Paris-Saclay University, UVSQ, CESP, Paris, France.
Groupe Français de Recherche en Médecine et Santé de l'Adolescent (GRMSA), Maison de Solenn, Paris, France.
AIDS Patient Care STDS. 2024 Oct;38(10):477-486. doi: 10.1089/apc.2024.0124. Epub 2024 Aug 21.
We aimed to explore the sexual health of young adults with perinatally acquired human immunodeficiency virus (PHIV). Eighteen to 25 years old PHIV participants were recruited in two tertiary care units in Paris. Sexually transmitted HIV was an exclusion criterion. Individual interviews were conducted. Transcripts were analyzed using a semio-pragmatic phenomenological method. Twenty-five participants were interviewed from March 2022 to September 2022. Some of them renounced being in any romantic relationship. Those who disclosed their HIV status to their romantic partner reported that dating was more complex and those who did not disclose reported that keeping HIV a secret was a significant mental burden. Young men tended to disclose their HIV status to their romantic partner whereas young women did not consider doing so before marriage. Many participants had to educate themselves about sexuality, through school or websites. Identified interlocutors for sexuality varied across participants. All participants were aware of U = U (Undetectable = Untransmittable) slogan. Despite that, participants remained worried about transmitting HIV to their sexual partners. That hindered their sexual satisfaction. In addition, they neglected the risk of unwanted pregnancies or sexually transmitted diseases (STDs). In our study, knowing the U = U slogan did not provide reassurance to PHIV participants regarding the risk of onward HIV transmission. Further, they showed very little concern for protecting themselves from their partner's STD.
我们旨在探讨获得围产期人类免疫缺陷病毒（PHIV）的年轻成年人的性健康。在巴黎的两家三级保健机构招募了 18 至 25 岁的 PHIV 参与者。性传播的 HIV 是排除标准。进行了个体访谈。使用半语用现象学方法对转录本进行了分析。2022 年 3 月至 2022 年 9 月，对 25 名参与者进行了访谈。他们中的一些人拒绝处于任何浪漫关系中。那些向其浪漫伴侣透露 HIV 状况的人报告说，约会变得更加复杂，而那些未透露的人报告说，保守 HIV 秘密是一个重大的心理负担。年轻男性倾向于向其浪漫伴侣透露其 HIV 状况，而年轻女性则不考虑在结婚前这样做。许多参与者不得不通过学校或网站自行了解性知识。不同的参与者有不同的性认同对象。所有参与者都知道 U = U（检测不到 = 不传播）口号。尽管如此，参与者仍然担心将 HIV 传播给其性伴侣。这阻碍了他们的性满足。此外，他们忽视了意外怀孕或性传播疾病（STD）的风险。在我们的研究中，了解 U = U 口号并没有为 PHIV 参与者提供有关 HIV 传播风险的保证。此外，他们对保护自己免受伴侣 STD 的关注很少。
