Sexual Difficulties in People Living with HIV in France—Results from a Large Representative Sample of Outpatients Attending French Hospitals (ANRS-EN12-VESPA)
- 143 Downloads
We analysed sexual difficulties in a nationally representative sample of HIV-infected outpatients in France. Analyses were restricted to the 1,812 HIV-treated participants who reported at least one sexual partner during the 12 months prior to the study. The sample included 40.6% homosexual men and 24.4% women; 68.1% had a steady partner and 48.2% reported casual partners. Sexual difficulties were reported by 33.3% of the selected individuals and were more frequent in those with low sexual activity. Immuno-virological outcomes were not associated with sexual difficulties. After multiple adjustment for sexual frequency and antidepressant consumption, it was found that a larger HIV-network, reporting HIV-discrimination from friends and/or sexual partners, suffering from lipodystrophy and reporting very disturbing HIV-related symptoms were all significantly associated with sexual difficulties. HIV and HIV-treatment experience are associated with sexual difficulties. Psychological support focused on HIV-experience should be tested as a possible tool for improving sexual quality of life.
KeywordsSexual difficulties HIV/AIDS Antiretroviral therapy
This study was supported by the French National Agency for AIDS Research (ANRS, France).
- Amirkhanian, Y. A., Kelly, J. A., Kabakchieva, E., Kirsanova, A. V., Vassileva, S., Takacs, J., DiFranceisco, W. J., McAuliffe, T. L., Khoursine, R. A., & Mocsonaki, L. (2005). A randomized social network HIV prevention trial with young men who have sex with men in Russia and Bulgaria. AIDS, 19(16), 1897–1905.PubMedCrossRefGoogle Scholar
- Bouhnik, A. D., Preau, M., Schiltz, M. A., Lert, F., Obadia, Y., & Spire, B. (2007). Unprotected sex in regular partnerships among homosexual men living with HIV: A comparison between sero-nonconcordant and seroconcordant couples (ANRS-EN12-VESPA Study). AIDS, 21(Suppl 1), S43–S48.PubMedGoogle Scholar
- Bouhnik, A. D., Preau, M., Schiltz, M. A., Peretti-Watel, P., Obadia, Y., Lert, F., & Spire, B. (2006). Unsafe sex with casual partners and quality of life among HIV-infected gay men: Evidence from a large representative sample of outpatients attending French hospitals (ANRS-EN12-VESPA). Journal of Acquired Immune Deficiency Syndromes, 42(5), 597–603.PubMedCrossRefGoogle Scholar
- Lallemand, F., Salhi, Y., Linard, F., Giami, A., & Rozenbaum, W. (2002). Sexual dysfunction in 156 ambulatory HIV-infected men receiving highly active antiretroviral therapy combinations with and without protease inhibitors. Journal of Acquired Immune Deficiency Syndromes, 30(2), 187–190.PubMedGoogle Scholar
- Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York.Google Scholar
- Schrimshaw, E. W., Rosario, M., Meyer-Bahlburg, H. F., & Scharf-Matlick, A. A. (2006). Test-retest reliability of self-reported sexual behavior, sexual orientation, and psychosexual milestones among gay, lesbian, and bisexual youths. Archives of Sexual Behavior, 35(2), 225–234.PubMedCrossRefGoogle Scholar
- Weinhardt, L. S., Forsyth, A. D., Carey, M. P., Jaworski, B. C., & Durant, L. E. (1998). Reliability and validity of self-report measures of HIV-related sexual behavior: Progress since 1990 and recommendations for research and practice. Archives of Sexual Behavior, 27(2), 155–180.PubMedCrossRefGoogle Scholar