Negin Joel, Geddes Louise, Brennan-Ing Mark, Kuteesa Monica, Karpiak Stephen, Seeley Janet
Sydney School of Public Health, University of Sydney, Edward Ford Building (A27), Sydney, NSW, 2006, Australia.
MRC/UVRI Uganda Research Unit on AIDS, Entebbe, Uganda.
Arch Sex Behav. 2016 Feb;45(2):441-9. doi: 10.1007/s10508-015-0582-5. Epub 2015 Sep 1.
Sexual behavior among older adults with HIV in Sub-Saharan Africa has been understudied despite the burgeoning of this population. We examined sexual behavior among older adults living with HIV in Uganda. Participants were eligible for the study if they were 50 years of age or older and living with HIV. Quantitative data were collected through face-to-face interviews, including demographic characteristics, health, sexual behavior and function, and mental health. Of respondents, 42 were men and 59 women. More than one-quarter of these HIV-positive older adults were sexually active. A greater proportion of older HIV-positive men reported being sexually active compared to women (54 vs. 15%). Among those who are sexually active, a majority never use condoms. Sixty-one percent of men regarded sex as at least somewhat important (42%), while few women shared this opinion (20%). Multivariate logistic regression analyses revealed that odds of sexual activity in the past year were significantly increased by the availability of a partner (married/cohabitating), better physical functioning, and male gender. As more adults live longer with HIV, it is critical to understand their sexual behavior and related psychosocial variables in order to improve prevention efforts.
尽管撒哈拉以南非洲感染艾滋病毒的老年人口不断增加，但对这一人群的性行为研究却很少。我们调查了乌干达感染艾滋病毒的老年人的性行为。如果参与者年龄在50岁及以上且感染了艾滋病毒，则有资格参加该研究。通过面对面访谈收集定量数据，包括人口统计学特征、健康状况、性行为和性功能以及心理健康状况。受访者中，男性42人，女性59人。这些艾滋病毒呈阳性的老年人中，超过四分之一有性活动。与女性相比，感染艾滋病毒的老年男性中有更大比例报告有性活动（54%对15%）。在有性活动的人群中，大多数人从不使用避孕套。61%的男性认为性至少有点重要（42%），而很少有女性持这种观点（20%）。多变量逻辑回归分析显示，过去一年有性活动的几率因有伴侣（已婚/同居）、身体功能较好和男性性别而显著增加。随着越来越多的成年人感染艾滋病毒后寿命延长，了解他们的性行为及相关社会心理变量对于加强预防工作至关重要。
