Artículos de revistas
Dyspareunia In Hiv-positive And Hiv-negative Middle-aged Women: A Cross-sectional Study
Registro en:
Bmj Open. Bmj Publishing Group, v. 4, n. 11, p. - , 2014.
20446055
10.1136/bmjopen-2014-004974
2-s2.0-84912011226
Autor
Valadares A.L.R.
Pinto-Neto A.M.
De C Gomes D.
D'Avanzo W.C.
Moura A.S.
Costa-Paiva L.
De Sousa M.H.
Institución
Resumen
Objectives: To evaluate whether dyspareunia is associated with HIV status in menopausal women and also to assess which factors are associated with dyspareunia in a group of HIV-positive menopausal women.Methods: A cross-sectional study was conducted with 178 HIV-negative and 128 HIV-positive women aged 40-60 years. The Short Personal Experiences Questionnaire (SPEQ) was used to collect data. Sociodemographic, clinical, behavioural and reproductive factors were evaluated, as well as factors related to the HIV infection. Dyspareunia was defined as pain during intercourse. A bivariate analysis and Poisson multiple regression analysis were performed.Results: Overall, 41.4% of the HIV-positive women reported dyspareunia compared with 34.8% of the HIVnegative women ( p=0.242). In the HIV-positive women, bivariate analysis revealed an association between dyspareunia and having a steady partner ( p=0.047); the woman's partner having undergone HIV testing (p=0.020); vaginal dryness ( p<0.001); muscle/joint pain ( p=0.021); physical/emotional violence ( p=0.049); urinary incontinence ( p=0.004); and the use of lamivudine/zidovudine ( p=0.048). The Poisson multiple regression analysis found an association between dyspareunia and vaginal dryness ( prevalence ratio (PR) =1.96, 95% CI 1.10 to 3.50, p=0.023) and urinary incontinence (PR=1.86, 95% CI 1.06 to 3.27, p=0.031).Conclusions: Dyspareunia was common in this group of HIV-positive women and was associated principally with vaginal dryness and urinary incontinence. The importance of treating dyspareunia within the context of sexual health in this group of women should be emphasised and appropriate management of this issue may reduce the likelihood of lesions on the vaginal wall, which may act as a portal of entry for other infections. 4 11
Kao, A., Binik, Y.M., Kapuscinski, A., Dyspareunia in postmenopausal women: A critical review (2008) Pain Res Manag, 13, pp. 243-254 Sung, S.C., Jeng, C.J., Lin, Y.C., Sexual health care for women with dyspareunia (2011) Taiwan J Obstet Gynecol, 50, pp. 268-274 Lachowsky, M., Nappi, R.E., The effects of oestrogen on urogenital health (2009) Maturitas, 63, pp. 149-151 Valadares, A.L., Pinto-Neto, A.M., Conde, D.M., A population-based study of dyspareunia in a cohort of middle-aged Brazilian women (2008) Menopause, 15, pp. 1184-1190 Graziottin, A., Etiology and diagnosis of coital pain (2003) J Endocrinol Invest, 26 (3), pp. 115-121 Avis, N.E., Zhao, X., Johannes, C.B., Correlates of sexual function among multi-ethnic middle-aged women: Results from the Study of Women's Health Across the Nation (SWAN) (2005) Menopause, 12, pp. 385-398 Kao, A., Binik, Y.M., Amsel, R., Biopsychosocial predictors of postmenopausal dyspareunia: The role of steroid hormones, vulvovaginal atrophy, cognitive-emotional factors, and dyadic adjustment (2012) J Sex Med, 9, pp. 2066-2076 Pazmany, E., Bergeron, S., Verhaeghe, J., Sexual communication, dyadic adjustment, and psychosexual well-being in premenopausal women with self-reported dyspareunia and their partners: A controlled study (2014) J Sex Med, 11, pp. 1786-1797 Florence, E., Schrooten, W., Dreezen, C., Eurosupport Study Group. Prevalence and factors associated with sexual dysfunction among HIV-positive women in Europe (2004) AIDS Care, 16, pp. 550-557 Bova, C., Durante, A., Sexual functioning among HIV-infected women (2003) AIDS Patient Care STDS, 17, pp. 75-83 Collazos, J., Sexual dysfunction in the highly active antiretroviral therapy era (2007) AIDS Rev, 9, pp. 237-245 Dennerstein, L., Anderson-Hunt, M., Dudley, E., Evaluation of a short scale to assess female sexual functioning (2002) J Sex Marital Ther, 28, pp. 389-397 Valadares, A.L., Pinto-Neto, A.M., De Sousa, M.H., Sociocultural adaptation of the short personal experiences questionnaire (SPEQ) in Brazil (2010) Rev Bras Ginecol Obstet, 32, pp. 72-76 Soules, M.R., Sherman, S., Parrott, E., Executive summary: Stages of Reproductive Aging Workshop (STRAW) Park City, Utah, July, 2001 (2001) Menopause, 8, pp. 402-407 Lambert, S., Keegan, A., Petrak, J., Sex and relationships for HIV positive women since HAART: A quantitative study (2005) Sex Transm Infect, 81, pp. 333-337 Altman, D.G., (1999) Practical Statistics for Medical Research, , Boca Raton, FL: Chapman & Hall/CRC Barros, A.J., Hirakata, V.N., Alternatives for logistic regression in cross-sectional studies: An empirical comparison of models that directly estimate the prevalence ratio (2003) BMC Med Res Methodol, 3, p. 21 Bell, C., Richardson, D., Wall, M., HIV-associated female sexual dysfunction: Clinical experience and literature review (2006) Int J STD AIDS, 17, pp. 706-709 Wilson, T.E., Jean-Louis, G., Schwartz, R., HIV infection and women's sexual functioning (2010) J Acquir Immune Defic Syndr, 54, pp. 360-367 Bray, S., Gedeon, J., Hadi, A., Predictive value of CD4 cell count nadir on long-term mortality in HIV-positive patients in Uganda (2012) HIV AIDS, 4, pp. 135-140 Laumann, E.O., Nicolosi, A., Glasser, D.B., GSSAB Investigators' Group. Sexual problems among women and men aged 40-80 y: Prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors (2005) Int J Impot Res, 17, pp. 39-57 Levine, K.B., Williams, R.E., Hartmann, K.E., Vulvovaginal atrophy is strongly associated with female sexual dysfunction among sexually active postmenopausal women (2008) Menopause, 15 (4), pp. 661-666 Parish, S.J., Nappi, R.E., Krychman, M.L., Impact of vulvovaginal health on postmenopausal women: A review of surveys on symptoms of vulvovaginal atrophy (2013) Int J Womens Health, 5, pp. 437-447 Salonia, A., Zanni, G., Nappi, R.E., Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: Results of a cross-sectional study (2004) Eur Urol, 45, pp. 642-648 Urwitz-Lane, R., Ozel, B., Sexual function in women with urodynamic stress incontinence, detrusor overactivity, and mixed urinary incontinence (2006) Am J Obstet Gynecol, 195, pp. 1758-1761 Wehbe, S.A., Kellogg, S., Whitmore, K., Urogenital complaints and female sexual dysfunction. Part 2 (2010) J Sex Med, 7, pp. 2304-2317 Reis, R.K., Gir, E., Living with the difference: The impact of serodiscordance on the affective and sexual life of HIV/AIDS patients (2010) Rev Esc Enferm USP, 44, pp. 759-765 Klusmann, D., Sexual motivation and the duration of partnership (2002) Arch Sex Behav, 31, pp. 275-287 Laanpere, M., Ringmets, I., Part, K., Intimate partner violence and sexual health outcomes: A population-based study among 16-44-year-old women in Estonia (2013) Eur J Public Health, 23, pp. 688-693 Leclerc, B., Bergeron, S., Binik, Y.M., History of sexual and physical abuse in women with dyspareunia: Association with pain, psychosocial adjustment, and sexual functioning (2010) J Sex Med, 7 (2), pp. 971-980 Rosenbaum, T.Y., Musculoskeletal pain and sexual function in women (2010) J Sex Med, 7 (2), pp. 645-653