A 'hidden problem': Nature, prevalence and factors associated with sexual dysfunction in persons living with HIV/AIDS in Uganda

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dc.contributor.authorMutamba, Brian Byamah
dc.contributor.authorRukundo, Godfrey Zari
dc.contributor.authorSembajjwe, Wilber
dc.contributor.authorNakasujja, Noeline
dc.contributor.authorBirabwa-Oketcho, Harriet
dc.contributor.authorMpango, Richard Stephen
dc.contributor.authorKinyanda, Eugene
dc.date.accessioned2024-03-12T07:13:02Z
dc.date.available2024-03-12T07:13:02Z
dc.date.issued2024-03-07
dc.description.abstractWe conducted a clinic-based cross-sectional survey among 710 people living with HIV/AIDS in stable 'sexual' relationships in central and southwestern Uganda. Although sexual function is rarely discussed due to the private nature of sexual life. Yet, sexual problems may predispose to negative health and social outcomes including marital conflict. Among individuals living with HIV/AIDS, sexual function and dysfunction have hardly been studied especially in sub-Saharan Africa. In this study, we aimed to determine the nature, prevalence and factors associated with sexual dysfunction (SD) among people living with HIV/AIDS (PLWHA) in Uganda. We conducted a clinic based cross sectional survey among 710 PLWHA in stable 'sexual' relationships in central region and southwestern Uganda. We collected data on socio-demographic characteristics (age, highest educational attainment, religion, food security, employment, income level, marital status and socio-economic status); psychiatric problems (major depressive disorder, suicidality and HIV-related neurocognitive impairment); psychosocial factors (maladaptive coping styles, negative life events, social support, resilience, HIV stigma); and clinical factors (CD4 counts, body weight, height, HIV clinical stage, treatment adherence). Sexual dysfunction (SD) was more prevalent in women (38.7%) than men (17.6%) and majority (89.3% of men and 66.3% of women) did not seek help for the SD. Among men, being of a religion other than Christianity was significantly associated with SD (OR = 5.30, 95%CI 1.60-17.51, p = 0.006). Among women, older age (> 45 years) (OR = 2.96, 95%CI 1.82-4.79, p<0.01), being widowed (OR = 1.80, 95%CI 1.03-3.12, p = 0.051) or being separated from the spouse (OR = 1.69, 95% CI 1.09-2.59, p = 0.051) were significantly associated with SD. Sexual dysfunction has considerable prevalence among PLWHA in Uganda. It is associated with socio-demographic, psychiatric and clinical illness factors. To further improve the quality of life of PLWHA, they should be screened for sexual dysfunction as part of routine assessment.en_US
dc.description.sponsorshipThis study was funded by MRC TA.10.40200.011 core funding to the Mental health project of MRC/UVRI and LSHTM under the headship of Professor Eugene Kinyanda to undertake the ‘HIV clinical trials preparedness studies among patients with Severe Mental ILlnEss in HIV endemic Uganda (SMILE Study) The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscripen_US
dc.identifier.citationMutamba, Brian Byamah, Godfrey Zari Rukundo, Wilber Sembajjwe, et al. 'A 'Hidden Problem': Nature, Prevalence and Factors Associated with Sexual Dysfunction in Persons Living with HIV/AIDS in Uganda', PloS One, vol. 19/no. 3, (2024), pp. e0295224.en_US
dc.identifier.issnISSN 1932-6203
dc.identifier.issnEISSN 1932-6203
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/9426
dc.language.isoenen_US
dc.publisherPublic Library of Scienceen_US
dc.subjectHIV/AIDS; sexual dysfunction (SD); PLWHA) in Ugandaen_US
dc.titleA 'hidden problem': Nature, prevalence and factors associated with sexual dysfunction in persons living with HIV/AIDS in Ugandaen_US
dc.typeArticleen_US
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