{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T10:54:50Z","timestamp":1788260090165,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T00:00:00Z","timestamp":1678233600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010414","name":"Health Research Board","doi-asserted-by":"publisher","award":["Emerging Clinician Scientist Award ECSA\u2010FA\u20102020\u201000"],"award-info":[{"award-number":["Emerging Clinician Scientist Award ECSA\u2010FA\u20102020\u201000"]}],"id":[{"id":"10.13039\/100010414","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100018952","name":"Birmingham Biomedical Research Centre","doi-asserted-by":"publisher","award":["Grant Reference Number BRC\u20101215\u201020009"],"award-info":[{"award-number":["Grant Reference Number BRC\u20101215\u201020009"]}],"id":[{"id":"10.13039\/501100018952","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["Investigator Grant WT209492\/Z\/17\/Z"],"award-info":[{"award-number":["Investigator Grant WT209492\/Z\/17\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the association of ethnicity and birthplace on emotional and psychosexual well\u2010being in women with polycystic ovary syndrome (PCOS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Community recruitment via social media campaigns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women with PCOS completing an online questionnaire in September\u2013October 2020 (UK) and May\u2013June 2021 (India).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The survey has five components, with a 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).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>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\u2009\u2265\u200911; body dysmorphic disorder (BDD), BICI\u2009\u2265\u200972).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1008 women with PCOS were included. Women of non\u2010white ethnicity (613\/1008) reported higher rates of depression (OR\u00a01.96, 95%\u00a0CI 1.41\u20132.73) and lower BDD (OR\u00a00.57, 95%\u00a0CI 0.41\u20130.79) than white women (395\/1008). Women born in India (453\/1008) had higher anxiety (OR\u00a01.57, 95%\u00a0CI 1.00\u20132.46) and depression (OR\u00a02.20, 95%\u00a0CI 1.52\u20133.18) but lower BDD rates (OR\u00a00.42, 95%\u00a0CI 0.29\u20130.61) than women born in the UK (437\/1008). All sexual domains, excluding desire, scored lower for non\u2010white women and women born in India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Non\u2010white 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.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.17428","type":"journal-article","created":{"date-parts":[[2023,2,18]],"date-time":"2023-02-18T17:52:07Z","timestamp":1676742727000},"page":"978-986","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Emotional and psychosexual well\u2010being is influenced by ethnicity and birthplace in women and individuals with polycystic ovary syndrome in the <scp>UK<\/scp> and India"],"prefix":"10.1111","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6409-6940","authenticated-orcid":false,"given":"Jameela","family":"Sheikh","sequence":"first","affiliation":[{"name":"College of Medical and Dental Sciences University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9512-9007","authenticated-orcid":false,"given":"Halimah","family":"Khalil","sequence":"additional","affiliation":[{"name":"College of Medical and Dental Sciences University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salomi","family":"Shaikh","sequence":"additional","affiliation":[{"name":"DY\u2009Patil University School of Medicine  Navi Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghnaa","family":"Hebbar","sequence":"additional","affiliation":[{"name":"College of Medical and Dental Sciences University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nawal","family":"Zia","sequence":"additional","affiliation":[{"name":"College of Medical and Dental Sciences University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1797-6686","authenticated-orcid":false,"given":"Saskia","family":"Wicks","sequence":"additional","affiliation":[{"name":"Barts Health NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sindoora","family":"Jayaprakash","sequence":"additional","affiliation":[{"name":"The Dudley Group NHS Foundation Trust  Dudley UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alisha","family":"Narendran","sequence":"additional","affiliation":[{"name":"King Edward VI High School for Girls  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8875-7363","authenticated-orcid":false,"given":"Anuradhaa","family":"Subramanian","sequence":"additional","affiliation":[{"name":"Institute of Applied Health Research University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6985-5731","authenticated-orcid":false,"given":"Kashish","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Dayanand Medical College  Ludhiana Punjab India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Chapman","sequence":"additional","affiliation":[{"name":"University Hospitals Coventry and Warwickshire NHS Trust  Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Gillett","sequence":"additional","affiliation":[{"name":"Institute of Metabolism and Systems Research University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena K.","family":"Gleeson","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Queen Elizabeth Hospital University Hospitals Birmingham NHS Foundation Trust  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynne","family":"Robinson","sequence":"additional","affiliation":[{"name":"Birmingham Women's Hospital Birmingham Women's and Children's NHS Foundation Trust  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5355-9989","authenticated-orcid":false,"given":"Justin J.","family":"Chu","sequence":"additional","affiliation":[{"name":"Birmingham Women's Hospital Birmingham Women's and Children's NHS Foundation Trust  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tejal","family":"Lathia","sequence":"additional","affiliation":[{"name":"Apollo Hospitals  Navi Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chitra","family":"Selvan","sequence":"additional","affiliation":[{"name":"Department of Endocrinology MS Ramaiah Medical College  Bengaluru India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9108-9105","authenticated-orcid":false,"given":"Michael W.","family":"O'Reilly","sequence":"additional","affiliation":[{"name":"Institute of Metabolism and Systems Research University of Birmingham  Birmingham UK"},{"name":"Department of Medicine Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos N.","family":"Manolopoulos","sequence":"additional","affiliation":[{"name":"Institute of Metabolism and Systems Research University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5106-9719","authenticated-orcid":false,"given":"Wiebke","family":"Arlt","sequence":"additional","affiliation":[{"name":"Institute of Metabolism and Systems Research University of Birmingham  Birmingham UK"},{"name":"Department of Endocrinology, Queen Elizabeth Hospital University Hospitals Birmingham NHS Foundation Trust  Birmingham UK"},{"name":"NIHR Birmingham Biomedical Research Centre at the University Hospitals Birmingham NHS Foundation Trust University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0954-6512","authenticated-orcid":false,"given":"Punith","family":"Kempegowda","sequence":"additional","affiliation":[{"name":"Institute of Metabolism and Systems Research University of Birmingham  Birmingham UK"},{"name":"Department of Endocrinology, Queen Elizabeth Hospital University Hospitals Birmingham NHS Foundation Trust  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the PCOS SEva team","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,8]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra041536"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-16-0373"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp20X708881"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dew218"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmy022"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-14-0253"},{"key":"e_1_2_12_8_1","volume-title":"Long\u2010term consequences of polycystic ovary syndrome (Green\u2010top guideline No. 33)","author":"Royal College of Obstetricians and Gynaecologists","year":"1970"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmy007"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/CLEP.S37559"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0b013e318280a30f"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1210\/jendso\/bvab008"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2020.08.1180"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.01.003"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2022.1064937"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/13557850802509206"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/01674820802546204"},{"key":"e_1_2_12_18_1","first-page":"829","article-title":"Body image satisfaction and self\u2010esteem status among the patients with polycystic ovary syndrome","volume":"11","author":"Bazarganipour F","year":"2013","journal-title":"Int J Reprod Biomed"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.2003.015289"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.158.12.2061"},{"key":"e_1_2_12_21_1","volume-title":"HA01.0 female sexual arousal dysfunction [internet]. International classification of diseases for mortality and morbidity statistics (11th revision)","author":"World Health Organization","year":"2018"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(03)00487-4"},{"issue":"8","key":"e_1_2_12_23_1","first-page":"539","article-title":"Sexual dysfunction in patients with polycystic ovary syndrome and its affected domains","volume":"12","author":"Eftekhar T","year":"2014","journal-title":"Iran J Reprod Med"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s42000-020-00210-0"},{"key":"e_1_2_12_25_1","unstructured":"National Institute for Health and Care Excellence.Polycystic ovary syndrome [internet].NICE2018. Available from:https:\/\/cks.nice.org.uk\/topics\/polycystic\u2010ovary\u2010syndrome\/"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/cen.14340"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2017.0681"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2021.1880053"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2003.12.006"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-011-9718-8"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199109)10:5<599::AID-EAT2260100512>3.0.CO;2-#"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/009262300278597"},{"key":"e_1_2_12_34_1","unstructured":"Verity.Who are verity? The UK's PCOS charity \u2010 verity \u2010 the UK PCOS charity [internet].2021Available from:https:\/\/www.verity\u2010pcos.org.uk"},{"key":"e_1_2_12_35_1","unstructured":"PCOS Vitality.PCOS vitality \u2010 about us [internet].2021Available from:https:\/\/www.pcosvitality.com"},{"key":"e_1_2_12_36_1","unstructured":"PCOS LOQUS.PCOS LOQUS partners with University of Birmingham for a PCOS study in India.2021."},{"key":"e_1_2_12_37_1","unstructured":"PCOS Club India.PCOS Club India \u2010 our Mission [internet].2021Available from:https:\/\/www.pcosclubindia.com\/index.php"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-019-1198-6"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1017\/9781108989831.017"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deq068"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rbmo.2020.12.006"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/der197"},{"key":"e_1_2_12_43_1","unstructured":"The Endocrine Society.Cost of mental health disorders linked with polycystic ovary syndrome almost $6 billion in 2021.2022."},{"key":"e_1_2_12_44_1","article-title":"Care seeking behaviour and barriers to accessing Services for Sexual Health Problems among women in rural areas of Tamilnadu state in India","volume":"2014","author":"Puthuchira Ravi R","year":"2014","journal-title":"J Sex Transm Dis"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.17428","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1471-0528.17428","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.17428","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T08:57:11Z","timestamp":1692435431000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.17428"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,8]]},"references-count":43,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1111\/1471-0528.17428"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.17428","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,8]]},"assertion":[{"value":"2022-06-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}