title: Gender difference on the symptoms, health-seeking behaviour, social impact and sleep quality in irritable bowel syndrome: a Rome II-based survey in an apparent healthy adult Chinese population in Taiwan.
abstract: BACKGROUND
  Little is known about the gender effect on irritable bowel syndrome in Asia.
  
  
  OBJECTIVE
  To assess the gender difference in Chinese subjects with irritable bowel syndrome meeting Rome II criteria.
  
  
  METHODS
  Irritable bowel syndrome was identified from an apparently healthy adult population receiving a routine health maintenance program (n = 2018).
  
  
  RESULTS
  Female gender is not a factor associated with irritable bowel syndrome or irritable bowel syndrome-related health care-seeking behaviour. Female irritable bowel syndrome subjects, irrespective of consulting behaviour for irritable bowel syndrome, are likely to have < 3 bowel movements/week, hard/lumpy stools and abdominal fullness/bloating (P < 0.05). Female irritable bowel syndrome subjects are prone to be absent from school/work with more days of absenteeism, irrespective of consultation status (P < 0.05). Only female irritable bowel syndrome consulters have more absenteeism for their irritable bowel syndrome-related symptoms, reporting more sleep disturbances than their male counterparts (P < 0.001).
  
  
  CONCLUSIONS
  In an apparent healthy adult population in Taiwan, gender difference is present in Rome II defined Chinese subjects with irritable bowel syndrome as regards bowel symptoms, social impact and sleep quality. Female predominance was not found in irritable bowel syndrome subjects and irritable bowel syndrome-related health care-seeking behaviour in the current population. Both irritable bowel syndrome non-consulters and consulters have similar gender difference profiles in presenting symptoms, suggesting that bowel symptoms per se may not be the only factor leading to health care-seeking behaviour. The gender differences in sleep problems were observed solely in irritable bowel syndrome consulter.
authors.affiliation: Division of Gastroenterology, Taipei Veterans General Hospital, Taipei, Taiwan. cllu@vghtpe.gov.tw
authors.forename: C-L
authors.initials: CL
authors.lastname: Lu
authors.forename: F-Y
authors.initials: FY
authors.lastname: Chang
authors.forename: H-C
authors.initials: HC
authors.lastname: Lang
authors.forename: C-Y
authors.initials: CY
authors.lastname: Chen
authors.forename: J-C
authors.initials: JC
authors.lastname: Luo
authors.forename: S-D
authors.initials: SD
authors.lastname: Lee
mesh_terms: D000041:Absenteeism; D044466:Asian People / Q000208:ethnology*; D005260:Female; D006295:Health Resources / Q000706:statistics & numerical data; D006306:Health Surveys; D006801:Humans; D043183:Irritable Bowel Syndrome / Q000453:epidemiology* / Q000208:ethnology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000706:statistics & numerical data; D015995:Prevalence; D011788:Quality of Life; D012737:Sex Factors; D012892:Sleep Deprivation / Q000453:epidemiology / Q000208:ethnology; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology