1008) reported higher rates of depression (OR 1.96, 95% CI 1.41-2.73) and lower BDD (OR 0.57, 95% CI 0.41-0.79) than white women (395/1008). Women born in India (453/1008) had higher anxiety (OR 1.57, 95% CI 1.00-2.46) and depression (OR 2.20, 95% CI 1.52-3.18) but lower BDD rates (OR 0.42, 95% CI 0.29-0.61) than women born in the UK (437/1008). All sexual domains, excluding desire, scored lower for non-white women and women born in India.
Conclusions: Non-white women and women born in India reported higher emotional and sexual dysfunction, whereas white women and women born in the UK reported higher body image concerns and weight stigma. Ethnicity and birthplace need to be considered for tailored, multidisciplinary care.
Keywords: anxiety; body image; depression; obesity; polycystic ovarian syndrome; sexual function; weight stigma.
Author
Sheikh, Jameela
Khalil, Halimah
Shaikh, Salomi
Hebbar, Meghnaa
Zia, Nawal
Wicks, Saskia
Jayaprakash, Sindoora
Narendran, Alisha
Subramanian, Anuradhaa
Malhotra, Kashish
Chapman, Rachel
Gillett, Caroline
Gleeson, Helena K
Robinson, Lynne
Chu, Justin J
Lathia, Tejal
Selvan, Chitra
O'Reilly, Michael W
Manolopoulos, Konstantinos N
Arlt, Wiebke
Kempegowda, Punith
Khalil, Halimah
Shaikh, Salomi
Hebbar, Meghnaa
Zia, Nawal
Wicks, Saskia
Jayaprakash, Sindoora
Narendran, Alisha
Subramanian, Anuradhaa
Malhotra, Kashish
Chapman, Rachel
Gillett, Caroline
Gleeson, Helena K
Robinson, Lynne
Chu, Justin J
Lathia, Tejal
Selvan, Chitra
O'Reilly, Michael W
Manolopoulos, Konstantinos N
Arlt, Wiebke
Kempegowda, Punith
Citations
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Date
2023-03-08
Type
Article
Subject
Gynaecology
Collections
Citation
Sheikh J, Khalil H, Shaikh S, Hebbar M, Zia N, Wicks S, Jayaprakash S, Narendran A, Subramanian A, Malhotra K, Chapman R, Gillett C, Gleeson HK, Robinson L, Chu JJ, Lathia T, Selvan C, O'Reilly MW, Manolopoulos KN, Arlt W, Kempegowda P; PCOS SEva team. Emotional and psychosexual well-being is influenced by ethnicity and birthplace in women and individuals with polycystic ovary syndrome in the UK and India. BJOG. 2023 Jul;130(8):978-986. doi: 10.1111/1471-0528.17428. Epub 2023 Mar 8. PMID: 36807756.
Journal / Source Title
BJOG: An International Journal of Obstetrics and Gynaecology
DOI
10.1111/1471-0528.17428
PMID
36807756
Publisher
Wiley
Publisher’s URL
https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.17428