Emotional and psychosexual wellbeing is influenced by ethnicity and birthplace in women and individuals with polycystic ovary syndrome in the UK and India

Jameela Sheikh; Halimah  Khalil; Salomi  Shaikh; Meghnaa Hebbar; Nawal Zia; Saskia  Wicks; Sindoora  Jayaprakash; Alisha  Narendran; Anuradhaa Subramanian; Kashish Malhotra; Rachel  Chapman; Caroline Gillett; Helena Gleeson; Lynne Robinson; Chu Justin; Tejal  Lathia; Chitra  Selvan; Michael O'reilly; Konstantinos Manolopoulos; Wiebke Arlt; Punith Kempegowda; null PCOS SEva team

doi:10.1111/1471-0528.17428

Emotional and psychosexual wellbeing is influenced by ethnicity and birthplace in women and individuals with polycystic ovary syndrome in the UK and India

Jameela Sheikh, Halimah Khalil, Salomi Shaikh, Meghnaa Hebbar, Nawal Zia, Saskia Wicks, Sindoora Jayaprakash, Alisha Narendran, Anuradhaa Subramanian, Kashish Malhotra, Rachel Chapman, Caroline Gillett, Helena Gleeson, Lynne Robinson, Chu Justin, Tejal Lathia, Chitra Selvan, Michael O'reilly, Konstantinos Manolopoulos, Wiebke ArltPunith Kempegowda^*, PCOS SEva team

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

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Abstract

Objective
To assess the association of ethnicity and birthplace on emotional and psychosexual wellbeing 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: 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). 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
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 (0.57, 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 (2.20, 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.

Conclusion
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.

Original language	English
Pages (from-to)	978-986
Journal	BJOG: An International Journal of Obstetrics & Gynaecology
Volume	130
Issue number	8
Early online date	17 Feb 2023
DOIs	https://doi.org/10.1111/1471-0528.17428
Publication status	Published - 8 Mar 2023

Keywords

RESEARCH ARTICLE
RESEARCH ARTICLES
anxiety
body image
depression
obesity
polycystic ovarian syndrome
sexual function
weight stigma

Access to Document

10.1111/1471-0528.17428Licence: Creative Commons: Attribution (CC BY)

SheikhJ2023EmotionalFinal published version, 291 KBLicence: Creative Commons: Attribution (CC BY)

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Dissecting Androgen excess and metabolic dysfunction - an Integrated SYstems approach to PolyCystic Ovary Syndrome (DAISY-PCOS)
Dunn, W., Tino, P., Deeks, J., Arlt, W., Manolopoulos, K., O'Reilly, M. & Afford, S.
THE WELLCOME TRUST
1/04/18 → 1/10/24
Project: Research
Dissecting Androgen excess and metabolic dysfunction - an Integrated SYstems approach to PolyCystic Ovary Syndrome (DAISY-PCOS)
Lindenmeyer, A. & Arlt, W.
THE WELLCOME TRUST
1/01/20 → 1/03/23
Project: Research
NIHR Biomedical Research Centre (BRC) - Core Theme
Barrett, T., Adams, D., Newsome, P., Kyte, D., Slade, A. & Calvert, M.
NIHR CENTRAL COMMISSIONING FACILITY
1/04/17 → 30/11/22
Project: Other Government Departments

Cite this

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, H., Robinson, L., Justin, C., Lathia, T., Selvan, C., O'reilly, M., Manolopoulos, K., ... PCOS SEva team (2023). Emotional and psychosexual wellbeing is influenced by ethnicity and birthplace in women and individuals with polycystic ovary syndrome in the UK and India. BJOG: An International Journal of Obstetrics & Gynaecology, 130(8), 978-986. Advance online publication. https://doi.org/10.1111/1471-0528.17428

@article{7c22d74788534913a133c3f9dd023b65,

title = "Emotional and psychosexual wellbeing is influenced by ethnicity and birthplace in women and individuals with polycystic ovary syndrome in the UK and India",

abstract = "ObjectiveTo assess the association of ethnicity and birthplace on emotional and psychosexual wellbeing in women with Polycystic Ovary Syndrome (PCOS).DesignCross-sectional study.SettingCommunity recruitment via social media campaigns.PopulationWomen with PCOS completing an online questionnaire in September-October 2020 (UK) and May-June 2021 (India).MethodsThe survey has five components: 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). 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]).Results1008 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 (0.57, 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 (2.20, 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.ConclusionNon-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 = "RESEARCH ARTICLE, RESEARCH ARTICLES, anxiety, body image, depression, obesity, polycystic ovarian syndrome, sexual function, weight stigma",

author = "Jameela Sheikh and Halimah Khalil and Salomi Shaikh and Meghnaa Hebbar and Nawal Zia and Saskia Wicks and Sindoora Jayaprakash and Alisha Narendran and Anuradhaa Subramanian and Kashish Malhotra and Rachel Chapman and Caroline Gillett and Helena Gleeson and Lynne Robinson and Chu Justin and Tejal Lathia and Chitra Selvan and Michael O'reilly and Konstantinos Manolopoulos and Wiebke Arlt and Punith Kempegowda and {PCOS SEva team}",

year = "2023",

month = mar,

day = "8",

doi = "10.1111/1471-0528.17428",

language = "English",

volume = "130",

pages = "978--986",

journal = "BJOG: An International Journal of Obstetrics & Gynaecology",

issn = "1470-0328",

publisher = "Wiley",

number = "8",

}

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, H, Robinson, L, Justin, C, Lathia, T, Selvan, C, O'reilly, M, Manolopoulos, K, Arlt, W , Kempegowda, P & PCOS SEva team 2023, 'Emotional and psychosexual wellbeing is influenced by ethnicity and birthplace in women and individuals with polycystic ovary syndrome in the UK and India', BJOG: An International Journal of Obstetrics & Gynaecology, vol. 130, no. 8, pp. 978-986. https://doi.org/10.1111/1471-0528.17428

Emotional and psychosexual wellbeing is influenced by ethnicity and birthplace in women and individuals with polycystic ovary syndrome in the UK and India. / Sheikh, Jameela; Khalil, Halimah ; Shaikh, Salomi et al.
In: BJOG: An International Journal of Obstetrics & Gynaecology, Vol. 130, No. 8, 08.03.2023, p. 978-986.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Emotional and psychosexual wellbeing is influenced by ethnicity and birthplace in women and individuals with polycystic ovary syndrome in the UK and India

AU - Sheikh, Jameela

AU - Khalil, Halimah

AU - Shaikh, Salomi

AU - Hebbar, Meghnaa

AU - Zia, Nawal

AU - Wicks, Saskia

AU - Jayaprakash, Sindoora

AU - Narendran, Alisha

AU - Subramanian, Anuradhaa

AU - Malhotra, Kashish

AU - Chapman, Rachel

AU - Gillett, Caroline

AU - Gleeson, Helena

AU - Robinson, Lynne

AU - Justin, Chu

AU - Lathia, Tejal

AU - Selvan, Chitra

AU - O'reilly, Michael

AU - Manolopoulos, Konstantinos

AU - Arlt, Wiebke

AU - Kempegowda, Punith

AU - PCOS SEva team, null

PY - 2023/3/8

Y1 - 2023/3/8

N2 - ObjectiveTo assess the association of ethnicity and birthplace on emotional and psychosexual wellbeing in women with Polycystic Ovary Syndrome (PCOS).DesignCross-sectional study.SettingCommunity recruitment via social media campaigns.PopulationWomen with PCOS completing an online questionnaire in September-October 2020 (UK) and May-June 2021 (India).MethodsThe survey has five components: 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). 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]).Results1008 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 (0.57, 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 (2.20, 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.ConclusionNon-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.

AB - ObjectiveTo assess the association of ethnicity and birthplace on emotional and psychosexual wellbeing in women with Polycystic Ovary Syndrome (PCOS).DesignCross-sectional study.SettingCommunity recruitment via social media campaigns.PopulationWomen with PCOS completing an online questionnaire in September-October 2020 (UK) and May-June 2021 (India).MethodsThe survey has five components: 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). 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]).Results1008 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 (0.57, 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 (2.20, 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.ConclusionNon-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.

KW - RESEARCH ARTICLE

KW - RESEARCH ARTICLES

KW - anxiety

KW - body image

KW - depression

KW - obesity

KW - polycystic ovarian syndrome

KW - sexual function

KW - weight stigma

U2 - 10.1111/1471-0528.17428

DO - 10.1111/1471-0528.17428

M3 - Article

C2 - 36807756

SN - 1470-0328

VL - 130

SP - 978

EP - 986

JO - BJOG: An International Journal of Obstetrics & Gynaecology

JF - BJOG: An International Journal of Obstetrics & Gynaecology

IS - 8

ER -

Emotional and psychosexual wellbeing is influenced by ethnicity and birthplace in women and individuals with polycystic ovary syndrome in the UK and India

Abstract

Keywords

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Projects

Dissecting Androgen excess and metabolic dysfunction - an Integrated SYstems approach to PolyCystic Ovary Syndrome (DAISY-PCOS)

Dissecting Androgen excess and metabolic dysfunction - an Integrated SYstems approach to PolyCystic Ovary Syndrome (DAISY-PCOS)

NIHR Biomedical Research Centre (BRC) - Core Theme

Cite this