title: Sexual dysfunction and its determinants among women infected with HIV.
abstract: OBJECTIVE
  To describe the prevalence of female sexual dysfunction (FSD) and its determinants among women with HIV infection enrolled for care and treatment in an ambulatory care setting.
  
  
  METHODS
  A questionnaire-based cross-sectional survey was conducted among women attending the HIV clinic of Jos University Teaching Hospital, Nigeria, between March 2013 and February 2014. The self-administered Female Sexual Function Index (FSFI) was used to assess FSD; a score of less than 26.55 indicated FSD. Pearson coefficient was used to assess interdomain correlation, and multiple linear regression was used to identify factors associated with FSD.
  
  
  RESULTS
  Among 370 participants, 330 (89.2%, 95% confidence interval [CI] 85.6%-92.2%) had FSD. The overall median FSFI score was 19.2 (interquartile range [IQR] 6.4-23.9). The arousal domain had the lowest subscore (median 2.7, IQR 0.0-3.6). The highest interdomain correlations were between lubrication and orgasm (r=0.87), arousal and lubrication (r=0.84), and arousal and orgasm (r=0.81) domains. Satisfactory health (β=3.34, 95% CI 1.16-5.52) and history of alcohol use (β=2.38, 95% CI 0.28-4.47) were independently associated with FSD.
  
  
  CONCLUSIONS
  FSD was prevalent among women with HIV infection. Care providers need to routinely address FSD as part of a comprehensive care package in the study setting.
authors.affiliation: Department of Family Medicine, University of Jos, Jos, Nigeria.|APIN Centre, Jos University Teaching Hospital, Jos, Nigeria.
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Agaba
authors.affiliation: Department of Immunology and Infectious Diseases, Harvard TH Chan School of Public Health, Boston, MA, USA.
authors.forename: Seema T
authors.initials: ST
authors.lastname: Meloni
authors.affiliation: Department of Family Medicine, University of Jos, Jos, Nigeria.|APIN Centre, Jos University Teaching Hospital, Jos, Nigeria.
authors.forename: Halima M
authors.initials: HM
authors.lastname: Sule
authors.affiliation: Department of Medicine, University of Jos, Jos, Nigeria.
authors.forename: Emmanuel I
authors.initials: EI
authors.lastname: Agaba
authors.affiliation: National Agency for the Control of AIDS, Abuja, Nigeria.
authors.forename: John A
authors.initials: JA
authors.lastname: Idoko
authors.affiliation: Department of Immunology and Infectious Diseases, Harvard TH Chan School of Public Health, Boston, MA, USA.
authors.forename: Phyllis J
authors.initials: PJ
authors.lastname: Kanki
mesh_terms: D000328:Adult; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D006306:Health Surveys; D006801:Humans; D009549:Nigeria / Q000453:epidemiology; D015995:Prevalence; D011788:Quality of Life; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology*; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology*; D011795:Surveys and Questionnaires
keywords: Determinants; Female sexual dysfunction; HIV infection; Sub-Saharan Africa