RISKY SEXUAL BEHAVIOR IN PEOPLE LIVING WITH HIV
https://doi.org/10.25016/2541-7487-2019-0-4-79-87
Abstract
Relevance. There is a continuing growth of infection with the human immunodeficiency virus (HIV) and the need for effective design of preventive measures.
Intention. To explore features of risky sexual behavior in people living with HIV with and without substance abuse and in healthy respondents.
Methodology. The study involved 136 individuals in the groups as follows: 1st (n = 50) – drug users with blood-borne HIV infection, 2nd (n = 50) – heterosexual HIV infection, 3rd (n = 36) – without HIV infection. A specially developed clinical map was used, as well as an original questionnaire recording the characteristics of risky behavior and the main characteristics of the life situation of the disease (“Infection risk and the disease situation”). Statistical data processing included the Fisher criterion (ϕ-criterion).
Results and Discussion. The characteristics of respondents’ sexual behavior related to gender, the presence/absence of HIV and the transmission route were revealed in the study. It has been established that HIV-infected and healthy respondents do not differ in the frequency of barrier protection methods (condoms) use. Various variants of risky sexual behavior were noted in all groups, in particular, unjustified rejection of condoms. The results are partially confirmed in the published data. In the Russian sample, non-use of condoms and the prevalence of “trust in a partner” were studied for the first time.
Conclusion. Important components of prevention programs include increasing sexual literacy and working with people who use psychostimulants and other drugs.
About the Authors
D. V. Antonova
St. Petersburg State University; The Humanitarian Action Foundation
Russian Federation
Senior laboratory assistant
Russian Federation
Senior laboratory assistant
V. V. Bocharov
St. Petersburg State University; St. Petersburg State Pediatric Medical University;
V.M. Bekhterev National research medical center for psychiatry and neurology
Russian Federation
Russian Federation
PhD Psychol. Sci. Associate Prof.
N. S. Chrustaleva
St. Petersburg State University
Russian Federation
Dr. Psychol. Sci. Prof.
Russian Federation
Dr. Psychol. Sci. Prof.
References
1. Agibalova T.V., Poplevchenkov K.N. Klinicheskie i lichnostnye osobennosti bol’nyh, upotrebljajushhih psihostimuljatory i drugie psihoaktivnye veshhestva [Clinical and personality characteristics of patients using psychostimulants and other psychoactive substances]. Zhurnal nevrologii i psihiatrii im. C.C. Korsakova [C.C. Korsakov’ Journal of Neurology and Psychiatry]. 2018. Vol. 118, N 1-2. Pp. 10–15. DOI 10.17116/jnevro20181181210-15. (In Russ.)
2. Grishina N.V. Situacionnyj podhod: issledovatel’skie zadachi i prakticheskie vozmozhnosti [Situational approach: research tasks and practical possibilities]. Vestnik Sankt-Peterburgskogo universiteta. Serija 16. Psihologija. Pedagogika [Bulletin of St. Petersburg University. Series 16. Psychology. Pedagogy]. 2016. N 1. Pp. 58–68. (In Russ.)
3. Emel’janova T.P., Drobysheva T.V., Ivanova D.V., Hashhenko N.N. Tipy social’nyh predstavlenij o VICh-inficirovanii i SPIDe [Types of social beliefs about HIV infection and AIDS]. Psihologicheskij zhurnal [Psychological Journal]. 2011. Vol. 32, N 4. Pp. 57–69. (In Russ.)
4. Skrjabin V.Ju., Romanov A.S., Horjaev D.S. [et al.]. «Himicheskij seks»: obzor literatury [«Chemical Sex»: A Literature Review]. Narkologija [Narcology]. 2018. Vol. 17, № 3. Pp. 88–92. DOI 10.25557/1682-8313.2018.03.88-92. (In Russ.)
5. Tursunov R.A. Vlijanie VICh-infekcii na kachestvo zhizni ljudej, zhivushhih s VICh/SPID [The impact of HIV infection on the quality of life of people living with HIV/AIDS]. Vestnik Avicenny [Bulletin of Avicenna]. 2013. N 1. Pp. 138–148. (In Russ.)
6. Shaboltas A.V. Psihologicheskie osnovy prevencii VICh-infekcii [The psychological basis of HIV prevention]. Sankt-pe- terburg. 2015. 694 p. (In Russ.)
7. Beyrer C., Wirtz A.L., O’Hara G. [et al.]. The expanding epidemic of HIV-1 in the Russian Federation. PLoS Med. 2017. Vol. 14, N 11. Pp. e1002462. DOI 10.1371/journal.pmed.1002462.
8. Hirshfield S., Schrimshaw E.W., Stall R.D. [et al.]. Drug use, sexual risk, and syndemic production among men who have sex with men who engage in-group sexual encounters. American J. of Public Health. 2015. Vol. 105, N 9. Pp. 1849–1858. DOI 10.2105/AJPH.2014.302346.
9. Pinho A. A., Barbosa R.M., Brignol S. [et al.]. Drivers of sexual inactivity among women living with HIV and AIDS: findings of the GENIH study in Sгo Paulo, Brazil. Archives of sexual behavior. 2018. Vol. 47, N 7. Pp. 1983–1993. DOI 10.1007/s10508- 017-1110-6.
10. Schonnesson L.N., Zeluf G., Garcia-Huidobro D. [et al.]. Sexual (dis)satisfaction and its contributors among people living with HIV infection in Sweden. Archives of sexual behavior. 2018. Vol. 47, N 7. Pp. 2007–2026. DOI 10.1007/s10508-017- 1106-2.
11. Shukla M., Agarwal M., Singh J.V. [et al.]. High-risk sexual behavior among people living with HIV/AIDS attending tertiary care hospitals in district of Northern India. Indian J. of sexually transmitted diseases. 2016. Vol. 37, N. 1. Pp. 46–51. DOI 10.4103/0253-7184.176212.
12. Wilson T.E., Jean-Louis G., Schwartz R. [et al.]. HIV infection and women’s sexual functioning. J. of acquired immune deficiency syndromes. 2010. Vol. 54, N 4. Pp. 360–367. DOI 10.1097/QAI.0b013e3181d01b14.
13. World Health Organization. HIV/AIDS surveillance in Europe 2018–2017 data. 2018. 122 p.
14. World Health Organization. World health statistics 2018: monitoring health for the SDGs, sustainable development goals. 2018. 86 р.
15. Zhang L. Chow E.P.F., Su S. [et al.]. A systematic review and meta-analysis of the prevalence, trends, and geographical distribution of HIV among Chinese female sex workers (2000–2011): implications for preventing sexually transmitted HIV. International J. of Infectious Diseases. 2015. N 39. Pp. 76–86. DOI 10.1016/j.ijid.2015.08.014.
Review
For citations:
Antonova D.V., Bocharov V.V., Chrustaleva N.S. RISKY SEXUAL BEHAVIOR IN PEOPLE LIVING WITH HIV. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2019;(4):79-87. (In Russ.) https://doi.org/10.25016/2541-7487-2019-0-4-79-87
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