Jeffries William L, Zsembik Barbara A, Peek Chuck W, Uphold Constance R
Department of Sociology and Criminology & Law, University of Florida, PO Box 117330, Gainesville, FL 32611-7330, USA.
Sex Health. 2009 Dec;6(4):285-92. doi: 10.1071/SH08070.
Sexual health among HIV-infected men primarily has been examined in cross-sectional designs. Few have used longitudinal data to measure sexual health change or factors associated with change. Moreover, studies of HIV-infected men disproportionately focus on sexual risk behaviours. The present paper examines temporal changes in sexual health based on measures of sexual activity, erectile function, sex drive, and sex life satisfaction.
Data from a prospective cohort study of HIV-infected men (n = 197) in the USA were used. Sexual health measures were based on self-reported sexual activity, erectile function, sex drive, and sex life satisfaction at 12- and 24-month follow-ups. Transition matrices described 1-year sexual health changes. Logistic regression models determined sociodemographic and health-related factors associated with change.
Men reported considerable change in sexual health during the year-long observation interval. Among men who experienced change, younger age, cohabitation, and higher CD4 counts were associated with greater sexual activity over time. Men with more depression symptoms had lower erectile function over time, and higher education and higher income were protective against temporal declines in sex drive and satisfaction. Less disease comorbidity was associated with 1-year improvements in sex life satisfaction.
Some men in our sample experienced sexual health change, but stability was common for most. Temporal changes in sexual health varied according to age, cohabitation, education, income, and physical and mental health covariates. The present paper highlights the benefits of longitudinal investigations and multidimensional definitions of sexual health.
对于感染艾滋病毒男性的性健康研究主要采用横断面设计。很少有人使用纵向数据来衡量性健康的变化或与变化相关的因素。此外，对感染艾滋病毒男性的研究过多地集中在性风险行为上。本文基于性活动、勃起功能、性欲和性生活满意度等指标，研究性健康的时间变化情况。
使用来自美国一项对感染艾滋病毒男性（n = 197）的前瞻性队列研究的数据。性健康指标基于在12个月和24个月随访时自我报告的性活动、勃起功能、性欲和性生活满意度。转移矩阵描述了1年的性健康变化情况。逻辑回归模型确定了与变化相关的社会人口统计学和健康相关因素。
在为期一年的观察期内，男性报告性健康有相当大的变化。在经历变化的男性中，年龄较小、同居以及较高的CD4细胞计数与随时间推移更大的性活动相关。随着时间的推移，抑郁症状较多的男性勃起功能较低，而较高的教育程度和较高的收入可防止性欲和满意度随时间下降。较少的疾病合并症与1年的性生活满意度改善相关。
我们样本中的一些男性经历了性健康变化，但对大多数人来说，稳定性是常见的。性健康的时间变化因年龄、同居情况、教育程度、收入以及身心健康协变量而异。本文强调了纵向调查和性健康多维定义的益处。
