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Type: Artigo de periódico
Title: Dyspareunia In Hiv-positive And Hiv-negative Middle-aged Women: A Cross-sectional Study
Author: 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.
Abstract: 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.
Editor: BMJ Publishing Group
Citation: Bmj Open. Bmj Publishing Group, v. 4, n. 11, p. - , 2014.
Rights: aberto
Identifier DOI: 10.1136/bmjopen-2014-004974
Date Issue: 2014
Appears in Collections:Unicamp - Artigos e Outros Documentos

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