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The perceived effect of health status on sexual activity was measured by question 15 in the 15D questionnaire. Data were analysed using the McNemar and independent paired\n                    <jats:italic>t<\/jats:italic>\n                    tests and logistic regression.\u00a0In the 244 patients with ax-SpA (30% women, 70% men; mean age, 46 years), measures reflecting disease activity decreased and comorbidities increased, and more patients were treated with biological drugs at 5 years. Compared with patients whose health status had little\/no effect on sexual activity (n\u2009=\u2009200), those who perceived that their health status had a large effect on sexual activity (n\u2009=\u200944) were older, exercised less, fewer were employed, had more comorbidities, higher disease activity, and lower HRQOL and SQOL. The baseline predictors of a negative effect of health status on sexual activity were old age and low SQOL.\u00a0Patients reporting that their health status had a large effect on sexual activity at 5 years were older, had more disease activity, and lower HRQOL and SQOL.\n                  <\/jats:p>","DOI":"10.1007\/s00296-024-05758-3","type":"journal-article","created":{"date-parts":[[2024,12,28]],"date-time":"2024-12-28T11:28:19Z","timestamp":1735385299000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Perceived effects of health status on sexual activity in patients with axial spondyloarthritis: a 5-year follow-up study"],"prefix":"10.1007","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8538-7237","authenticated-orcid":false,"given":"Gudrun","family":"Rohde","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9612-2747","authenticated-orcid":false,"given":"Kari Hansen","family":"Berg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1678-7309","authenticated-orcid":false,"given":"Are Hugo","family":"Pripp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9279-5191","authenticated-orcid":false,"given":"Glenn","family":"Haugeberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,12,28]]},"reference":[{"issue":"5","key":"5758_CR1","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1007\/s11926-019-0819-8","volume":"21","author":"M Garrido-Cumbrera","year":"2019","unstructured":"Garrido-Cumbrera M, Poddubnyy D, Gossec L, G\u00e1lvez-Ruiz D, Bundy C, Mahapatra R et al (2019) The European map of axial spondyloarthritis: capturing the patient perspective-an analysis of 2846 patients across 13 countries. 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