{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T16:17:33Z","timestamp":1783700253575,"version":"3.55.0"},"reference-count":43,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Inflammatory bowel diseases (IBDs) affect multiple aspects of well-being, including sexual health (SH). Although sexual dysfunction (SD) is widely prevalent among people living with IBD, patients report a lack of proactive discussion of SH by healthcare providers (HCPs). The study aimed to assess HCPs\u2019 knowledge, attitudes, and barriers to assessing SH in patients living with IBD in the United Kingdom.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An adapted 32-item questionnaire survey was conducted between January and September 2024. The survey was distributed to various IBD HCPs through diverse professional and organizational networks in the United Kingdom. The survey collected information on HCP demographics and practice patterns regarding SH. Logistic regression analysis identified factors that were associated with HCP comfort in discussing SH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The survey was completed by 249 eligible participants (53% female). Forty-one percent of HCPs estimated SD prevalence at 10% to 25% in general for IBD patients, while 33% did not know the SD prevalence among their IBD patients. Despite 65% of HCPs feeling \u201cvery\u201d or \u201csomewhat\u201d comfortable discussing sexual function, only 9% routinely discussed this with patients. While HCPs stated lack of time (70%), unclear referral pathways (55%) and insufficient knowledge (51%) as main barriers, HCPs (95%) were interested in further education on SH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although HCPs recognize SD as an important aspect of IBD care, it is often neglected. Time pressures, limited knowledge, and unclear referral pathways are key barriers that hinder HCPs from engaging with patients on SH. HCPs express a strong interest in further education on SH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ibd\/izag121","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T15:54:53Z","timestamp":1783698893000},"source":"Crossref","is-referenced-by-count":0,"title":["Healthcare professionals\u2019 knowledge, attitudes, and practice with addressing sexual health among people living with inflammatory bowel disease: A UK cross-sectional survey"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5161-1747","authenticated-orcid":false,"given":"Anish J","family":"Kuriakose Kuzhiyanjal","sequence":"first","affiliation":[{"name":"Northern Care Alliance NHS Foundation Trust IBD Section, Division of Gastroenterology, , Manchester, BL9 7TD,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5837-801X","authenticated-orcid":false,"given":"Sarah","family":"Rhodes","sequence":"additional","affiliation":[{"name":"University of Manchester Centre for Biostatistics, Division of Population Health, Health Services Research and Primary Care, , Manchester, M13 9PL,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karishma","family":"Sethi-Arora","sequence":"additional","affiliation":[{"name":"Northern Care Alliance NHS Foundation Trust IBD Section, Division of Gastroenterology, , Manchester, BL9 7TD,","place":["United Kingdom"]},{"name":"Manchester University Foundation Trust Wythenshawe Hospital, , Manchester, M23 9LT,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8399-8632","authenticated-orcid":false,"given":"Laura","family":"Hancock","sequence":"additional","affiliation":[{"name":"Manchester University Foundation Trust Wythenshawe Hospital, , Manchester, M23 9LT,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2022-5859","authenticated-orcid":false,"given":"Christian","family":"Selinger","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust Department of Gastroenterology, , Leeds, LS9 7TF,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7271-4956","authenticated-orcid":false,"given":"Christopher A","family":"Lamb","sequence":"additional","affiliation":[{"name":"Newcastle University Translational and Clinical Research Institute, , Newcastle upon Tyne, NE1 7RU,","place":["United Kingdom"]},{"name":"Newcastle upon Tyne Hospitals NHS Foundation Trust Department of Gastroenterology, , Newcastle upon Tyne, NE7 7DN,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5647-1723","authenticated-orcid":false,"given":"David T","family":"Rubin","sequence":"additional","affiliation":[{"name":"University of Chicago Medicine Inflammatory Bowel Disease Center, , Chicago, Illinois, 60637,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1039-6251","authenticated-orcid":false,"given":"Jimmy K","family":"Limdi","sequence":"additional","affiliation":[{"name":"Northern Care Alliance NHS Foundation Trust IBD Section, Division of Gastroenterology, , Manchester, BL9 7TD,","place":["United Kingdom"]},{"name":"University of Manchester Manchester Academic Health Sciences, , Manchester, M13 9PL,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"2026071011544844200_izag121-B1","doi-asserted-by":"publisher","first-page":"1570","DOI":"10.1053\/j.gastro.2020.12.031","article-title":"STRIDE-II: an update on the selecting therapeutic targets in inflammatory bowel disease (STRIDE) initiative of the international organization for the study of IBD (IOIBD): determining therapeutic goals for treat-to-target strategies in IBD","volume":"160","author":"Turner","year":"2021","journal-title":"Gastroenterology"},{"key":"2026071011544844200_izag121-B2","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1097\/MIB.0000000000001033","article-title":"Development of the IBD disk: a visual self-administered tool for assessing disability in inflammatory bowel diseases","volume":"23","author":"Ghosh","year":"2017","journal-title":"Inflamm Bowel Dis"},{"key":"2026071011544844200_izag121-B3","doi-asserted-by":"publisher","first-page":"e079050","DOI":"10.1136\/BMJ-2025-079050","article-title":"Medical management of inflammatory bowel diseases","volume":"391","author":"Hashash","year":"2025","journal-title":"BMJ"},{"key":"2026071011544844200_izag121-B4","doi-asserted-by":"publisher","first-page":"e32279","DOI":"10.1097\/MD.0000000000032279","article-title":"A survey on the impact of IBD in sexual health: into intimacy","volume":"101","author":"Pires","year":"2022","journal-title":"Medicine (Baltimore)"},{"key":"2026071011544844200_izag121-B5","doi-asserted-by":"publisher","first-page":"jjae133","DOI":"10.1093\/ECCO-JCC\/JJAE133","article-title":"Prevalence of sexual dysfunction in inflammatory bowel disease: systematic review and meta-analysis","volume":"19","author":"Nardone","year":"2025","journal-title":"J Crohns Colitis"},{"key":"2026071011544844200_izag121-B6","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1016\/J.JSXM.2015.12.019","article-title":"Definitions of sexual dysfunctions in women and men: a consensus statement from the fourth international consultation on sexual medicine 2015","volume":"13","author":"McCabe","year":"2016","journal-title":"J Sex Med"},{"key":"2026071011544844200_izag121-B7","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1007\/S00535-012-0700-2\/METRICS","article-title":"Sexual function and patients\u2019 perceptions in inflammatory bowel disease: a case-control survey","volume":"48","author":"Mar\u00edn","year":"2013","journal-title":"J Gastroenterol"},{"key":"2026071011544844200_izag121-B8","doi-asserted-by":"publisher","first-page":"881485","DOI":"10.3389\/FENDO.2022.881485\/BIBTEX","article-title":"Prevalence and associated factors of sexual dysfunction in patients with inflammatory bowel disease","volume":"13","author":"Zhang","year":"2022","journal-title":"Front Endocrinol (Lausanne)"},{"key":"2026071011544844200_izag121-B9","doi-asserted-by":"publisher","first-page":"2350","DOI":"10.1093\/IBD\/IZY202","article-title":"Development of a sexual dysfunction scale for women with inflammatory bowel disease","volume":"24","author":"de Silva","year":"2018","journal-title":"Inflamm Bowel Dis"},{"key":"2026071011544844200_izag121-B10","doi-asserted-by":"publisher","first-page":"1641","DOI":"10.1093\/ECCO-JCC\/JJAB043","article-title":"\u2018These Discussions Aren\u2019t Happening\u2019: experiences of people living with inflammatory bowel disease and talking about sexual well-being with health care professionals","volume":"15","author":"Fourie","year":"2021","journal-title":"J Crohns Colitis"},{"key":"2026071011544844200_izag121-B11","doi-asserted-by":"publisher","first-page":"849","DOI":"10.1002\/IBD.21430","article-title":"Psychoneuroimmunologic factors in inflammatory bowel disease","volume":"17","author":"MacKner","year":"2011","journal-title":"Inflamm Bowel Dis"},{"key":"2026071011544844200_izag121-B12","doi-asserted-by":"publisher","first-page":"4034","DOI":"10.1111\/JOCN.17292","article-title":"\u201cMy sexual desires, everything, my normal life just stops\u201d; a qualitative study of male sexual health in inflammatory bowel disease","volume":"33","author":"Ma","year":"2024","journal-title":"J Clin Nurs"},{"key":"2026071011544844200_izag121-B13","doi-asserted-by":"publisher","first-page":"1465","DOI":"10.1093\/IBD\/IZAC025","article-title":"Self-reported failure to address sexual function in patients with inflammatory bowel disease by gastroenterologists: barriers and areas for improvement","volume":"28","author":"Christensen","year":"2022","journal-title":"Inflamm Bowel Dis"},{"key":"2026071011544844200_izag121-B14","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"370","author":"von Elm","year":"2007","journal-title":"Lancet"},{"key":"2026071011544844200_izag121-B15","doi-asserted-by":"publisher","first-page":"923","DOI":"10.1097\/MIB.0000000000000257","article-title":"Getting personal: a review of sexual functioning, body image, and their impact on quality of life in IBD patients","volume":"21","author":"Jedel","year":"2015","journal-title":"Inflamm Bowel Dis"},{"key":"2026071011544844200_izag121-B16","doi-asserted-by":"publisher","first-page":"2658","DOI":"10.1111\/j.1743-6109.2012.02856.x","article-title":"Why don\u2019t healthcare professionals talk about sex? A systematic review of recent qualitative studies conducted in the United Kingdom","volume":"10","author":"Dyer","year":"2013","journal-title":"J Sex Med"},{"key":"2026071011544844200_izag121-B17","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1007\/S00192-005-1286-5","article-title":"Practice patterns of physician members of the American Urogynecologic Society regarding female sexual dysfunction: results of a national survey","volume":"16","author":"Pauls","year":"2005","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"2026071011544844200_izag121-B18","first-page":"1924","article-title":"Sexual history-taking among primary care physicians","volume":"98","author":"Wimberly","year":"2006","journal-title":"J Natl Med Assoc"},{"key":"2026071011544844200_izag121-B19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/03007995.2025.2530736","article-title":"Impact of moderate-to-severe ulcerative colitis and Crohn\u2019s disease on sexual activity: United States and European patient perspectives from the communicating needs and features of IBD experiences (CONFIDE) survey","volume":"41","author":"Dubinsky","year":"2025","journal-title":"Curr Med Res Opin"},{"key":"2026071011544844200_izag121-B20","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1007\/S11845-025-03890-Y","article-title":"Effects of inflammatory bowel diseases on sexual function in women","volume":"194","author":"Aydamirov","year":"2025","journal-title":"Ir J Med Sci"},{"key":"2026071011544844200_izag121-B21","doi-asserted-by":"publisher","first-page":"1244","DOI":"10.1093\/IBD\/IZAC204","article-title":"The impact of disease activity on sexual and erectile dysfunction in patients with inflammatory bowel disease","volume":"29","author":"Mules","year":"2023","journal-title":"Inflamm Bowel Dis"},{"key":"2026071011544844200_izag121-B22","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1043\/TOJ-16-0103","article-title":"Effects of immunomodulators and biologic agents on sexual health in patients with inflammatory bowel disease","volume":"17","author":"Kanar","year":"2017","journal-title":"Ochsner J"},{"key":"2026071011544844200_izag121-B23","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1111\/J.1365-2036.2006.02974.X","article-title":"The efficacy of corticosteroid therapy in inflammatory bowel disease: analysis of a 5-year UK inception cohort","volume":"24","author":"Ho","year":"2006","journal-title":"Aliment Pharmacol Ther"},{"key":"2026071011544844200_izag121-B24","doi-asserted-by":"publisher","first-page":"1355","DOI":"10.1038\/S41395-018-0177-6","article-title":"Increased use of medications for erectile dysfunction in men with ulcerative colitis and Crohn\u2019s disease compared to men without inflammatory bowel disease: a nationwide cohort study","volume":"113","author":"Friedman","year":"2018","journal-title":"Am J Gastroenterol"},{"key":"2026071011544844200_izag121-B25","doi-asserted-by":"publisher","first-page":"1262","DOI":"10.1093\/IBD\/IZY397","article-title":"A longitudinal study of sexual function in women with newly diagnosed inflammatory bowel disease","volume":"25","author":"Shmidt","year":"2019","journal-title":"Inflamm Bowel Dis"},{"key":"2026071011544844200_izag121-B26","doi-asserted-by":"publisher","first-page":"S430","DOI":"10.14309\/01.AJG.0000777176.28012.0A","article-title":"S911 sexual dysfunction improves with biologic therapy in men and women with IBD","volume":"116","author":"Castillo","year":"2021","journal-title":"Am J Gastroenterol"},{"key":"2026071011544844200_izag121-B27","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1002\/IBD.21090","article-title":"Female gender and surgery impair relationships, body image, and sexuality in inflammatory bowel disease: patient perceptions","volume":"16","author":"Muller","year":"2010","journal-title":"Inflamm Bowel Dis"},{"key":"2026071011544844200_izag121-B28","doi-asserted-by":"publisher","first-page":"268","DOI":"10.4103\/SJG.SJG_7_25","article-title":"Multidimensional fatigue mediates the relationship between sexual quality of life and perceived stress in patients with inflammatory bowel disease","volume":"31","author":"Chen","year":"2025","journal-title":"Saudi J Gastroenterol"},{"key":"2026071011544844200_izag121-B29","doi-asserted-by":"publisher","first-page":"716","DOI":"10.3390\/HEALTHCARE13070716","article-title":"Sexual health in women with inflammatory bowel diseases: a narrative review","volume":"13","author":"Mercuri","year":"2025","journal-title":"Healthcare (Basel)"},{"key":"2026071011544844200_izag121-B30","doi-asserted-by":"publisher","first-page":"850","DOI":"10.1016\/J.PEC.2018.12.015","article-title":"Healthcare professional perceived barriers and facilitators to discussing sexual well-being with patients after diagnosis of chronic illness: A mixed-methods evidence synthesis","volume":"102","author":"O\u2019Connor","year":"2019","journal-title":"Patient Educ Couns"},{"key":"2026071011544844200_izag121-B31","doi-asserted-by":"publisher","first-page":"6832","DOI":"10.1111\/JOCN.16773","article-title":"Sexual well-being needs of patients with chronic illness expressed in health care: a scoping review","volume":"32","author":"Igerc","year":"2023","journal-title":"J Clin Nurs"},{"key":"2026071011544844200_izag121-B32","doi-asserted-by":"publisher","first-page":"2205","DOI":"10.1016\/J.PEC.2020.06.019","article-title":"Patients\u2019 and providers\u2019 perspectives on sexual health discussion in the United States: a scoping review","volume":"103","author":"Zhang","year":"2020","journal-title":"Patient Educ Couns"},{"key":"2026071011544844200_izag121-B33","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1016\/J.MATURITAS.2022.01.014","article-title":"Patients with chronic diseases: is sexual health brought up by general practitioners during appointments? A web-based study","volume":"160","author":"Manninen","year":"2022","journal-title":"Maturitas"},{"key":"2026071011544844200_izag121-B34","doi-asserted-by":"publisher","first-page":"903","DOI":"10.1046\/J.1365-2923.2000.00728.X;","article-title":"Clarifying the concepts of confidence and competence to produce appropriate self-evaluation measurement scales","volume":"34","author":"Stewart","year":"2000","journal-title":"Med Educ"},{"key":"2026071011544844200_izag121-B35","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1007\/S11894-024-00956-2","article-title":"Addressing factors that impact sexual well-being and intimacy in IBD patients","volume":"27","author":"Elias","year":"2025","journal-title":"Curr Gastroenterol Rep"},{"key":"2026071011544844200_izag121-B36","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1111\/J.1743-6109.2006.00271.X","article-title":"Predictors of physicians\u2019 involvement in addressing sexual health issues","volume":"3","author":"Tsimtsiou","year":"2006","journal-title":"J Sex Med"},{"key":"2026071011544844200_izag121-B37","doi-asserted-by":"publisher","first-page":"174","DOI":"10.3390\/IJERPH15010174","article-title":"Preparedness of health care professionals for delivering sexual and reproductive health care to refugee and migrant women: a mixed methods study","volume":"15","author":"Mengesha","year":"2018","journal-title":"Int J Environ Res Public Health"},{"key":"2026071011544844200_izag121-B38","first-page":"53","article-title":"Inflammatory bowel disease and sexual dysfunction","volume":"10","author":"Christensen","year":"2014","journal-title":"Gastroenterol Hepatol (N Y)"},{"key":"2026071011544844200_izag121-B39","doi-asserted-by":"publisher","first-page":"1512","DOI":"10.1093\/ECCO-JCC\/JJAA100","article-title":"VALIDation of the IBD-disk instrument for assessing disability in inflammatory bowel diseases in a French cohort: the VALIDate study","volume":"14","author":"Le Berre","year":"2020","journal-title":"J Crohns Colitis"},{"key":"2026071011544844200_izag121-B40","doi-asserted-by":"publisher","first-page":"766","DOI":"10.1093\/ECCO-JCC\/JJAA244","article-title":"The IBD-disk is a reliable tool to assess the daily-life burden of patients with inflammatory bowel disease","volume":"15","author":"Tadbiri","year":"2021","journal-title":"J Crohns Colitis"},{"key":"2026071011544844200_izag121-B41","doi-asserted-by":"publisher","first-page":"1321","DOI":"10.1111\/APT.16367","article-title":"Editorial: determining disability in IBD \u2013 \u2018See(k) and you shall find","volume":"53","author":"Limdi","year":"2021","journal-title":"Aliment Pharmacol Ther"},{"key":"2026071011544844200_izag121-B42","doi-asserted-by":"publisher","first-page":"1098","DOI":"10.1111\/APT.16353","article-title":"Determinants of IBD-related disability: a cross-sectional survey from the GETAID","volume":"53","author":"Tannoury","year":"2021","journal-title":"Aliment Pharmacol Ther"},{"key":"2026071011544844200_izag121-B43","doi-asserted-by":"publisher","first-page":"1596","DOI":"10.1093\/ECCO-JCC\/JJAD075","article-title":"Management of inflammatory bowel disease using e-health technologies: a systematic review and meta-analysis","volume":"17","author":"Kuriakose Kuzhiyanjal","year":"2023","journal-title":"J Crohns Colitis"}],"container-title":["Inflammatory Bowel Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ibdjournal\/advance-article-pdf\/doi\/10.1093\/ibd\/izag121\/68755635\/izag121.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ibdjournal\/advance-article-pdf\/doi\/10.1093\/ibd\/izag121\/68755635\/izag121.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T15:54:54Z","timestamp":1783698894000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ibdjournal\/advance-article\/doi\/10.1093\/ibd\/izag121\/8732037"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,10]]},"references-count":43,"URL":"https:\/\/doi.org\/10.1093\/ibd\/izag121","relation":{},"ISSN":["1078-0998","1536-4844"],"issn-type":[{"value":"1078-0998","type":"print"},{"value":"1536-4844","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,10]]},"article-number":"izag121"}}