HIV Treatment Adherence and Sexual Functioning

Míguez‐Burbano, Maria José; Espinoza, Luis; Lewis, John E.

doi:10.1007/s10461-006-9197-0

Cited by 18 publications

(21 citation statements)

References 42 publications

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“…49 Among MSM in Kenya, Muraguri et al 32 estimated 22.7% of the men to be alcohol dependent. In his study among South African MSM, Lane et al 30 created three categories of men: irregular drinkers (men who drank alcohol less than once per week and were drunk less than once a week); regular drinkers (men who drank alcohol once a week or more and were drunk less than once a week); and regular drinkers to intoxication (men who drank alcohol once a week or more, and were drunk once a week or more), with 36.1%, 23.8%, and 40.1% of the men filling these categories, respectively.…”

Section: Resultsmentioning

confidence: 95%

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Substance Use and HIV Risk Among Men Who Have Sex With Men in Africa: A Systematic Review

Sandfort

Knox²,

Alcala

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background Substance use and its relation to HIV risk among men who have sex in Africa, a population at high risk for HIV, has received little attention. Methods This systematic review summarizes and discusses findings from 68 empirical studies, published between 1980 and 2016 that included data about substance use in MSM in Africa. Results Substance use has rarely been the primary focus of studies in African MSM. In general, measurement of substance use was suboptimal. Whereas prevalence of alcohol use varied across studies, partly resulting from variety in assessment strategies, it seemed higher than in the general male population across countries. Alcohol use was associated with sexual risk practices, but not with HIV infection. The most frequently reported drug used by African MSM was cannabis. Use of other drugs, such as cocaine and heroin seemed relatively rare, although injection drug use was exceptionally high in a few studies. As alcohol, drugs were regularly used in conjunction with sex. Both alcohol and drug use were often associated with other risk factors for HIV infection, including violence and transactional sex. No interventions were found addressing substance use among African MSM. Conclusion Given high HIV-risk and prevalence in this population, substance use should be studied more in-depth, taking into account the specific social and cultural context. Assessment of substance use practices in this population has to be improved. The available information suggests, though, that there is an urgent need for interventions addressing substance use tailored to the needs of this critical population.

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Section: Resultsmentioning

confidence: 95%

“…With two exceptions, 30,31 alcohol or drug use was not the primary focus of these studies. Studies included diverse MSM populations [e.g., male sex workers, 32 MSM living with HIV, 33 gay, lesbian and bisexual persons, 34 and participants in a pre-exposure prophylaxis (PrEP) trial 35 a few studies exclusively surveyed substance users.…”

Section: Resultsmentioning

confidence: 99%

Substance Use and HIV Risk Among Men Who Have Sex With Men in Africa: A Systematic Review

Sandfort

Knox²,

Alcala

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…Lower adherence in women may be due to multiple conditions more common in women. Reduced adherence was found to be associated with depression [13,48], lack of supportive interpersonal relationships [48,58], young age [64,69,71], and drug [57,67,71] and alcohol use [64,71]. Additionally, non-adherence in women specifically was associated with black ethnicity [64,67], non-pregnancy, ART of six or more pills per day [69], women with a higher number of children [67], selfperception of abdominal fat gain [64], sleep disturbances [13], and increased levels of distress [58].…”

Section: Discussionmentioning

confidence: 99%

Women and Vulnerability to HAART Non-Adherence: A Literature Review of Treatment Adherence by Gender from 2000 to 2011

et al. 2011

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A literature review of original research articles on adherence to antiretroviral therapy (ART) in developed countries, covering January 2000 to June 2011, was conducted to determine if gender differences exist in the prevalence of nonadherence to ART. Of the 1,255 articles reviewed, only 189 included data on the proportion of the study population that was adherent and only 57 (30.2%) of these reported proportional adherence values by gender. While comparing articles was challenging because of varied reporting strategies, women generally exhibit poorer adherence than men. Thirty of the 44 articles (68.2%) that reported comparative data on adherence by gender found women to be less adherent than men. Ten articles (17.5%) reported significant differences in proportional adherence by gender, nine of which showed women to be less adherent than men. These findings suggest that in multiple studies from developed countries, female gender often predicts lower adherence. The unique circumstances of HIV-positive women require specialized care to increase adherence to ART.

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“…In this study sexual risk taking, alcohol use and non-adherence to ART were not found to be associated with sexual dissatisfaction, in contrast to some other studies. 4,6,[8][9][10] An important finding was that taking medications for HIV-related opportunistic infections was associated with sexual dissatisfaction.…”

Section: Discussionmentioning

confidence: 99%

Sexual dissatisfaction and associated factors in a sample of patients on antiretroviral treatment in KwaZulu-Natal, South Africa

Peltzer

2011

S. Afr. J. Psych.

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Background: Sexual expression affects physical, mental and social well-being. There is a lack of understanding on sexual problems among patients on antiretroviral treatment in Africa. Methods: Using systematic sampling, HIV-positive patients were selected prior to commencing on ART from outpatient departments from three hospitals and followed-up for 20 months (n=495) and interviewed with a questionnaire.Results: Rates of self-reported sexual problems were high (34.3%, among men: 30.3% and women 36.0%) but significantly reduced from prior to ART (57.7%) to 20 months on ART (34.3%) (P=0.006). In multivariate analysis not being formally employed (odds ratio: 0.4, 0.2-0.9), having had sexual intercourse in the past 3 months (OR: 5.8, 1.7-19.8), taking medications for HIV-related opportunistic infections (OR: 2.5, 1.1-5.7), internalized stigma (OR: 1.4, 1.2-1.6), lack of social support (OR: 0.4, 0.3-0.6), and low depressive symptoms (OR: 0.9, 0.8-1.0) were found to be associated with sexual problems.Conclusions: This prospective study with a large sample of persons on ART showed evidence of reduction of sexual problems over time and a number of factors influencing sexual problems which should be addressed in health care provider interventions.

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HIV Treatment Adherence and Sexual Functioning

Cited by 18 publications

References 42 publications

Substance Use and HIV Risk Among Men Who Have Sex With Men in Africa: A Systematic Review

Substance Use and HIV Risk Among Men Who Have Sex With Men in Africa: A Systematic Review

Women and Vulnerability to HAART Non-Adherence: A Literature Review of Treatment Adherence by Gender from 2000 to 2011

Sexual dissatisfaction and associated factors in a sample of patients on antiretroviral treatment in KwaZulu-Natal, South Africa

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