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2016 ; 28 Suppl 1
(sup1
): 26-31
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
HIV seropositivity and sexuality: cessation of sexual relations among men and
women living with HIV in five countries
#MMPMID26924703
Bernier A
; Lefèvre M
; Henry E
; Verdes L
; Acosta ME
; Benmoussa A
; Mukumbi H
; Cissé M
; Otis J
; Préau M
AIDS Care
2016[]; 28 Suppl 1
(sup1
): 26-31
PMID26924703
show ga
The sexuality of people living with HIV (PLHIV) is a key issue in the fight
against HIV, as it influences both the dynamic of the epidemic and the quality of
life of PLHIV. The present study examined the factors associated with cessation
of sexual relations after HIV diagnosis among men and women in five countries:
Mali, Morocco, Democratic Republic of the Congo, Romania and Ecuador. A
community-based cross-sectional study was implemented by a mixed consortium
[researchers/community-based organizations (CBO)]. Trained CBO members
interviewed 1500 PLHIV in contact with CBOs using a 125-item questionnaire. A
weighted multivariate logistic regression and a separate gender analysis were
performed. Among the 1413 participants, 471 (33%) declared that they stopped
having sexual relations after their HIV diagnosis, including 318 women (42%) and
153 men (23%) (p?.001). Concerning women, variables associated with the
cessation of sexual relations in the final multivariate model were mainly related
with relational factors and the possibility of getting social support (e.g.,
needing help to disclose HIV serostatus, feeling lonely every day, not finding
support in CBOs, not being in a couple). Men's sexual activity was more
associated with their representations and their perception of the infection
(e.g., thinking they will have their HIV infection for the rest of their life,
perceiving the HIV infection as a mystery, perceiving the infection as serious).
Furthermore, the following variables were associated with both men and women
sexual behaviours: being older, having suffered from serious social consequences
after serostatus disclosure and not being able to regularly discuss about HIV
with their steady partner. Results suggested clear differences between men and
women regarding cessation of sexual relations and highlighted the importance of
implementing gender-based tailored interventions that promote safe and satisfying
sexuality, as it is known to have a positive impact on the overall well-being of
PLHIV.
|*Sexuality
[MESH]
|*Social Support
[MESH]
|Adult
[MESH]
|Aged
[MESH]
|Community-Based Participatory Research
[MESH]
|Cross-Sectional Studies
[MESH]
|Democratic Republic of the Congo
[MESH]
|Ecuador
[MESH]
|Emotions
[MESH]
|Female
[MESH]
|HIV Seropositivity/*psychology
[MESH]
|Humans
[MESH]
|Logistic Models
[MESH]
|Male
[MESH]
|Mali
[MESH]
|Morocco
[MESH]
|Multivariate Analysis
[MESH]
|Quality of Life/*psychology
[MESH]
|Romania
[MESH]
|Sex Factors
[MESH]
|Sexual Behavior/psychology/*statistics & numerical data
[MESH]