Supporting the Sexual Rights of Women Living With HIV: A Critical Analysis of Sexual Satisfaction and Pleasure Across Five Relationship Types
Supporting the Sexual Rights of Women Living With HIV: A Critical Analysis of Sexual Satisfaction and Pleasure Across Five Relationship Types
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DOI：
10.1080/00224499.2018.1440370
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发表时间：
2018-11-22
影响因子：
3.6
通讯作者：
Kaida, Angela
中科院分区：
文献类型：
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作者：
Carter, Allison;Greene, Saara;Kaida, Angela
在人体免疫机能丧失病毒（艾滋病毒）方面，对保护他人的关注压倒了对妇女自身性健康的关注。根据女权主义理论，我们测量了加拿大感染艾滋病毒的女性在五种关系类型中的性满意度和性快感。在接受调查的1,230名女性中，38.1%对自己的性生活感到完全满意或非常满意，31.0%和30.9%分别表示一般满意或不太满意或完全不满意。在最近有过性经历的受访者中（n = 675）， 41.3%的人总是感到愉悦，其余的人通常/有时（38.7%）或很少/根本没有（20.0%）。性并不等同于满足或快乐，因为有些女人没有性就完全满足，而另一些女人却没有报告性的快乐。在调整了诸如教育、暴力、抑郁、性工作、抗逆转录病毒治疗和提供者关于传播风险的讨论等混杂因素后，处于长期/幸福关系中的女性（以更高水平的爱、更大的身体和情感亲密、更公平的关系权力和主要是艾滋病毒阴性的伴侣为特征）相对于处于所有其他关系环境中的女性有更高的性满足和性愉悦的几率。在某些性关系中，那些没有性生活的人的满意度也高于女性。调查结果侧重于对整体福祉至关重要的妇女权利。
In the context of human immunodeficiency virus (HIV), a focus on protecting others has overridden concern about women's own sexual well-being. Drawing on feminist theories, we measured sexual satisfaction and pleasure across five relationship types among women living with HIV in Canada. Of the 1,230 women surveyed, 38.1% were completely or very satisfied with their sexual lives, while 31.0% and 30.9% were reasonably or not very/not at all satisfied, respectively. Among those reporting recent sexual experiences (n = 675), 41.3% always felt pleasure, with the rest reporting usually/sometimes (38.7%) or seldom/not at all (20.0%). Sex did not equate with satisfaction or pleasure, as some women were completely satisfied without sex, while others were having sex without reporting pleasure. After adjusting for confounding factors, such as education, violence, depression, sex work, antiretroviral therapy, and provider discussions about transmission risk, women in long-term/happy relationships (characterized by higher levels of love, greater physical and emotional intimacy, more equitable relationship power, and mainly HIV-negative partners) had increased odds of sexual satisfaction and pleasure relative to women in all other relational contexts. Those in relationships without sex also reported higher satisfaction ratings than women in some sexual relationships. Findings put focus on women's rights, which are critical to overall well-being.