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RESEARCH ARTICLE
Contents Vol 6(4)

A longitudinal analysis of sociodemographic and health correlates of sexual health among HIV-infected men in the USA

William L. Jeffries IV A C , Barbara A. Zsembik A , Chuck W. Peek A and Constance R. Uphold B
+ Author Affiliations
- Author Affiliations

A Department of Sociology and Criminology & Law, University of Florida, PO Box 117330, Gainesville, FL 32611-7330, USA.

B Rehabilitation Outcomes Research Center, Geriatric Research, Education and Clinical Center, North Florida/South Georgia Veterans Health System, 1601 SW Archer Road, 151B Gainesville, FL 32608-1197, USA.

C Corresponding author. Email: jeffries@ufl.edu

Sexual Health 6(4) 285-292 https://doi.org/10.1071/SH08070
Submitted: 18 September 2008  Accepted: 17 July 2009   Published: 13 November 2009

Abstract

Background: Sexual health among HIV-infected men primarily has been examined in cross-sectional designs. Few have used longitudinal data to measure sexual health change or factors associated with change. Moreover, studies of HIV-infected men disproportionately focus on sexual risk behaviours. The present paper examines temporal changes in sexual health based on measures of sexual activity, erectile function, sex drive, and sex life satisfaction. Methods: Data from a prospective cohort study of HIV-infected men (n = 197) in the USA were used. Sexual health measures were based on self-reported sexual activity, erectile function, sex drive, and sex life satisfaction at 12- and 24-month follow-ups. Transition matrices described 1-year sexual health changes. Logistic regression models determined sociodemographic and health-related factors associated with change. Results: Men reported considerable change in sexual health during the year-long observation interval. Among men who experienced change, younger age, cohabitation, and higher CD4 counts were associated with greater sexual activity over time. Men with more depression symptoms had lower erectile function over time, and higher education and higher income were protective against temporal declines in sex drive and satisfaction. Less disease comorbidity was associated with 1-year improvements in sex life satisfaction. Conclusions: Some men in our sample experienced sexual health change, but stability was common for most. Temporal changes in sexual health varied according to age, cohabitation, education, income, and physical and mental health covariates. The present paper highlights the benefits of longitudinal investigations and multidimensional definitions of sexual health.

Additional keywords: longitudinal data, sexuality.


Acknowledgements

This research was supported in part by Health Services Research and Development, USA Department of Veterans Affairs (NRI 98182, RCD 99011). The authors thank Kimberly Findley, RN (North Florida/South Georgia Veterans Affairs Health System) for assistance with data collection and Ronald H. Randles (Department of Statistics, University of Florida) for statistical assistance. We appreciate two anonymous referees for comments on an earlier draft. This project was conducted while the first author completed a McKnight Doctoral Fellowship provided by the Florida Education Fund.


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