Sexual dysfunction care needs of gay, bisexual, and other men who have sex with men living with HIV in Montreal, Canada.

IF 3.2 3区 医学 Q2 INFECTIOUS DISEASES
HIV Medicine Pub Date : 2025-09-22 DOI:10.1111/hiv.70115
Francesco Avallone, Kim Engler, Ford Hickson, Joseph Cox, Eric Fortin, Sean Yaphe, Bertrand Lebouché
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Abstract

Objectives: Sexual dysfunction (SD) is common among gay, bisexual and other men who have sex with men (GBM) with HIV, yet little is known about their views on SD care. We explored these views to inform patient-centred SD care to improve care delivery and sexual health outcomes.

Methods: Semi-structured interviews were conducted in 2024 with 31 Montreal-based GBM with HIV who experienced SD in the last 5 years (reduced libido, erectile dysfunction, premature/delayed ejaculation and/or pain during sex), covering SD care experiences and preferences. Thematic analysis was applied to interview transcripts.

Results: Participants mostly reported reduced libido (83.9%) and erectile dysfunction (ED(80.6%), with over half (58.0%) experiencing multiple SDs concurrently. Themes regarding SD care experiences were (1) costs and benefits of ED medication, (2) limited benefits of testosterone replacement therapy, (3) mixed views on talk therapy (and a preference for group therapy), and (4) not seeking care due to questions of SD definition and normalcy. SD care preferences concerned both provider characteristics (identity, approach to patients and expertise) and care delivery (information provision, involvement and respect and access to diverse resources).

Conclusions: Irrespective of the approach to SD care sought (medication or talk therapy), participants experienced limited success. For some, doubts about the severity of their SD impeded help-seeking. SD care preferences for the provider (e.g., expertise) and care provided (e.g., information, patient involvement) offer paths to more patient-centred care.

加拿大蒙特利尔同性恋者、双性恋者和其他与艾滋病毒携带者发生性行为的男性的性功能障碍护理需求
目的:性功能障碍(SD)在男同性恋、双性恋和其他男男性行为者(GBM)中很常见,但他们对性功能障碍护理的看法却知之甚少。我们探讨了这些观点,为以患者为中心的可持续发展护理提供信息,以改善护理服务和性健康结果。方法:在2024年对31名在过去5年内经历过SD(性欲减退、勃起功能障碍、早泄/延迟射精和/或性交疼痛)的蒙特利尔HIV GBM患者进行半结构化访谈,涵盖SD护理经历和偏好。访谈笔录采用专题分析。结果:参与者大多报告性欲下降(83.9%)和勃起功能障碍(ED)(80.6%),超过一半(58.0%)的患者同时经历多重性勃起障碍。关于性功能障碍治疗经历的主题是(1)ED药物的成本和收益,(2)睾酮替代疗法的有限收益,(3)对谈话治疗的不同看法(以及对团体治疗的偏好),以及(4)由于性功能障碍定义和正常问题而不寻求治疗。可持续发展护理偏好涉及提供者特征(身份、对患者的态度和专业知识)和护理提供(信息提供、参与、尊重和获得各种资源)。结论:无论采用何种方法寻求SD治疗(药物治疗或谈话治疗),参与者的成功程度有限。对一些人来说,对SD严重程度的怀疑阻碍了他们寻求帮助。提供者的SD护理偏好(例如,专业知识)和所提供的护理(例如,信息,患者参与)为更加以患者为中心的护理提供了途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
HIV Medicine
HIV Medicine 医学-传染病学
CiteScore
5.10
自引率
10.00%
发文量
167
审稿时长
6-12 weeks
期刊介绍: HIV Medicine aims to provide an alternative outlet for publication of international research papers in the field of HIV Medicine, embracing clinical, pharmocological, epidemiological, ethical, preclinical and in vitro studies. In addition, the journal will commission reviews and other feature articles. It will focus on evidence-based medicine as the mainstay of successful management of HIV and AIDS. The journal is specifically aimed at researchers and clinicians with responsibility for treating HIV seropositive patients.
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