Van Dijk Mart, De Wit John B F, Guadamuz Thomas E, Martinez Joel E, Jonas Kai J
Department of Work & Social Psychology, Maastricht University.
Department of Interdisciplinary Social Science, Utrecht University.
J Sex Res. 2022 Mar-Apr;59(3):303-308. doi: 10.1080/00224499.2021.1931653. Epub 2021 Jun 15.
Next to its benefits for HIV prevention, PrEP may have psychosocial benefits relating to improved quality of sex life. The aim of the current study was to investigate the onset of changes in the quality of sex life and sexual pleasure of PrEP users in the first months of commencing PrEP use. Moreover, we investigated what factors were related to the quality of sex life of PrEP users. We recruited 145 participants via the Dutch PrEP-advocacy website PrEPnu.nl, and they received follow-up questionnaires after three and six months. We found that PrEP users reported an increase in the quality of their sex life, which was related to reduced fear of HIV since they started using PrEP but not to decreased condom use. PrEP users were more interested in experimenting with sex practices, but they did not always feel more desirable as a sex partner because of PrEP use. Health-care providers and health promotion campaigns could emphasize the positive effects of PrEP on the quality of sex life, in addition to the HIV-preventive effects of PrEP, to decrease PrEP stigma and increase PrEP uptake.
除了对预防艾滋病毒有好处外，暴露前预防（PrEP）可能对改善性生活质量有心理社会方面的益处。本研究的目的是调查开始使用PrEP的头几个月里，PrEP使用者性生活质量和性快感的变化情况。此外，我们还调查了哪些因素与PrEP使用者的性生活质量有关。我们通过荷兰PrEP宣传网站PrEPnu.nl招募了145名参与者，并在三个月和六个月后向他们发放了后续调查问卷。我们发现，PrEP使用者报告称他们的性生活质量有所提高，这与自开始使用PrEP后对感染艾滋病毒的恐惧减少有关，但与避孕套使用的减少无关。PrEP使用者对尝试性行为方式更感兴趣，但他们并不总是因为使用PrEP而觉得自己作为性伴侣更有吸引力。医疗保健提供者和健康促进活动除了强调PrEP对预防艾滋病毒的作用外，还可以强调PrEP对性生活质量的积极影响，以减少对PrEP的污名化并提高PrEP的使用率。
