Sexual dissatisfaction and associated factors in a sample of patients on antiretroviral treatment in KwaZulu-Natal, South Africa
SOURCE: South African Journal of Psychiatry
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2011
TITLE AUTHOR(S): K.Peltzer
KEYWORDS: ANTIRETROVIRAL THERAPY (ART), HIV/AIDS, KWAZULU-NATAL PROVINCE, SEXUAL BEHAVIOUR
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 6954
HANDLE: 20.500.11910/3664
URI: http://hdl.handle.net/20.500.11910/3664
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2011
TITLE AUTHOR(S): K.Peltzer
KEYWORDS: ANTIRETROVIRAL THERAPY (ART), HIV/AIDS, KWAZULU-NATAL PROVINCE, SEXUAL BEHAVIOUR
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 6954
HANDLE: 20.500.11910/3664
URI: http://hdl.handle.net/20.500.11910/3664
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Sexual expression affects physical, mental and social well-being. There is a lack of understanding on sexual dissatisfaction among patients on antiretroviral treatment in Africa. Using systematic sampling, HIV-positive patients were selected from outpatient departments from three hospitals before commencing antiretroviral therapy (ART), followed up for 20 months (N=495) and interviewed with a questionnaire. Rates of self-reported sexual dissatisfaction were high (32.6%), but reduced significantly from before starting ART (56.1%) to 20 months on ART (32.6%) (p=0.006). Sexual dissatisfaction increased among sexually active compared with sexually inactive participants over the 20-month assessment period. In multivariate analysis, not being formally employed (odds ratio (OR) 0.4, 95% confidence interval (CI) 0.2 - 0.9), having had sexual intercourse in the past 3 months (OR 5.8, 95% CI 1.7 - 19.8), taking medications for HIV-related opportunistic infections (OR 2.5, 95% CI 1.1 - 5.7), internalised stigma (OR 1.4, 95% CI 1.2 - 1.6), lack of social support (OR 0.4, 95% CI 0.3 - 0.6) and low depressive symptoms (OR 0.9, 95% CI 0.8 - 1.0) were found to be associated with sexual dissatisfaction. This prospective study of a large sample of persons on ART showed evidence of reduction of overall sexual dissatisfaction over time and a number of factors influencing sexual dissatisfaction that should be addressed in health care provider interventions.-
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