Division of Inflammation and Infection, Department of Biomedical and Clinical Sciences (BKV), Linköping University, Linköping, Sweden.
Division of Society and Health, Department of Health, Medicine and Caring Sciences (HMV), Linköping University, Linköping, Sweden.
Neurogastroenterol Motil. 2022 Nov;34(11):e14430. doi: 10.1111/nmo.14430. Epub 2022 Sep 8.
Irritable bowel syndrome (IBS) is a disorder with a predominance in women; IBS in men is less studied. The present study evaluated symptoms as well as health and social experiences of men with IBS.
This cross-sectional study included 293 patients with IBS (64 men) and 363 non-IBS controls (62 men). Gastrointestinal symptom diaries were filled in prospectively, and data on comorbidities and healthcare-seeking behavior were assessed by questionnaires. Men with IBS were compared with men without IBS and women with IBS.
Compared with women with IBS, men with IBS had fewer contacts with the healthcare system, fewer psychiatric comorbidities, fewer sleeping problems, and less chronic pain. Urgency to defecate and nausea were less common, and stool frequency was higher in men with IBS. There was no difference between men with and without IBS in terms of educational level, satisfaction with household economy, or living with a partner. In contrast, women with IBS more often lived alone, were more often dissatisfied with household economy, and had a lower educational level than women without IBS. Men with IBS had the same proportion of full-time employment as men without IBS but in contrast, the proportion of women with IBS in full-time employment was only 34%, compared to 50% of the women without IBS.
The present study improves the understanding of men's experiences of IBS and suggests that sex and gender may be integrated into the biopsychosocial model of IBS.
肠易激综合征（IBS）以女性为主；男性 IBS 的研究较少。本研究评估了男性 IBS 患者的症状以及健康和社会体验。
本横断面研究纳入了 293 名 IBS 患者（64 名男性）和 363 名非 IBS 对照者（62 名男性）。前瞻性填写胃肠道症状日记，并通过问卷评估合并症和寻求医疗保健的行为。将男性 IBS 患者与非 IBS 男性和女性 IBS 患者进行比较。
与女性 IBS 患者相比，男性 IBS 患者与医疗保健系统的接触较少，合并的精神疾病较少，睡眠问题较少，慢性疼痛较少。排便急迫感和恶心较少见，男性 IBS 患者的粪便频率较高。男性 IBS 患者与非 IBS 男性在教育程度、家庭经济满意度或与伴侣同住方面没有差异。相比之下，与非 IBS 女性相比，IBS 女性更常独居，对家庭经济的满意度较低，教育程度较低。男性 IBS 患者的全职就业比例与非 IBS 男性相同，但相比之下，IBS 女性的全职就业比例仅为 34%，而非 IBS 女性为 50%。
本研究提高了对男性 IBS 体验的理解，并表明性别可能被纳入 IBS 的生物心理社会模型。
