Francesco Avallone, Kim Engler, Joseph Cox, Ford Hickson, David Lessard, Jeanne Bourdon, Réjean Thomas, Bertrand Lebouché
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Two participants (n =2) cited masturbation/fantasy.</p><p><strong>Conclusions: </strong>This study emphasises the multi-faceted nature of sexual health for gay men with HIV in serodifferent couples and the pivotal roles of relationships, HIV, risk management (e.g. via health care, knowledge), and positive sexual experiences. 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引用次数: 0
摘要
背景:在血清不同的伴侣(一方感染 HIV,另一方 HIV 阴性)中与感染 HIV 的男性发生性行为的男同性恋、双性恋和其他男性(GBM)可能会遇到独特的性健康挑战。本研究旨在探讨他们对性健康的定义,从而改进服务的提供:作为 CTNPT013 的一部分,我们在 2017 年至 2019 年期间采访了 10 名感染 HIV 的男同性恋者,该研究是在加拿大蒙特利尔的两家 HIV 专科诊所进行的一项关于 HIV 血清不同的 GBM 夫妇性健康的研究。参与者参加了关于性健康意义的半结构化访谈。我们对访谈记录进行了内容分析,并根据罗宾逊性健康模型的 10 个维度对访谈记录进行了编码:受访者的平均年龄为 35.4 岁(标准差为 10.2;范围为 20-53 岁)。除身体形象和灵性外,罗宾逊性健康模型的每个维度都能被自发唤起。所有男性都表示亲密关系(如性协议)和性保健/安全性行为(如 HIV 管理、危险行为)是性健康的相关方面。其他方面包括:积极的性行为(7 人),如性生活中的快感和享受;谈论性(5 人),主要涉及艾滋病毒的披露;性功能(4 人);性健康面临的挑战(3 人),包括药物滥用;以及文化/性身份(3 人)。两名参与者(人数=2)提到了手淫/性幻想:本研究强调了不同血清配偶中感染 HIV 的男同性恋者性健康的多面性,以及人际关系、HIV、风险管理(如通过医疗保健、知识)和积极的性经历的关键作用。针对这一人群的性健康促进干预措施可以考虑这些方面。
Conceptions of sexual health by gay men living with HIV in serodifferent couples in Montreal, Canada: results from a qualitative analysis.
Background: Gay, bisexual, and other men (GBM) who have sex with men living with HIV in serodifferent couples (one partner living with HIV, the other HIV-negative) may encounter unique sexual health challenges. This study aimed to explore their definition of sexual health that could improve service provision.
Methods: We interviewed 10 gay-identified men living with HIV from 2017 to 2019 as part of CTNPT013, a study on the sexual health of HIV serodifferent GBM couples conducted at two HIV-specialised clinics in Montreal, Canada. Participants partook in semi-structured interviews on the meaning of sexual health. We performed a content analysis of interview transcripts, coding them according to the 10 dimensions of Robinson's Sexual Health Model.
Results: Mean age of interviewees was 35.4years (s.d.,10.2; range, 20-53). Every dimension of Robinson's model was spontaneously evoked, except for body image and spirituality. All men indicated intimacy/relationships (e.g. sexual agreements) and sexual health care/safer sex (e.g. HIV management, risk behaviours) as relevant aspects of sexual health. Other dimensions included: positive sexuality (n =7), such as pleasure and enjoyment during sex; talking about sex (n =5), which mainly concerned HIV disclosure; sexual functioning (n =4); challenges to sexual health (n =3), including substance abuse; and culture/sexual identity (n =3). Two participants (n =2) cited masturbation/fantasy.
Conclusions: This study emphasises the multi-faceted nature of sexual health for gay men with HIV in serodifferent couples and the pivotal roles of relationships, HIV, risk management (e.g. via health care, knowledge), and positive sexual experiences. These dimensions could be considered in sexual health promotion interventions targeting this population.
期刊介绍:
Sexual Health publishes original and significant contributions to the fields of sexual health including HIV/AIDS, Sexually transmissible infections, issues of sexuality and relevant areas of reproductive health. This journal is directed towards those working in sexual health as clinicians, public health practitioners, researchers in behavioural, clinical, laboratory, public health or social, sciences. The journal publishes peer reviewed original research, editorials, review articles, topical debates, case reports and critical correspondence.
Officially sponsored by:
The Australasian Chapter of Sexual Health Medicine of RACP
Sexual Health Society of Queensland
Sexual Health is the official journal of the International Union against Sexually Transmitted Infections (IUSTI), Asia-Pacific, and the Asia-Oceania Federation of Sexology.