Milewska-Buzun Marta, Cybulski Mateusz, Baranowska Anna, Krajewska-Kułak Elżbieta, Kózka Maria, Paradowska-Stankiewicz Iwona
Department of Integrated Medical Care, Faculty of Health Sciences, Medical University of Bialystok, Bialystok, Poland.
Department of Clinical Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.
Front Psychiatry. 2023 Sep 13;14:1270441. doi: 10.3389/fpsyt.2023.1270441. eCollection 2023.
Sex life is an important element contributing to the overall quality of life. It is also a particularly sensitive dimension of quality of life for HIV-positive patients.
The aim of the study was to assess the sexual life of people living with HIV in Poland treated in the Observation and Infection Clinic with the Subunit for HIV/AIDS Patients of the University Clinical Hospital in Bialystok, and its impact on the quality of life, life satisfaction, HIV status acceptance, general health status and depressive symptoms among the respondents.
A total of 147 participants, including 104 men (70.7%) and 43 women (29.3%), took part in the research. The study was conducted between May 2019 and January 2020. The study used a diagnostic survey method with a modified questionnaire "Psychosocial situation of people living with HIV/AIDS" by Dr. Magdalena Ankiersztejn-Bartczak and the following standardised psychometric tools: the World Health Organization Quality of Life (WHOQOL-BREF), Short Form Health Survey (SF-36), Acceptance of Illness Scale (AIS), Satisfaction with Life Scale (SWLS), General Health Questionnaire (GHQ-28) and Beck Depression Inventory (BDI).
One-third of patients rated their sex life as poor or very poor. Almost half of respondents always informed sexual partners of their HIV status (49.7%). The sex life of respondents was highly correlated with almost all psychometric measures used in the study. Those indicating sexual contact as a possible source of HIV infection had a lower quality of life in the domain of general health compared to other respondents, but the difference was relatively small (about 5.5 points).
In conclusion, the overall satisfaction with the sex life of people living with HIV was moderate with a tendency to poor. The quality of life of people living with HIV was determined by their sex life. Better quality of life was presented by those with good self-reported sex life.
性生活是影响整体生活质量的重要因素。对于艾滋病毒呈阳性的患者而言，它也是生活质量中一个特别敏感的方面。
本研究旨在评估在比亚韦斯托克大学临床医院艾滋病毒/艾滋病患者亚单位的观察与感染诊所接受治疗的波兰艾滋病毒感染者的性生活，以及其对受访者生活质量、生活满意度、对艾滋病毒状况的接受度、总体健康状况和抑郁症状的影响。
共有147名参与者，包括104名男性（70.7%）和43名女性（29.3%）参与了研究。研究于2019年5月至2020年1月期间进行。该研究采用诊断性调查方法，使用了由玛格达莱娜·安基尔斯泰恩 - 巴特恰克博士修改的问卷“艾滋病毒/艾滋病感染者的心理社会状况”以及以下标准化心理测量工具：世界卫生组织生活质量量表（WHOQOL - BREF）、简短健康调查问卷（SF - 36）、疾病接受量表（AIS）、生活满意度量表（SWLS）、一般健康问卷（GHQ - 28）和贝克抑郁量表（BDI）。
三分之一的患者将他们的性生活评为差或非常差。近一半的受访者总是告知性伴侣他们的艾滋病毒感染状况（49.7%）。受访者的性生活与研究中使用的几乎所有心理测量指标都高度相关。那些将性接触视为艾滋病毒感染可能来源的人在总体健康领域的生活质量低于其他受访者，但差异相对较小（约5.5分）。
总之，艾滋病毒感染者对性生活的总体满意度中等，且有趋于较差的倾向。艾滋病毒感染者的生活质量由其性生活决定。自我报告性生活良好的人生活质量更高。
