Damagum Fatima M, Ahmed Zainab D, Jalo Rabiu I, Salihu Hamisu M, Wester C William, Aliyu Muktar H
Aminu Kano Teaching Hospital (AKTH), Kano, Nigeria.
Faculty of Clinical Sciences, Bayero University Kano (BUK), Kano, Nigeria.
Int J MCH AIDS. 2024 Nov 8;13:e025. doi: 10.25259/IJMA_37_2024. eCollection 2024.
Sexual health research among women living with human immunodeficiency virus (HIV) has focused mainly on sexual practices and risk behaviors, with little consideration for treating sexual dysfunction and improving sexual satisfaction. The aim of this pilot study was to assess the effectiveness of an adaptive counseling care model in the management of female sexual dysfunction (FSD) among women living with HIV and without HIV in northern Nigeria.
This was a prospective cohort study of 200 women with HIV and a matched comparison arm of 200 women without HIV. Sexual function was assessed using the Female Sexual Function Index (FSFI), with a score ≤ 26.55 indicating FSD. We counseled women with FSD using the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model and evaluated the effectiveness of the model by comparing mean differences in baseline and six weeks post-intervention FSFI scores.
The overall prevalence of FSD was 96.8%, with no difference between HIV-positive and HIV-negative participants ( = 0.398). Based on the six domains of the FSFI, the most common reported dysfunctions were sexual pain (21.7%), sexual desire disorder (17.6%), orgasm disorder (17.6%), lubrication disorder (17.2%), sexual arousal (16.9%), and poor sexual satisfaction (9.0%). The overall mean FSFI score (±standard deviation, SD) for those with FSD, in both groups ( = 387) prior to the counseling intervention was 16.05±10.65 (HIV-positive: 18.58±8.46; HIV-negative: 13.98±10.85). At the end of the intervention, the overall mean FSFI score in both groups increased to 23.58±16.53 (HIV-positive: 21.37±11.24; HIV-negative: 16.72±13.81) ( < 0.05 in all cases).
FSD is very common among women in Northern Nigeria, irrespective of HIV status. An adapted counseling care model improved sexual function in both HIV-positive and HIV-negative women. The PLISSIT model can guide healthcare providers to initiate and navigate sexual health discussions with women in this setting.
对感染人类免疫缺陷病毒（HIV）的女性进行的性健康研究主要集中在性行为和风险行为方面，很少考虑治疗性功能障碍和提高性满意度。这项试点研究的目的是评估一种适应性咨询护理模式在尼日利亚北部感染HIV和未感染HIV的女性中管理女性性功能障碍（FSD）的有效性。
这是一项对200名感染HIV的女性进行的前瞻性队列研究，并设有一个由200名未感染HIV的女性组成的匹配对照组。使用女性性功能指数（FSFI）评估性功能，得分≤26.55表明存在FSD。我们使用许可、有限信息、具体建议、强化治疗（PLISSIT）模式为患有FSD的女性提供咨询，并通过比较干预前和干预后六周FSFI得分的平均差异来评估该模式的有效性。
FSD的总体患病率为96.8%，HIV阳性和HIV阴性参与者之间无差异（P = 0.398）。根据FSFI的六个领域，报告最多的功能障碍是性交疼痛（21.7%）、性欲障碍（17.6%）、性高潮障碍（17.6%）、润滑障碍（17.2%）、性唤起障碍（16.9%）和性满意度低（9.0%）。在咨询干预前，两组（n = 387）中患有FSD的女性的总体平均FSFI得分（±标准差，SD）为16.05±10.65（HIV阳性：18.58±8.46；HIV阴性：13.98±10.85）。在干预结束时，两组的总体平均FSFI得分均提高到23.58±16.53（HIV阳性：21.37±11.24；HIV阴性：16.72±13.81）（所有情况P < 0.05）。
在尼日利亚北部的女性中，无论HIV感染状况如何，FSD都非常普遍。一种适应性咨询护理模式改善了HIV阳性和HIV阴性女性的性功能。PLISSIT模式可以指导医疗保健提供者在这种情况下与女性展开并推进性健康讨论。
