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首页> 外文期刊>The journal of sexual medicine >Self-reported sexual difficulties and their association with depression and other factors among gay men attending high HIV-caseload general practices in Australia.
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Self-reported sexual difficulties and their association with depression and other factors among gay men attending high HIV-caseload general practices in Australia.

机译：自我报告的性困难及其与抑郁症和其他因素的关系，这些同性恋者是澳大利亚参加艾滋病毒/艾滋病高感染量常规活动的男同性恋者。

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INTRODUCTION: Sexual expression affects physical, mental and social well-being. There is a lack of understanding of male sexual dysfunction in homosexually active men. Aim. We investigated gay men's self-report of a number of sexual problems. METHODS: The survey data were from a sample of 542 self-identified gay men, 40% of whom were HIV positive, recruited from six high HIV-caseload general practices in Australia. MAIN OUTCOME MEASURES: The reporting of experiencing three or more sexual problems over a period of at least 1 month in the 12 months prior to a survey was defined here as having "multiple" sexual problems. We explored a number of factors, including HIV status, depression, alcohol and other drug use, and sexual risk-taking with casual male partners, in association with multiple sexual problems. RESULTS: Rates of a range of self-reported sexual problems were high, with erectile dysfunction and lack of sexual desire being the most commonly reported. These high rates were consistent with the limited data from previous Australian studies. Men who had multiple sexual problems were likely to suffer from major depression (P < 0.001). A higher proportion of the HIV-positive gay men (48.4%) reported multiple sexual problems than the HIV-negative men (35.1%, P = 0.002). Factors independently associated with multiple sexual problems among the HIV-negative gay men were poorer general health and interpersonal isolation, whereas for the HIV-positive gay men, they were adoption of avoidant strategies to cope with daily life stress, sexual risk-taking in casual encounters, and the use of antidepressants. CONCLUSIONS: Our findings underscore the complex interactions between depression, sexual dysfunction, sexual risk taking, HIV infection, and general well-being among homosexually active men.
机译：简介：性表达会影响身体，心理和社会福祉。对同性恋活跃的男性缺乏对男性性功能障碍的了解。目标。我们调查了男同性恋者对一些性问题的自我报告。方法：调查数据来自542名自我识别的男同性恋者的样本，其中40％为HIV阳性，是从澳大利亚的六种高HIV感染率普通人群中招募的。主要观察指标：在调查前的12个月中，至少有1个月内经历了三个或三个以上性问题的报告在此定义为“多个”性问题。我们探讨了许多因素，包括艾滋病毒感染状况，抑郁，酒精和其他药物使用情况，以及与多个男性性行为相关的休闲男性伴侣承担的性风险。结果：一系列自我报告的性问题的发生率很高，勃起功能障碍和缺乏性欲是最常见的报告。这些高比率与先前澳大利亚研究的有限数据一致。患有多种性问题的男性很可能患有严重的抑郁症（P <0.001）。报告有多重性问题的艾滋病毒阳性男同性恋者（48.4％）比艾滋病毒阴性男性（35.1％，P = 0.002）。 HIV阴性同性恋者中与多种性问题独立相关的因素是总体健康状况较差和人际隔离，而HIV阳性同性恋者则采用回避策略来应对日常生活中的压力，休闲中的性冒险遇到，并使用抗抑郁药。结论：我们的研究结果强调了同性恋活跃男性抑郁症，性功能障碍，性冒险，艾滋病毒感染和总体健康之间的复杂相互作用。

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