HIV AIDS Center, Institute of Tropical Medicine, Antwerp, Belgium.
AIDS Behav. 2012 Jan;16(1):225-30. doi: 10.1007/s10461-011-9987-x.
This study determined risk factors for decreased sexual satisfaction among men living with HIV (MLHIV). Self-administered questionnaires were distributed consecutively to all MLHIV attending 17 European HIV treatment centres. The sample included 1,017 MLHIV, among whom 79.2% self-identified as homosexual or bisexual. Sexual satisfaction was measured for five domains of sexual functioning and 33.2% reported low satisfaction in at least one domain. Decreased sexual satisfaction was associated with psychosocial factors, i.e. depression (OR 2.77, P < 0.001), anxiety (OR 1.77, P < 0.001), stress (OR 2.27, P < 0.001) and social factors, such as low partner support (OR 2.28, P < 0.001) and experiences of HIV related discrimination (OR 1.69, P < 0.001). Discussing satisfaction with sexuality should be integrated in regular HIV care, considering patients' personal and relationship-related resources next to medical treatment if indicated.
本研究旨在确定与 HIV 感染者（MLHIV）的性满意度降低相关的风险因素。我们连续向参与研究的 17 个欧洲 HIV 治疗中心的所有 MLHIV 分发了自填式问卷。共纳入了 1017 名 MLHIV，其中 79.2%的人自我认同为同性恋或双性恋。我们用五个性功能领域来衡量性满意度，其中 33.2%的人在至少一个领域报告了低满意度。性满意度降低与社会心理因素相关，如抑郁（OR 2.77，P < 0.001）、焦虑（OR 1.77，P < 0.001）、压力（OR 2.27，P < 0.001），以及社会因素，如伴侣支持不足（OR 2.28，P < 0.001）和 HIV 相关歧视经历（OR 1.69，P < 0.001）。如果需要的话，在进行常规 HIV 护理时，应该将性满意度的讨论纳入其中，考虑到患者的个人和关系相关资源，而不仅仅是医疗治疗。
