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Addressing sexual problems in HIV primary care: experiences from patients
Theo G M Sandfort1, Kate L Collier, Robert Grossberg
1HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA, tgs2001@columbia.edu.
Archives of Sexual Behavior
|September 12, 2012
Summary
Sexual problems are common for people with HIV, yet often unaddressed in primary care. Patients who did discuss issues were generally satisfied with the care received.
Area of Science:
- Public Health
- HIV Medicine
- Sexual Health
Background:
- Sexual dysfunction is prevalent in people living with HIV (PLWHIV).
- These issues may impact treatment adherence and sexual risk behaviors.
- Primary care settings are crucial for addressing PLWHIV health needs.
Purpose of the Study:
- To assess the prevalence of sexual problems in PLWHIV.
- To determine how often these problems are discussed in primary care.
- To understand patient experiences with primary care responses to sexual concerns.
Main Methods:
- Structured interviews conducted with 60 patients at an urban HIV clinic.
- Data collected on the prevalence of sexual problems and patient-provider discussions.
- Qualitative insights gathered on patient satisfaction and facilitating factors.
Main Results:
- Sexual problems were common, with low libido reported by 53.3% and painful intercourse by 20%.
- Few patients discussed sexual problems with their primary care provider.
- Patients who did discuss issues were generally pleased with the counseling received.
Conclusions:
- Primary care providers should proactively address sexual health concerns in PLWHIV.
- Enhanced provider training may be necessary to adequately manage sexual problems.
- Positive patient-provider interactions can improve care for sexual health issues in HIV.
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