Sexual Difficulties in People Living with HIV in France—Results from a Large Representative Sample of Outpatients Attending French Hospitals (ANRS-EN12-VESPA)

We analysed sexual difficulties in a nationally representative sample of HIV-infected outpatients in France. Analyses were restricted to the 1,812 HIV-treated participants who reported at least one sexual partner during the 12 months prior to the study. The sample included 40.6% homosexual men and 2...

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Bibliographic Details
Published in:AIDS and behavior 2008-07, Vol.12 (4), p.670-676
Main Authors: Bouhnik, Anne-Déborah, Préau, Marie, Schiltz, Marie-Ange, Obadia, Yolande, Spire, Bruno
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
Adult
AIDS
Cross-Sectional Studies
Drug therapy
Female
France
France - epidemiology
Health Psychology
HIV
HIV Infections - epidemiology
HIV Infections - psychology
Homosexuality, Male
Hospitals
Human immunodeficiency virus
Humanities and Social Sciences
Humans
Infectious Diseases
Interviews as Topic
Male
Medicine
Medicine & Public Health
Original Paper
Outpatient Clinics, Hospital
Outpatients - statistics & numerical data
Participation
Psychological aspects
Psychology
Public Health
Quality of Life
Questionnaires
Sexual Behavior
Sexual disorders
Sexual Dysfunctions, Psychological - epidemiology
Sexual intercourse
Sexual Partners
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Summary:We analysed sexual difficulties in a nationally representative sample of HIV-infected outpatients in France. Analyses were restricted to the 1,812 HIV-treated participants who reported at least one sexual partner during the 12 months prior to the study. The sample included 40.6% homosexual men and 24.4% women; 68.1% had a steady partner and 48.2% reported casual partners. Sexual difficulties were reported by 33.3% of the selected individuals and were more frequent in those with low sexual activity. Immuno-virological outcomes were not associated with sexual difficulties. After multiple adjustment for sexual frequency and antidepressant consumption, it was found that a larger HIV-network, reporting HIV-discrimination from friends and/or sexual partners, suffering from lipodystrophy and reporting very disturbing HIV-related symptoms were all significantly associated with sexual difficulties. HIV and HIV-treatment experience are associated with sexual difficulties. Psychological support focused on HIV-experience should be tested as a possible tool for improving sexual quality of life.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-007-9355-z