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Consultation « santé sexuelle et affective » : quelles attentes pour les personnes vivant avec le VIH ?

Par : Contributeur(s) : Type de matériel : TexteTexteLangue : français Détails de publication : 2019. Sujet(s) : Ressources en ligne : Abrégé : The insecure attachment style is characterized by either anxiety or avoiding behaviors. Literature showed that these two variables play a significant role on the development of post-traumatic stress disorder (PTSD). The aim of the present study was to examine the association between the presence of traumatic symptoms after a sexual violence and attachment style. The study sample consisted of 189 women who encountered at least one sexual coercion. An Internet-based data collection procedure on Survey-Monkey was used to measure the considered variables. Adult attachment styles and PTSD symptoms were measured by the Experiences in Close relationships (ECR) and the Post-Traumatic Checklist Scale (PCLS) questionnaire respectively. Multivariate linear regression was carried out to analyze the association between attachment quality and PCLS total score. Results confirmed the aggravating factor that attachment can become in the development of traumatic symptoms when women lived one or more sexual coercions. For such reasons, it is important to bring these women to develop a secure attachment by providing a secure basis in case of assessed insecurity. ObjectifsLes personnes vivant avec le VIH (PVVIH) sont particulièrement affectées dans leur vie sexuelle. La prise en charge médicale de leur sexualité se développe, mais aucune donnée n’est disponible. Évaluation de l’intérêt pour des consultations de santé sexuelle et affective au sein d’une unité ambulatoire de prise en charge des PVVIH. Patients et méthodesQuestionnaire anonyme proposé aux patients fréquentant le service. Cinq types de consultations évaluées : santé sexuelle et affective, modes de transmission et de prévention, infections sexuellement transmissibles, pratiques sexuelles, drogues récréatives. Analyse de cluster pour identifier des patients ayant des besoins similaires. RésultatsAu total, 138 questionnaires complétés. Le pourcentage des intéressés par au moins un type de consultation est de 64,5. Pas de différence en termes d’âge, de sexe ou d’orientation sexuelle entre les clusters. ConclusionCette étude met en évidence le besoin des patients concernant la prise en charge de leur santé sexuelle et affective. ObjectivesPeople living with HIV (PLWH) are particularly affected in their sexual life. Medical support of PLWH's sexuality is increasingly proposed however no data are available. We assessed the interest of PLWH for sexual and emotional health support within a French HIV outpatient care facility. Population and methodsAnonymous questionnaire proposed to PVWH attending our facility. Five types of consultations were investigated: overall sexual and emotional health; HIV transmission and prevention; sexually transmitted diseases; sexual practices; recreational drugs. Cluster analysis in order to identify groups of PLWH with similar expectations. ResultsA total of 138 questionnaires completed: 64.5% were interested by at least one type of consultation. No significant differences between clusters by gender, age, or sexual orientation. ConclusionThese results confirm patients’ demand for sexual and emotional health support in the frame of PLWH's health care. Patients declaring no interest for this type of consultation were no different from those interested.
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The insecure attachment style is characterized by either anxiety or avoiding behaviors. Literature showed that these two variables play a significant role on the development of post-traumatic stress disorder (PTSD). The aim of the present study was to examine the association between the presence of traumatic symptoms after a sexual violence and attachment style. The study sample consisted of 189 women who encountered at least one sexual coercion. An Internet-based data collection procedure on Survey-Monkey was used to measure the considered variables. Adult attachment styles and PTSD symptoms were measured by the Experiences in Close relationships (ECR) and the Post-Traumatic Checklist Scale (PCLS) questionnaire respectively. Multivariate linear regression was carried out to analyze the association between attachment quality and PCLS total score. Results confirmed the aggravating factor that attachment can become in the development of traumatic symptoms when women lived one or more sexual coercions. For such reasons, it is important to bring these women to develop a secure attachment by providing a secure basis in case of assessed insecurity. ObjectifsLes personnes vivant avec le VIH (PVVIH) sont particulièrement affectées dans leur vie sexuelle. La prise en charge médicale de leur sexualité se développe, mais aucune donnée n’est disponible. Évaluation de l’intérêt pour des consultations de santé sexuelle et affective au sein d’une unité ambulatoire de prise en charge des PVVIH. Patients et méthodesQuestionnaire anonyme proposé aux patients fréquentant le service. Cinq types de consultations évaluées : santé sexuelle et affective, modes de transmission et de prévention, infections sexuellement transmissibles, pratiques sexuelles, drogues récréatives. Analyse de cluster pour identifier des patients ayant des besoins similaires. RésultatsAu total, 138 questionnaires complétés. Le pourcentage des intéressés par au moins un type de consultation est de 64,5. Pas de différence en termes d’âge, de sexe ou d’orientation sexuelle entre les clusters. ConclusionCette étude met en évidence le besoin des patients concernant la prise en charge de leur santé sexuelle et affective. ObjectivesPeople living with HIV (PLWH) are particularly affected in their sexual life. Medical support of PLWH's sexuality is increasingly proposed however no data are available. We assessed the interest of PLWH for sexual and emotional health support within a French HIV outpatient care facility. Population and methodsAnonymous questionnaire proposed to PVWH attending our facility. Five types of consultations were investigated: overall sexual and emotional health; HIV transmission and prevention; sexually transmitted diseases; sexual practices; recreational drugs. Cluster analysis in order to identify groups of PLWH with similar expectations. ResultsA total of 138 questionnaires completed: 64.5% were interested by at least one type of consultation. No significant differences between clusters by gender, age, or sexual orientation. ConclusionThese results confirm patients’ demand for sexual and emotional health support in the frame of PLWH's health care. Patients declaring no interest for this type of consultation were no different from those interested.

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