HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA,
Arch Sex Behav. 2013 Oct;42(7):1357-68. doi: 10.1007/s10508-012-0009-5. Epub 2012 Sep 11.
Evidence suggests that sexual problems are common among people living with HIV and may be related to sexual risk taking and treatment adherence. This study explored the extent to which sexual problems experienced by people with HIV are addressed in primary care as well as how primary care responses to sexual problems are experienced by patients. Structured interviews were conducted with 60 patients at an urban HIV clinic. The average age of the participants (37 male, 23 female) was 45.8 years (SD = 7.9). Sexual problems were common. The most common sexual problem experienced in the past year was a lack of interest in sex (53.3 % reported) and the least common problem was painful intercourse (reported by 20 %). There were no gender differences in reports of sexual problems, except that painful intercourse was more frequently reported by women than men. Relatively few individuals who experienced sexual problems had discussed them with their provider, but these individuals were generally pleased with the counseling they had received and could identify several factors that facilitated a positive patient-provider interaction. Those who offer primary care services to people with HIV should be aware of sexual problems their patients may be experiencing and should feel confident in their ability to successfully address these problems. Providers may need additional training in order to adequately address sexual problems among people with HIV in primary care settings.
有证据表明，性问题在 HIV 感染者中很常见，可能与性风险行为和治疗依从性有关。本研究探讨了在初级保健中 HIV 感染者的性问题得到解决的程度，以及患者对初级保健中处理性问题的反应的体验。在一家城市 HIV 诊所对 60 名患者进行了结构化访谈。参与者的平均年龄（37 名男性，23 名女性）为 45.8 岁（SD=7.9）。性问题很常见。过去一年中最常见的性问题是缺乏性兴趣（53.3%的人报告），最不常见的问题是性交疼痛（20%的人报告）。报告的性问题在性别上没有差异，除了性交疼痛在女性中比男性更常见。相对较少经历性问题的人曾与他们的提供者讨论过这些问题，但这些人通常对他们所接受的咨询感到满意，并能确定几个促进积极的医患互动的因素。为 HIV 感染者提供初级保健服务的人员应该意识到他们的患者可能正在经历的性问题，并对自己成功解决这些问题的能力有信心。为了在初级保健环境中充分解决 HIV 感染者的性问题，提供者可能需要额外的培训。
