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感染艾滋病毒/艾滋病者性功能障碍的发生率及预测因素

The Frequency and Predictors of Sexual Dysfunction Among People Living with HIV/AIDS.

作者信息

Abdu Zakir, Dule Aman, Habib Sadik

机构信息

Department of Psychiatry, Mattu University, Mattu, Oromia, Ethiopia.

Department of Family Health, Mattu Health Science College, Mattu, Oromia, Ethiopia.

出版信息

HIV AIDS (Auckl). 2023 Dec 21;15:729-737. doi: 10.2147/HIV.S436966. eCollection 2023.

Abstract

BACKGROUND

The frequency of sexual dysfunctions reported by HIV/AIDS patients is significantly higher than that of their peers. Sexual dysfunction and its predictors may result in increased viral loads, worsening HIV infection, and infectivity. To mitigate its consequences, appropriate evaluation and intervention are required.

METHODS

A cross-sectional study design was conducted among 336 HIV/AIDS-positive individuals at one hospital in southwest Ethiopia. To assess sexual dysfunctions, a tool called the Changes in Sexual Functioning Questionnaire (CSFQ-14) was used. Data analysis was done with SPSS version 20. Bivariate and multivariable logistic regressions were used to identify independent predictor variables, and statistical significance was declared at a p-value of <0.05.

RESULTS

98.53% of the sample completed the questionnaire accordingly. The frequency of SD was 72.0% (95% CI = 67.4-77.0). The frequency of SD was reported to be more prevalent among males (76.8% (95% CI = 70.6-81.6)) than that of females (66.2% (95% CI = 59.5-73.5)). Among the domains of sexual dysfunction, sexual pleasure problems (96.70%, (95% CI: 94.60-98.50)) were the higher figure of SD, and sexual desire problems (82.40%, (95% CI: 78.60-86.60)); were the least prevalent sexual dysfunctions. Predictors of the SD were age, social anxiety, nicotine use, poor sleep quality, and time of resuming ART medication.

CONCLUSION

The frequency of SD was 72.0%. Predictors of the SD were age, social anxiety, nicotine use, poor sleep quality, and time of resuming ART medication.

摘要

背景

据报告,艾滋病毒/艾滋病患者性功能障碍的发生率显著高于同龄人。性功能障碍及其预测因素可能导致病毒载量增加、艾滋病毒感染恶化和传染性增强。为减轻其后果,需要进行适当的评估和干预。

方法

在埃塞俄比亚西南部一家医院对336名艾滋病毒/艾滋病阳性个体进行了横断面研究设计。为评估性功能障碍,使用了一种名为性功能问卷变化(CSFQ-14)的工具。使用SPSS 20版进行数据分析。采用双变量和多变量逻辑回归来确定独立预测变量,p值<0.05时具有统计学意义。

结果

98.53%的样本相应地完成了问卷。性功能障碍的发生率为72.0%(95%置信区间=67.4-77.0)。据报告,性功能障碍在男性中(76.8%(95%置信区间=70.6-81.6))比女性中(66.2%(95%置信区间=59.5-73.5))更为普遍。在性功能障碍的各个领域中,性快感问题(96.70%,(95%置信区间:94.60-98.50))是性功能障碍中比例较高的,而性欲问题(82.40%,(95%置信区间:78.60-86.60))是最不普遍的性功能障碍。性功能障碍的预测因素包括年龄、社交焦虑、吸烟、睡眠质量差以及恢复抗逆转录病毒治疗药物的时间。

结论

性功能障碍的发生率为72.0%。性功能障碍的预测因素包括年龄、社交焦虑、吸烟、睡眠质量差以及恢复抗逆转录病毒治疗药物的时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a4/10749793/4cad6acc20bc/HIV-15-729-g0001.jpg

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