Prevalence and risk factors of female sexual dysfunction among women infected with HIV in conakry

Background: Female sexual dysfunction is a highly prevalent sexual health problem but under-investigated in Guinea. This study determined the prevalence and risk factors associated with sexual dysfunction among women infected with human immunodeficiency virus (HIV) in Conakry. Methods: The Female Se...

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Main Authors: Alioune Camara, Thierno Mamadou Tounkara, Alexandre Delamou, Raghiatou Baldé, Niouma Nestor Leno, Gerard Christian Kuotu, Abdoulaye Touré, Mohamed Cissé
Format: Article
Language:English
Published: Elsevier 2021-10-01
Series:Clinical Epidemiology and Global Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213398421001366
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author Alioune Camara
Thierno Mamadou Tounkara
Alexandre Delamou
Raghiatou Baldé
Niouma Nestor Leno
Gerard Christian Kuotu
Abdoulaye Touré
Mohamed Cissé
author_facet Alioune Camara
Thierno Mamadou Tounkara
Alexandre Delamou
Raghiatou Baldé
Niouma Nestor Leno
Gerard Christian Kuotu
Abdoulaye Touré
Mohamed Cissé
author_sort Alioune Camara
collection DOAJ
description Background: Female sexual dysfunction is a highly prevalent sexual health problem but under-investigated in Guinea. This study determined the prevalence and risk factors associated with sexual dysfunction among women infected with human immunodeficiency virus (HIV) in Conakry. Methods: The Female Sexual Function Index (FSFI) was used in a cross-sectional study design involving 401 women aged 18 years or more in large HIV cohort sites in Conakry, Guinea. A score of less than 26.55 indicated sexual dysfunction. Clinical and sociodemographic characteristics were collected. Multivariate logistic regression analysis was performed to identify factors associated with sexual dysfunction. Results: The prevalence of sexual dysfunction was 22.2% (95% CI: 18.2–25.9). The types of sexual dysfunctional detected included desire disorder (32.2%), sexual arousal (25.4%), lubrication (23.9%), orgasm (30.7%), sexual satisfaction (32.7%) and pain (28.2%). Multivariate analysis showed that unmarried (adjusted OR 4.6, 95% CI 1.6 to 14.0), age above 35 years old (adjusted OR 7.2, 95% CI 2.1 to 24.0), voluntary HIV screening (OR 4.69: 95% CI: 1.07, 21.93), and current use of antiretroviral drugs (OR 2.68: 95% CI: 1.28, 5.61) were factors associated with sexual dysfunction. Conclusion: Sexual dysfunction is prevalent in women infected with HIV in Conakry, Guinea. Sociodemographic and clinical factors were associated with the risk of sexual dysfunction. Health care workers should be trained on the screening and management of sexual dysfunction in HIV care services.
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spelling doaj.art-590d2285bd314e45a9b1e6517bee46a22022-12-21T19:37:51ZengElsevierClinical Epidemiology and Global Health2213-39842021-10-0112100828Prevalence and risk factors of female sexual dysfunction among women infected with HIV in conakryAlioune Camara0Thierno Mamadou Tounkara1Alexandre Delamou2Raghiatou Baldé3Niouma Nestor Leno4Gerard Christian Kuotu5Abdoulaye Touré6Mohamed Cissé7Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University Conakry, Guinea; African Center of Excellence for Prevention and Control of Communicable Diseases (CEA-PCMT), Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea; Corresponding author. Department of Public Health, Faculty Of Health Sciences And Techniques, Gamal Abdel Nasser University Conakry, Guinea.African Center of Excellence for Prevention and Control of Communicable Diseases (CEA-PCMT), Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea; Department of Dermatology and Sexually Transmitted Infections, Gamal Abdel Nasser University of Conakry Faculty of Health Sciences and Techniques, Conakry, GuineaDepartment of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University Conakry, Guinea; African Center of Excellence for Prevention and Control of Communicable Diseases (CEA-PCMT), Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, GuineaDepartment of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University Conakry, GuineaDepartment of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University Conakry, Guinea; National Program for Health Care and Prevention of STIs / HIV / AIDS of the Ministry of Health, Conakry, GuineaDepartment of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University Conakry, GuineaDepartment of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University Conakry, GuineaDepartment of Dermatology and Sexually Transmitted Infections, Gamal Abdel Nasser University of Conakry Faculty of Health Sciences and Techniques, Conakry, GuineaBackground: Female sexual dysfunction is a highly prevalent sexual health problem but under-investigated in Guinea. This study determined the prevalence and risk factors associated with sexual dysfunction among women infected with human immunodeficiency virus (HIV) in Conakry. Methods: The Female Sexual Function Index (FSFI) was used in a cross-sectional study design involving 401 women aged 18 years or more in large HIV cohort sites in Conakry, Guinea. A score of less than 26.55 indicated sexual dysfunction. Clinical and sociodemographic characteristics were collected. Multivariate logistic regression analysis was performed to identify factors associated with sexual dysfunction. Results: The prevalence of sexual dysfunction was 22.2% (95% CI: 18.2–25.9). The types of sexual dysfunctional detected included desire disorder (32.2%), sexual arousal (25.4%), lubrication (23.9%), orgasm (30.7%), sexual satisfaction (32.7%) and pain (28.2%). Multivariate analysis showed that unmarried (adjusted OR 4.6, 95% CI 1.6 to 14.0), age above 35 years old (adjusted OR 7.2, 95% CI 2.1 to 24.0), voluntary HIV screening (OR 4.69: 95% CI: 1.07, 21.93), and current use of antiretroviral drugs (OR 2.68: 95% CI: 1.28, 5.61) were factors associated with sexual dysfunction. Conclusion: Sexual dysfunction is prevalent in women infected with HIV in Conakry, Guinea. Sociodemographic and clinical factors were associated with the risk of sexual dysfunction. Health care workers should be trained on the screening and management of sexual dysfunction in HIV care services.http://www.sciencedirect.com/science/article/pii/S2213398421001366PrevalenceRisk factorsFemale sexual dysfunctionHIV/AIDSGuinea
spellingShingle Alioune Camara
Thierno Mamadou Tounkara
Alexandre Delamou
Raghiatou Baldé
Niouma Nestor Leno
Gerard Christian Kuotu
Abdoulaye Touré
Mohamed Cissé
Prevalence and risk factors of female sexual dysfunction among women infected with HIV in conakry
Clinical Epidemiology and Global Health
Prevalence
Risk factors
Female sexual dysfunction
HIV/AIDS
Guinea
title Prevalence and risk factors of female sexual dysfunction among women infected with HIV in conakry
title_full Prevalence and risk factors of female sexual dysfunction among women infected with HIV in conakry
title_fullStr Prevalence and risk factors of female sexual dysfunction among women infected with HIV in conakry
title_full_unstemmed Prevalence and risk factors of female sexual dysfunction among women infected with HIV in conakry
title_short Prevalence and risk factors of female sexual dysfunction among women infected with HIV in conakry
title_sort prevalence and risk factors of female sexual dysfunction among women infected with hiv in conakry
topic Prevalence
Risk factors
Female sexual dysfunction
HIV/AIDS
Guinea
url http://www.sciencedirect.com/science/article/pii/S2213398421001366
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