Sexual Functioning, Sexual Distress, and Well-being of Sexually Active Adult Women Living with HIV: an HIV Program-Based Cross-sectional Study

Abiodun, Olumide; Sodeinde, Kolawole; Adepoju, Akinmade; Ohiaogu, Faith; Mbonu, Fortunate; Adelowo, Omolola; Bankole, Olufunke

doi:10.1007/s13178-019-00414-z

Cited by 4 publications

(22 citation statements)

References 43 publications

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“…Also in Nigeria, being currently married remained significantly associated with increasing FSFI scores. 2 Our findings underline physicians and caregivers' need for sensitisation to assess sexual disorders during routine consultations in HIV programs.…”

Section: Discussionmentioning

confidence: 68%

“…6 Different definition thresholds of the FSFI make it difficult to compare studies with each other. 2,3 In these studies, regarding the individual domains, a score of less than 65% of the maximum achievable score was considered to indicate dysfunction in that domain. Thus, a score of less than 3.9 in each domain was considered to indicate sexual dysfunction.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, a score of less than 3.9 in each domain was considered to indicate sexual dysfunction. 2,3,6 Also, the understanding and meaning of the various sexual health concepts might vary across cultures and languages.…”

Section: Discussionmentioning

confidence: 99%

“…8 This cut off is reliable in identifying the presence or absence of various sexual function disorders. 2,8,17,18 Cut off values for different domains are as follows: Desire (<4.28), Arousal (<5.08), Lubrication (<5.45), Orgasm (<5.05), Satisfaction (<5.04), Pain (<5.51). 19…”

Section: Data and Measuresmentioning

confidence: 99%

“…Adequate sexual functioning is an essential part of being human, especially for women. 1,2 Female sexual dysfunction (FSD) is a complex phenomenon including desire, arousal, orgasmic and sexual pain disorders. 3 It affects the lives of many women worldwide.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and risk factors of female sexual dysfunction among women infected with HIV in conakry

Camara

Tounkara

Délamou

et al. 2021

Clinical Epidemiology and Global Health

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Background: Female sexual dysfunction is a highly prevalent sexual health problem but under-investigated in Guinea. This study determined the prevalence and risk factors associated with sexual dysfunction among women infected with human immunodeficiency virus (HIV) in Conakry. Methods: The Female Sexual Function Index (FSFI) was used in a cross-sectional study design involving 401 women aged 18 years or more in large HIV cohort sites in Conakry, Guinea. A score of less than 26.55 indicated sexual dysfunction. Clinical and sociodemographic characteristics were collected. Multivariate logistic regression analysis was performed to identify factors associated with sexual dysfunction. Results: The prevalence of sexual dysfunction was 22.2% (95% CI: 18.2-25.9). The types of sexual dysfunctional detected included desire disorder (32.2%), sexual arousal (25.4%), lubrication (23.9%), orgasm (30.7%), sexual satisfaction (32.7%) and pain (28.2%). Multivariate analysis showed that unmarried (adjusted OR 4.6, 95% CI 1.6 to 14.0), age above 35 years old (adjusted OR 7.2, 95% CI 2.1 to 24.0), voluntary HIV screening (OR 4.69: 95% CI: 1.07, 21.93), and current use of antiretroviral drugs (OR 2.68: 95% CI: 1.28, 5.61) were factors associated with sexual dysfunction. Conclusion: Sexual dysfunction is prevalent in women infected with HIV in Conakry, Guinea. Sociodemographic and clinical factors were associated with the risk of sexual dysfunction. Health care workers should be trained on the screening and management of sexual dysfunction in HIV care services.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Data and Measuresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence and risk factors of female sexual dysfunction among women infected with HIV in conakry

Camara

Tounkara

Délamou

et al. 2021

Clinical Epidemiology and Global Health

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Sexual dysfunction among Nigerian women living with HIV infection

Ezechi,

Akinsolu,

Gbajabiamila

et al. 2023

Preprint

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Introduction Sexual dysfunction in women with HIV is a necessary but understudied aspect of HIV complications in women living with HIV. This study reports the prevalence, pattern, and risk factors for sexual dysfunction in women living with HIV in southwest Nigeria. Methods A validated Female Sexual Function Index was used to determine sexual dysfunction in a cross-sectional study design involving 2926 adult women living with HIV in a large, publicly funded tertiary HIV treatment centre in Lagos, Nigeria. A score of less than 26.5 indicated sexual dysfunction. Multivariate logistic regression analysis was performed to identify risk factors for sexual dysfunction. P<0.05 was considered statistically significant at a 95% confidence interval (CI). Results The prevalence of sexual dysfunction was 71.4%. The types of dysfunctions detected included disorder of desire (76.8%), sexual arousal (66.0%), orgasm (50.0%), pain (47.2%), lubrication (47.2%), and satisfaction (38.8%). Multivariate analysis showed that menopause (aOR: 2.0; 1.4 – 4.1), PHQ score of 10 and above (aOR: 2.3; 1.7 – 3.2), co-morbid medical conditions (aOR: 1.8; 1.4 – 2.7), use of protease inhibitor-based antiretroviral therapy (aOR: 1.3; 1.2 - 2.1) and non-disclosure of HIV status (aOR: 0.7; 0.6-0.8) were factors associated with sexual dysfunction. Conclusions Sexual dysfunction is common among Nigerian women living with HIV. Menopause, use of protease inhibitor-based regimens, PHQ score of at least 10, co-morbid medical condition, and non-disclosure of HIV status were associated with sexual dysfunction. National HIV programmes, in addition to incorporating screening and management of sexual dysfunction in the guidelines, should sensitise and train health workers on the detection and treatment of sexual dysfunction.

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Sexual dysfunction among Nigerian women living with HIV infection

Ezechi,

Akinsolu,

Gbajabiamila

et al. 2024

PLoS ONE

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Introduction Sexual dysfunction in women with HIV is a necessary but understudied aspect of HIV complications in women living with HIV. This study reports the prevalence, pattern, and risk factors for sexual dysfunction in women living with HIV in southwest Nigeria. Methods A validated Female Sexual Function Index was used to determine sexual dysfunction in a cross-sectional study design involving 2926 adult women living with HIV in a large, publicly funded tertiary HIV treatment centre in Lagos, Nigeria. A score of less than 26.5 indicated sexual dysfunction. Multivariate logistic regression analysis was performed to identify risk factors for sexual dysfunction. P<0.05 was considered statistically significant at a 95% confidence interval (CI). Results The prevalence of sexual dysfunction was 71.4%. The types of dysfunctions detected included disorder of desire (76.8%), sexual arousal (66.0%), orgasm (50.0%), pain (47.2%), lubrication (47.2%), and satisfaction (38.8%). Multivariate analysis showed that menopause (aOR: 2.0; 1.4–4.1), PHQ score of 10 and above (aOR: 2.3; 1.7–3.2), co-morbid medical conditions (aOR: 1.8; 1.4–2.7), use of protease inhibitor-based antiretroviral therapy (aOR: 1.3; 1.2–2.1) and non-disclosure of HIV status (aOR: 0.7; 0.6–0.8) were factors associated with sexual dysfunction. Conclusions Sexual dysfunction is common among Nigerian women living with HIV. Menopause, use of protease inhibitor-based regimens, PHQ score of at least 10, co-morbid medical condition, and non-disclosure of HIV status were associated with sexual dysfunction. National HIV programmes, in addition to incorporating screening and management of sexual dysfunction in the guidelines, should sensitise and train health workers on the detection and treatment of sexual dysfunction.

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Sexual Functioning, Sexual Distress, and Well-being of Sexually Active Adult Women Living with HIV: an HIV Program-Based Cross-sectional Study

Cited by 4 publications

References 43 publications

Prevalence and risk factors of female sexual dysfunction among women infected with HIV in conakry

Prevalence and risk factors of female sexual dysfunction among women infected with HIV in conakry

Sexual dysfunction among Nigerian women living with HIV infection

Sexual dysfunction among Nigerian women living with HIV infection

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