Grant: Doctoral Research Award: Canada Graduate Scholarships

Inflammatory bowel disease (IBD) is a chronic illness with disabling repercussions. Sexual difficulties (SDs) are consistently reported by patients but are rarely addressed in disease management. Research on sexuality in IBD is limited. SDs are more prevalent among IBD patients compared to controls, and they relate to worse disease activity and disability. Yet, little is known about the progression from IBD disease activity to SDs to disability, or factors that may buffer this process. Objective 1 of my research is to empirically model this process in a large IBD sample. Another gap in the IBD literature is an examination of LGBTQ+ individuals' experiences, which is troubling given that minorities face health disparities and issues in the healthcare system. One study found that LGB IBD patients reported issues arising from the intersection of identities of being a sexual minority and having a chronic disease. Thus, LGBTQ+ individuals may face specific challenges related to SDs and accessing healthcare that warrant investigation. Objective 2 of my research is to query these issues using quantitative and qualitative methods in a diverse subsample. Objective 3 is to use the findings from above to implement a knowledge translation plan. Due to the lack of attention SDs and diversity receive in IBD disease management, educational resources will be created for patients and healthcare providers with information about such issues, tips on having respectful and inclusive conversations about sexuality, and resources for the management of SDs within the context of IBD. This educational program will be delivered online and through in-person workshops. This work will have important impacts on the IBD literature, healthcare services, providers, and patients by advancing knowledge and providing a framework for IBD disease management that considers SDs - a taboo albeit critical aspect of well-being - and diversity - an essential piece of effective and ethical patient care.