We sought to identify factors associated with sexual interest and activity among adults with spina bifida and to describe the sexual profile of those who were sexually active. Sexual health of adults with spina bifida is often neglected and current knowledge on the topic is limited.
An anonymous web-based survey was advertised and administered between March 2018 and September 2018 and participants 16 years and older with spina bifida were included in this study. Respondents were asked about sexual interest, activity, and function using the validated Patient-Reported Outcomes Measurement Information System Sexual Function Profile. Bivariate and multivariable models with ordinal logistic regression were fitted to evaluate predictors of sexual interest and sexual function.
Of the 261 respondents with a self-reported diagnosis of spina bifida (mean age of 38.5 years), 73.2% noted at least a little bit of interest in sexual activity. In multivariate analysis, women were less likely to report higher sexual interest than men (OR=0.53, 95% CI 0.31-0.92, p=0.03) whereas those with higher physical functioning were more likely to have higher sexual interest (OR=1.04, CI 1.01-1.07, p=0.03). Just less than half of respondents (46.4%) were sexually active in the past 30 days, and those with a VP shunt were less likely to engage in sexual activity compared to those without (OR=0.36, 95% CI 0.19-0.68; p<0.01).
The mismatch between sexual interest and sexual activity highlights the importance of exploring issues related to sexual health when counseling adult patients with spina bifida.

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