title: Sexual satisfaction among men living with HIV in Europe.
abstract: This study determined risk factors for decreased sexual satisfaction among men living with HIV (MLHIV). Self-administered questionnaires were distributed consecutively to all MLHIV attending 17 European HIV treatment centres. The sample included 1,017 MLHIV, among whom 79.2% self-identified as homosexual or bisexual. Sexual satisfaction was measured for five domains of sexual functioning and 33.2% reported low satisfaction in at least one domain. Decreased sexual satisfaction was associated with psychosocial factors, i.e. depression (OR 2.77, P < 0.001), anxiety (OR 1.77, P < 0.001), stress (OR 2.27, P < 0.001) and social factors, such as low partner support (OR 2.28, P < 0.001) and experiences of HIV related discrimination (OR 1.69, P < 0.001). Discussing satisfaction with sexuality should be integrated in regular HIV care, considering patients' personal and relationship-related resources next to medical treatment if indicated.
authors.affiliation: HIV AIDS Center, Institute of Tropical Medicine, Antwerp, Belgium. irisderyck@hotmail.com
authors.forename: I
authors.initials: I
authors.lastname: De Ryck
authors.forename: D
authors.initials: D
authors.lastname: Van Laeken
authors.forename: C
authors.initials: C
authors.lastname: Nöstlinger
authors.forename: T
authors.initials: T
authors.lastname: Platteau
authors.forename: R
authors.initials: R
authors.lastname: Colebunders
mesh_terms: D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D001007:Anxiety / Q000209:etiology; D003430:Cross-Sectional Studies; D003863:Depression / Q000209:etiology; D005060:Europe; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000188:drug therapy / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D012189:Retrospective Studies; D012307:Risk Factors; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D012735:Sexual Dysfunction, Physiological / Q000209:etiology / Q000523:psychology; D020018:Sexual Dysfunctions, Psychological; D012747:Sexual Partners; D012944:Social Support; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D044966:Anti-Retroviral Agents