title: Profile of sexuality in Moroccan chronic low back pain patients.
abstract: BACKGROUND
  Sexual life had an important role in preserving the good quality of life for patients and for their partner. Chronic low back pain (CLBP) as other musculoskeletal diseases may affect all aspects of life including sexual functioning. The purpose of this study is to describe the impact of CLBP on the sexual life of patients and to identify the factors that affect their sexual quality of life (SQOL).
  
  
  METHODS
  One hundred CLBP sexually active patients were included. Patients and disease Characteristics were collected. Impact on sexual life (sexual intercourse and SQOL) was also assessed. Univariate and multivariate analysis were performed to analyze significant determinants associated with the SQOL disturbance.
  
  
  RESULTS
  Eighty one percent of our patients complained about sexual difficulties related to CLBP. Libido decrease and painful intercourse position were reported respectively in 14.8 and 97.5% of cases. The most pain generating position was supine. Mean of sexual intercourse frequency decrease was at -10.4 ± 4.8 per month. SQOL score mean was at 44.6 ± 17.4%. Men suffered more than women from sexual problems (respectively 90% vs. 72%; p = 0.02). Men had worse SQOL than women (respectively 38.9 ± 17.2 vs. 50.3 ± 15.7%; p = 0.001). Univariate and multivariate analysis showed that advanced age (p = 0.009), poor functional status (p = 0.03), male gender (p = 0.03) and sexual intercourse frequency decrease (p = 0.005) were the independent variables associated with the SQOL disturbance.
  
  
  CONCLUSIONS
  Our study suggests that sexuality is profoundly disturbed in CLBP patients; both their sexual intercourse and SQOL were affected. This disturbance seems to be associated with patient and disease characteristics. Sexuality should be taken into account in managing CLBP patients.
authors: Department of Rheumatology, University Hospital El Ayachi, Rabat, Salé, Morocco. hananebahouq@yahoo.fr
authors: Hanane
authors: H
authors: Bahouq
authors: Allali
authors: A
authors: Fadoua
authors: Rkain
authors: R
authors: Hanan
authors: Hmamouchi
authors: H
authors: Ihsane
authors: Hajjaj-Hassouni
authors: HH
authors: Najia
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D059350:Chronic Pain / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology*; D003075:Coitus; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007989:Libido; D016014:Linear Models; D017116:Low Back Pain / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D009018:Morocco / Q000453:epidemiology; D015999:Multivariate Analysis; D011187:Posture; D011788:Quality of Life; D012307:Risk Factors; D012737:Sex Factors; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology*; D011795:Surveys and Questionnaires