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2020 年,在埃塞俄比亚西南部甘贝拉镇接受抗逆转录病毒疗法的艾滋病毒/艾滋病患者中,性强迫的流行率及其相关因素。

The prevalence of sexual compulsivity and its correlates among adults living with HIV/AIDS attending antiretroviral therapy clinic in Gambella town, Southwest Ethiopia, 2020.

机构信息

Department of Psychiatry, College of Health and Medical Science, Dilla University, Dilla, Ethiopia.

Department of Midwifery, College of Health and Medical Science, Dilla University, Dilla, Ethiopia.

出版信息

BMC Psychiatry. 2022 Jan 7;22(1):24. doi: 10.1186/s12888-022-03688-7.

Abstract

INTRODUCTION

Sexual compulsivity is a concealed psychiatric disease marked by intrusive thoughts followed by ritualized sexual acts. In Ethiopia, the prevalence of HIV/AIDS has recently increased. Furthermore, sexual compulsivity among adults living with HIV/AIDS receives less attention, particularly in Ethiopia. Therefore, this study aimed to assess the prevalence of sexual compulsivity and its correlates among adults living with HIV/AIDS attending ART clinic in Gambella town, Southwest Ethiopia, 2020.

METHOD

A hospital-based study employing cross-sectional design and simple random sampling technique was used to select the study participants. Data were collected by using interview technique. A 10 item Sexual Compulsivity Scale (SCS) questionnaire was used to assess sexual compulsivity. The translated version of the questionnaire was used for data collection. Bivariate and multivariable logistic regression was conducted to determine factors associated with the outcome variable at p-value < 0.05 with a 95% confidence interval.

RESULT

Out of 300 respondents, 27% (24.3, 29.2) of them were scored above the mean score of the Sexual Compulsivity Scale. Age less than 31 years old, widowed, involving in risky sexual behaviors, current substance use, not received any skill training about safer sex behaviors, and not attending support group discussion on HIV prevention were significantly associated with sexual compulsivity.

CONCLUSION

Almost one fourth of the respondents have high score for Sexual Compulsivity Scale score. Therefore, there is a need of routine sexual behavior screening program and collaboration with mental health workers for addressing the problem. Furthermore, the emphasis should be given on the identified high-risk categories.

摘要

简介

性成瘾是一种隐匿性精神疾病,其特征是强迫性思维,随后是仪式化的性行为。在埃塞俄比亚,艾滋病毒/艾滋病的患病率最近有所上升。此外,艾滋病毒/艾滋病感染者的性成瘾问题也没有得到太多关注,尤其是在埃塞俄比亚。因此,本研究旨在评估 2020 年在埃塞俄比亚西南部甘贝拉镇接受艾滋病治疗诊所治疗的艾滋病毒/艾滋病感染者中性成瘾的流行率及其相关因素。

方法

本研究采用基于医院的横断面设计和简单随机抽样技术,选择研究参与者。采用访谈技术收集数据。采用 10 项性成瘾量表(SCS)问卷评估性成瘾。使用经过翻译的问卷进行数据收集。采用双变量和多变量逻辑回归分析,以确定与结果变量相关的因素,p 值<0.05,置信区间为 95%。

结果

在 300 名受访者中,27%(24.3,29.2)的人得分高于性成瘾量表的平均得分。年龄小于 31 岁、丧偶、从事危险性行为、目前使用物质、未接受任何安全性行为技能培训以及未参加预防艾滋病毒的支持小组讨论与性成瘾显著相关。

结论

几乎四分之一的受访者性成瘾量表得分较高。因此,需要有常规的性行为筛查计划,并与心理健康工作者合作,以解决这一问题。此外,应重点关注确定的高风险类别。

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