Sexual inactivity among men who have sex with men living with hiv in europe

Platteau, Tom; Nöstlinger, Christiana; Schrooten, Ward; Kenyon, Chris; Lankveld, Jacques van; Colebunders, Robert

doi:10.1080/19317611.2014.956852

Cited by 8 publications

(6 citation statements)

References 41 publications

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“…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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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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“…Second, stopping sexual activity was significantly associated with having suffered serious social consequences because of HIV. Stigma and discrimination may inhibit sexual activity in PLHIV (Platteau et al, 2015 ; Rojas Castro et al, 2010 ) by exclusion or the fear of exclusion, leading to an attitude of isolation and repression of sexual behaviours (Inoue, Yamazaki, Seki, Wakabayashi, & Kihara, 2004 ).…”

Section: Discussionmentioning

confidence: 99%

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

Bernier¹,

Lefèvre²,

Henry³

et al. 2016

AIDS Care

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The sexuality of people living with HIV (PLHIV) is a key issue in the fight against HIV, as it influences both the dynamic of the epidemic and the quality of life of PLHIV. The present study examined the factors associated with cessation of sexual relations after HIV diagnosis among men and women in five countries: Mali, Morocco, Democratic Republic of the Congo, Romania and Ecuador. A community-based cross-sectional study was implemented by a mixed consortium [researchers/community-based organizations (CBO)]. Trained CBO members interviewed 1500 PLHIV in contact with CBOs using a 125-item questionnaire. A weighted multivariate logistic regression and a separate gender analysis were performed. Among the 1413 participants, 471 (33%) declared that they stopped having sexual relations after their HIV diagnosis, including 318 women (42%) and 153 men (23%) (p < .001). Concerning women, variables associated with the cessation of sexual relations in the final multivariate model were mainly related with relational factors and the possibility of getting social support (e.g., needing help to disclose HIV serostatus, feeling lonely every day, not finding support in CBOs, not being in a couple). Men's sexual activity was more associated with their representations and their perception of the infection (e.g., thinking they will have their HIV infection for the rest of their life, perceiving the HIV infection as a mystery, perceiving the infection as serious). Furthermore, the following variables were associated with both men and women sexual behaviours: being older, having suffered from serious social consequences after serostatus disclosure and not being able to regularly discuss about HIV with their steady partner. Results suggested clear differences between men and women regarding cessation of sexual relations and highlighted the importance of implementing gender-based tailored interventions that promote safe and satisfying sexuality, as it is known to have a positive impact on the overall well-being of PLHIV.

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“…This reaction to trauma is often associated with higher risk-taking such as substance consumption, unprotected sex, and therapy drop-out. Older age, being single, and less satisfied with general health and sexual desire were factors associated with sexual withdrawal in HIV gay men [85]. It should be noted that prevalence of sexual inactivity has sensibly declined since the diffusion of modern antiretroviral therapy, suggesting a normalization process in HIV-positive men's sexual lives.…”

Section: Factors Influencing Gay Sexual Desirementioning

confidence: 92%

Sexual Desire and Fantasies in the LGBT+ Community: Focus on Lesbian Women and Gay Men

Nimbi

Ciocca

Limoncin

et al. 2020

Curr Sex Health Rep

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Purpose of Review The purpose of this review is to summarize the current knowledge around sexual desire, fantasies, and related biopsychosocial factors that may facilitate or obstruct sexual expressions in lesbian women and gay men. Recent Findings Sexual desire levels and related problems do not seem significantly different in people who identify as gay or lesbian compared to their heterosexual counterparts. Evidence has shown lesbian women and gay men may have specific desire expressions and biopsychosocial factors influencing their sexual health. This may suggest the importance of deepening the understanding of the unique factors of LGBT+ sexuality and relationships while paying attention to the sociocultural background in which lesbian and gay people grow and develop their identities. Summary A lack of specific and unbiased literature on sexual desire and fantasies in gay and lesbian people is reported. Available evidence is controversial and often biased. LG people showed a variety of sexual expressions that are hard to categorize referring to the heteronormative sexual standards that permeate literature and clinical practice. Implications for future research and clinical practice are discussed.

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Sexual inactivity among men who have sex with men living with hiv in europe

Cited by 8 publications

References 41 publications

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

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

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

Sexual Desire and Fantasies in the LGBT+ Community: Focus on Lesbian Women and Gay Men

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