{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T10:18:50Z","timestamp":1788344330076,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Chronic low back pain (CLBP) is a common and disabling condition that can negatively affect sexual health. Although CLBP is classified as specific or non\u2010specific based on underlying pathology, whether these etiologies differentially influence women's sexual function and sexual quality of life remains unclear. This study compared these outcomes between women with specific and non\u2010specific CLBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this comparative cross\u2010sectional study (2024, Rasoul Akram Hospital, Tehran), 102 married women aged 15\u201349 years with CLBP were enrolled (51 specific, 51 non\u2010specific). Data were collected using validated Persian versions of the Female Sexual Function Index (FSFI) and Sexual Quality of Life\u2013Female (SQOL\u2010F) questionnaire. Group comparisons were performed using independent\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests and chi\u2010square tests. Multivariable linear regression was applied to adjust for potential confounders. Results are reported as mean differences and\n                      <jats:italic>\u03b2<\/jats:italic>\n                      coefficients with 95% confidence intervals (CIs).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean (SD) FSFI scores were 23.97 (3.01) in the specific CLBP group and 23.72 (4.14) in the non\u2010specific group (mean difference: 0.25, 95% CI: \u22121.17 to 1.67;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.70; Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.07). SQOL\u2010F scores were similarly low and comparable (mean difference: 0.16, 95% CI: \u22121.28 to 1.60;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.62; Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.04). No clinically meaningful differences were observed across FSFI domains. Higher sexual activity frequency was associated with higher FSFI scores. In the non\u2010specific CLBP group, cesarean delivery (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20092.80, 95% CI: 1.37 to 4.23;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01) and nulliparity (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20094.10, 95% CI: 1.74 to 6.46;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02) were associated with better sexual function.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>No meaningful differences were observed between CLBP etiologies; however, low scores in both groups highlight the need to integrate sexual health into multidisciplinary CLBP care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72518","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T05:27:36Z","timestamp":1778736456000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Etiological Differences in Chronic Low Back Pain Matter for Women's Sexual Health and Well\u2010Being: A Comparative Cross\u2010Sectional Analysis"],"prefix":"10.1002","volume":"9","author":[{"given":"Saeedeh","family":"Aghaei","sequence":"first","affiliation":[{"name":"Department of Reproductive Health and Midwifery, Faculty of Medical Sciences Tarbiat Modares Univesity Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shadab","family":"Shahali","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health and Midwifery, Faculty of Medical Sciences Tarbiat Modares Univesity Tehran 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