HIV seropositivity and sexuality: cessation of sexual relations among men and women living with HIV in five countries

Bernier, Adeline; Lefèvre, Marie; Henry, E.; Verdes, Ludmila; Acosta, Maria-Elena; Benmoussa, Amal; Mukumbi, Henri; Cissé, Mamadou; Otis, Joanne; Préau, Marie

doi:10.1080/09540121.2016.1146208

Cited by 25 publications

(35 citation statements)

References 21 publications

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“…On the contrary, a study in South West Nigeria among HIV patients on ART [27] reported a consistent and correct condom use rate as high as 75%. With respect to engaging in sexual activity and having multiple sexual partners, the present study was similar to the study by Berniera et al [28] who reported that 23% of the male participants stopped having sex after HIV diagnosis and also, according to Denue et al [25] who reported that, about 39% of HIV patients on ART for a length of time, had multiple sexual partners. Sullivan in his study [29] reported that, as the number of sex partners for men increases, the likelihood of disclosure will decrease.…”

Section: Discussionsupporting

confidence: 79%

Sexual Behaviour, Sero-Status Disclosure and Willingness to Disclose Status among HIV Positive Male Patients Receiving Care in Hospitals in Imo State, Nigeria

Iwu¹,

Duru²,

Diwe³

et al. 2017

J AIDS Clin Res

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Background: The non-disclosure of HIV positive status has most often been accompanied by risky sexual behaviours which is a complex relationship that facilitates the transmission of sexually transmitted diseases such as HIV.Objective: To determine sexual behaviour, levels of sero-status disclose and willingness to disclose; and the socio-demographic determinants of disclosure and willingness to disclose among HIV positive male patients receiving care in hospitals in Imo State, Nigeria. Methods:A cross sectional analytical design using a simple random sampling technique to select 422 HIV male patients attending the adult HIV clinics of two major hospitals. Data was collected using a pretested, semi structured questionnaire. Descriptive statistics were presented using frequencies and summary indices. Chi square statistics were computed to determine significant relationships and binary logistic regression was used to determine predictors of disclosure and willingness to disclose. A p-value of ≤ 0.05 was considered significant. Results:A majority of the respondents were either traders or artisans (54.6%) with a mean age of 32.0 ± 2.0 years. The results revealed that more than one third of the respondents had two or more sexual partners (35.5%), less than one quarter correctly and consistently use condoms (23.3%) and close to one third had not disclosed their HIV positive status (31.7%); of which, less than two fifths are now willing to disclose (37.8%). It was further revealed that married HIV positive male patients who are traders or artisans above the age of 30 years with monthly income levels less than N40,000 ($110) and living in an urban or semi urban area with family members or other people, were significantly more likely to have disclosed their HIV positive status. Similarly, HIV positive male patients who had not disclosed their status, but are artisans aged above 30 years, were significantly more likely to be willing now to disclose their HIV positive status.

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Section: Discussionsupporting

confidence: 79%

Sexual Behaviour, Sero-Status Disclosure and Willingness to Disclose Status among HIV Positive Male Patients Receiving Care in Hospitals in Imo State, Nigeria

Iwu¹,

Duru²,

Diwe³

et al. 2017

J AIDS Clin Res

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“…Fear of transmitting HIV, becoming pregnancy and a loss of sexual desire were also identified as barriers to sexual satisfaction for WLHIV post-HIV diagnosis [44,49,51]. These findings are supported by the results of recent studies conducted in African, European, South American, and Asian countries [80,81] that reported a lack of communication between WLHIV with their partner regarding safer and satisfying sexual practices led to sexual inactivity and dissatisfaction.…”

Section: Discussionsupporting

confidence: 54%

Sexual and reproductive health of women living with HIV in Muslim-majority countries: a systematic mixed studies review

Juliastuti

Dean

Fitzgerald

2020

BMC Int Health Hum Rights

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Background: The number of women living with the human immunodeficiency virus (WLHIV) in Muslim-majority countries has increased significantly in the last decade. These women are often marginalized and face insecure sexual and reproductive health (SRH) needs and rights. However, little is known about the multi-faceted factors influencing these women's fertility, contraceptive, and perinatal decisions and sexual life. This systematic mixed studies review aimed to synthesize the empirical evidence on social, cultural, and structural factors influencing the SRH of WLHIV in Muslim-majority countries. Methods: This review provides a synthesis of quantitative, qualitative and mixed-method research findings searched from PubMed, EMBASE, Scopus, CINAHL and Cochrane databases. We screened 3452 SRH studies involving WLHIV. The studies, published in English between 2008 and 2017, were from 20 Muslim-majority countries with increased numbers of WLHIV. The quality of eligible studies was appraised using a mixed-methods appraisal tool (MMAT) version 2011. Findings were thematically analysed by a hybrid deductive-inductive approach. Two independent reviewers were involved in the study selection, data extraction, quality appraisal, and data synthesis. Results: We included 13 SRH-related studies involving 1748 WLHIV in eight Muslim-majority countries. Most of these studies explored fertility desire and sexual health, while only a small proportion related to contraceptive use and the perinatal-care experience. We identified that WLHIV faced neglect of their SRH rights. These rights were predominantly affected by the socio-cultural, religious and health-services context of the women's lives, which directed them to unsafe sex practices and stressful perinatal experiences. Conclusions: This study points to the need for SRH laws, policies, and interventions which stop WLHIV experiencing SRH discrimination violence and achieving their SRH rights.

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“…Studies (Bernier et al, 2016 ; Bogart et al, 2006 ; Kaida et al, 2015 ; Wilson et al, 2010 ) have shown that sexual inactivity is common among PLHIV, in particular among women ranging from 18 to 49% (Bernier et al, 2016 ; Bogart et al, 2006 ; Kaida et al, 2015 ; Wilson et al, 2010 ). The prevalence of sexual inactivity among women in our study was 43% and among men 35% (data not shown).…”

Section: Discussionmentioning

confidence: 99%

“…HIV-related stigma has been emphasized to be a critical obstacle for initiating sexual relationship and may also inhibit sexual activity (Bernier et al, 2016 ; Platteau et al, 2015 ; Rojas Castro et al, 2010 ; Wilson et al, 2010 ). In our study, only men reported high HIV stigma.…”

Section: Discussionmentioning

confidence: 99%

Sexual (Dis)satisfaction and Its Contributors Among People Living with HIV Infection in Sweden

et al. 2018

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Earlier research reports lower sexual satisfaction among people living with HIV (PLHIV) compared to HIV-negative persons. A number of psychosocial factors directly associated with sexual dissatisfaction have been identified. Little is known about sexual satisfaction and their contributors among PLHIV in Sweden. The aim of this study was to examine direct and indirect effects of variables within sociodemographic, clinical HIV-related, psychological, and sexual domains on sexual (dis)satisfaction among PLHIV in Sweden. Data for this study were derived from a nationally representative, anonymous survey among PLHIV conducted in 2014 (n = 1096). Statistical analysis included four steps: descriptive analyses, identification of variables associated with sexual (dis)satisfaction, identification of variables associated with those contributors of sexual (dis)satisfaction, and a path model integrating all these analyses. A total of 49% of participants reported being sexually dissatisfied, and no significant differences were observed when non-heterosexual men, heterosexual men, and women were compared. Among women, a negative change in sex life after HIV diagnosis and distress with orgasmic difficulties was directly associated with sexual dissatisfaction. For men, hopelessness, high HIV stigma, sexual inactivity in the last 6 months, and a negative change in sex life after HIV diagnosis were directly associated with sexual dissatisfaction. Path analyses showed in both men and women significant indirect associations between not being involved in an intimate relationship, lower self-reported CD4 cell counts, and perceiving obligation to disclose HIV status to sexual partners as a barrier to look for a long-term partner and sexual dissatisfaction. Our results show that despite good treatment outcomes, the HIV diagnosis has a negative bearing on sexual satisfaction. The need for gender-tailored interventions and clinical implications of these findings are discussed.

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HIV seropositivity and sexuality: cessation of sexual relations among men and women living with HIV in five countries

Cited by 25 publications

References 21 publications

Sexual Behaviour, Sero-Status Disclosure and Willingness to Disclose Status among HIV Positive Male Patients Receiving Care in Hospitals in Imo State, Nigeria

Sexual Behaviour, Sero-Status Disclosure and Willingness to Disclose Status among HIV Positive Male Patients Receiving Care in Hospitals in Imo State, Nigeria

Sexual and reproductive health of women living with HIV in Muslim-majority countries: a systematic mixed studies review

Sexual (Dis)satisfaction and Its Contributors Among People Living with HIV Infection in Sweden

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