Low sexual function is associated with menopausal status in mid-aged women with human immunodeficiency virus infection
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Authors
Mezones-Holguín, EdwardArriola-Montenegro, José
Cutimanco-Pacheco, Víctor
Al-Kassab-Córdova, Ali
Niño-García, Roberto
Zeta, Ludwing A.
Urrunaga-Pastor, Diego
Blümel, Juan E.
Chedraui, Peter
Pérez-López, Faustino R.
Issue Date
2022-01-14
Metadata
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NLM (Medline)Journal
Menopause (New York, N.Y.)DOI
10.1097/GME.0000000000001914Additional Links
https://journals.lww.com/menopausejournal/Abstract/2022/03000/Low_sexual_function_is_associated_with_menopausal.10.aspxAbstract
OBJECTIVE: To assess the association between menopausal status and female sexual function among mid-aged women with human immunodeficiency virus (HIV) infection. METHODS: We carried out a cross-sectional study of 221 sexually active HIV-infected women ages 40 to 59 years, based on a secondary analysis of a three-hospital survey in Lima, Perú. We classified menopausal status according to Stages of Reproductive Aging Workshop criteria (STRAW+10); this exposure variable was categorized as binary (non-postmenopausal and postmenopausal) and-for exploratory analysis-as multinomial (pre-, peri-, and postmenopausal). We defined low sexual function (LSF) using the 6-item Female Sexual Function Index (total score ≤19). Socio-demographic and clinical variables were assessed, including age, used highly active antiretroviral therapy scheme, disease duration, depressive symptoms, and co-morbidities. We performed Poisson generalized linear models with a robust variance to estimate 95% confidence interval (CI), crude prevalence ratios (cPRs), and adjusted prevalence ratios (aPRs) by epidemiological and statistical approaches using nonparametric method of bias-corrected and accelerated bootstrap resampling with 1,000 repetitions. RESULTS: Studied women had a median age of 47.0 years (interquartile range: 7.5); 25.3% were premenopausal, 25.8% were perimenopausal, and 48.9% were postmenopausal. Also, 64.3% had LSF. The frequency of LSF was 53.6% in non-postmenopausal and 75.0% in postmenopausal women. Postmenopausal status was associated with LSF in both the crude (cPR = 1.39; 95% CI: 1.13-1.71) and the adjusted regression models (aPR = 1.38; 95% CI: 1.12-1.71). CONCLUSIONS: HIV-infected postmenopausal women have a higher prevalence of LSF than those non-postmenopausal ones, even when adjusting for multiple potential confounders.Type
info:eu-repo/semantics/articleRights
info:eu-repo/semantics/embargoedAccessAttribution-NonCommercial-ShareAlike 4.0 International
Language
engEISSN
15300374ae974a485f413a2113503eed53cd6c53
10.1097/GME.0000000000001914
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Except where otherwise noted, this item's license is described as info:eu-repo/semantics/embargoedAccess