Bernier A.,Coalition Internationale Sida |
Lefevre M.,Coalition Internationale Sida |
Henry E.,Coalition Internationale Sida |
Verdes L.,Aras Inc |
And 6 more authors.
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV | Year: 2016
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. © 2016 The Author(s). Source
Lazar F.,University of Bucharest |
Verdes L.,Aras Inc |
Henry E.,Coalition Plus |
Fugon L.,Coalition Plus |
And 4 more authors.
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV | Year: 2014
The present study aimed to identify social and individual factors associated with satisfaction with sexual life (SSL) in people living with HIV (PLHIV) in contact with a community-based organisation in Romania. A standardised questionnaire was administered (N = 300) in a community-based research study. Multivariate analysis (using a weighted logistic regression restricted to the 291 respondents who answered a question about SSL) was used to determine factors associated with SSL. Sixty-eight per cent of the participants declared that they were satisfied with their sexual life. The following individual factors were associated with SSL: being over 36 years old (Odds Ratio [95% CI]: 0.27 [0.13-0.55]), having ceased sexual intercourse because of HIV (0.33 [0.14-0.76]), not knowing how infection had occurred (0.29 [0.15-0.59]), being officially registered with a level of disability lower than "severe" (0.47 [0.23-0.98]) and having a higher self-efficacy score (1.36 [1.14-1.61]). Living in a couple (7.60 [3.69-15.66]), knowing at least one HIV-infected person who had publicly disclosed his/her seropositivity (2.23 [1.03-4.84]), and having a higher social exclusion score (0.91 [0.82-1]) were social factors associated with SSL. The results suggest that HIV service providers must be sensitised to the necessity of systematically including the topic of PLHIV SSL in field interventions. Self-empowerment, positive examples of public disclosure, promoting the benefits of living in a couple, and supporting social integration can all improve the well-being of PLHIV, including their SSL. © 2014 Taylor and Francis. Source
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Getting Change Under Control As product complexity increases and organizations become more reliant on their supply chains, managing the change process and communicating change status across many groups inside the organization and into the supply chain is an increasing challenge. Ineffective or poorly managed change processes can leave organizations struggling to improve quality, reduce time-to-market and manage costs