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HIV seropositivity and sexuality: cessation of sexual relations among men and women living with HIV in five countries

机译：艾滋病毒血清阳性和性行为：五个国家中艾滋病毒携带者男女之间停止性关系

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摘要

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.
机译：艾滋病毒携带者的性别（PLHIV）是抗击艾滋病毒的关键问题，因为它影响着艾滋病毒的流行和生活质量。本研究调查了五个国家：马里，摩洛哥，刚果民主共和国，罗马尼亚和厄瓜多尔，男女在艾滋病毒诊断后中止性关系的相关因素。由混合财团[研究者/社区组织（CBO）]实施了基于社区的横断面研究。经过培训的CBO成员使用125项问卷调查了与CBO接触的1500名PLHIV。进行了加权多元逻辑回归和单独的性别分析。在1413名参与者中，有471名（33％）宣布他们在诊断出HIV后停止了性关系，其中包括318名女性（42％）和153名男性（23％）（p <.001）。关于妇女，最终多元模型中与终止性关系有关的变量主要与关系因素和获得社会支持的可能性有关（例如，需要帮助披露艾滋病毒血清状况，每天感到孤独，没有在社区组织中寻求支持，不在一起）。男性的性活动与他们的外表和感染感相关（例如，认为自己将在余生中感染艾滋病毒，认为艾滋病毒感染是一个谜，认为感染是严重的）。此外，以下变量与男性和女性的性行为有关：年纪较大，在暴露了血清状况后遭受了严重的社会后果以及无法与稳定伴侣定期讨论艾滋病毒。结果表明，在停止性关系方面男女之间存在明显差异，并强调了实施基于性别的量身定制的干预措施以促进安全和令人满意的性行为的重要性，众所周知，这对艾滋病毒携带者的整体福祉具有积极影响。

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