Factors associated with sexual problems in HIV-positive gay men

Factors associated with sexual problems in HIV-positive gay men
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DOI:
10.1258/0956462042395221
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发表时间:
2004-11-01
影响因子:
1.4
通讯作者:
Petrak, J
Petrak, J
中科院分区:
医学4区
文献类型:
--
作者:
Cove, J;Petrak, J

文献摘要

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我们的目的是确定在hiv血清阳性的男同性恋临床患者样本中与性问题相关的因素。采用横断面调查设计,对78名门诊hiv血清阳性男同性恋服务使用者的志愿者样本完成了一份自我报告问卷。该研究调查了性问题、其感知的原因和相关因素,包括人口统计、健康状况、性行为、性冒险的自我辩护和情绪状态(医院焦虑和抑郁量表)。78名hiv阳性男同性恋者中有50人(69%)报告了一种或多种性问题。据报道,在尝试使用避孕套的情况下,勃起功能障碍(ED)从38%上升到51%。41%的人对性失去兴趣,24%的人经历过射精延迟。性问题的存在影响了安全套的使用,在37名患有与安全套使用有关的ED的男同性恋者中,有33名(90%)在插入性行为中不一致使用安全套,而在没有这种类型ED的男同性恋者中,这一比例为28%
Our objective was to determine factors associated with sexual problems in a sample of HIV-seropositive gay male clinic patients. Using a cross-sectional survey design a volunteer sample of 78 outpatient HIV-seropositive gay male service users completed a self-report questionnaire. This examined sexual problems, their perceived causes and associated factors including demographics, health status, sexual behaviour, self-justifications for sexual risk-taking and mood state (Hospital Anxiety and Depression Scale).Fifty (69%) of 78 HIV-positive gay men reported one or more sexual problems. Erectile dysfunction (ED) was reported by 38% rising to 51% in the context of trying to use condoms. Loss of interest in sex was reported by 41% and 24% experienced delayed ejaculation. The presence of sexual problems affected condom use in that 33 (90%) of the 37 gay men who had ED associated with condom use were inconsistent condom users in insertive sex compared to 28% of those not having this type of ED (P