暴露前預防性投藥對愛滋病血清相異伴侶間性滿意度及關係滿意度之影響

Correlations Among HIV Pre-Exposure Prophylaxis to Satisfactions of Sexuality and Relationship in HIV/AIDS Serodiscordant Couples

黃蒂(Dy Huang) ； 黃詠瑞(YungJui Huang)

《性學研究》 12卷2期 (2022/01) Pp. 55-74

https://doi.org/10.6206/SIS.202201_12(2).0004

摘要

目前在國際指引中，利用保險套、暴露前預防性投藥、暴露後預防性投藥及感染者病毒量測不到等於不具傳染力等多元方式，預防性行為時感染愛滋病，其中暴露前預防性投藥是目前許多國家大力推廣的一塊。本研究旨在探討愛滋病感染者及其血清相異伴侶間的性滿意度及關係滿意度，是否因使用暴露前預防性投藥而有所影響。本研究有效樣本為70人；結果顯示：（1）有服用暴露前預防性投藥時使用保險套的頻率會低於未服用暴露前預防性投藥。（2）暴露前預防性投藥與性滿意度無影響。（3）暴露前預防性投藥與關係滿意度無影響。結論：服用暴露前預防性投藥並不會影響性滿意度及關係滿意度，然而在性行為時預防感染的措施上看來，服用暴露前預防性投藥影響了保險套的使用頻率，建議醫療人相關人員在提供暴露前預防性投藥時，加強其他性傳染病的衛生教育。

關鍵字

愛滋病 ； 暴露前預防性投藥 ； 感染相異伴侶 ； 性滿意度 ； 關係滿意度

並列摘要

Nowadays, we implement various interventions, such as condom use, pre-exposure prophylaxis (PrEP), post-exposure prophylaxis, and an undetectable viral load equals to untransmittable to prevent human immunodeficiency virus (HIV) infection during sexual intercourse. Furthermore, PrEP is a preventive tool that various countries implement to prevent HIV infection. Our study aimed to describe and analyze the changes in sex satisfaction between HIV infections and their serodiscordant couples before and after PrEP intervention. Of the 70 participants we analyzed, the frequency of condom use of the experimental group was significantly lower than that of the control group despite fixed or non-fixed partners. Meanwhile, the sex satisfactions were not influenced despite PrEP use. However, the sex and relationship satisfaction showed no significant change between pre- and post-tests in both experimental and control groups. Conclusion: PrEP might not influence sex and relationship satisfaction, but it might lower the frequency of condom use. Therefore, we suggest that when medical faculties provide PrEP counseling and prescribe PrEP, other sexually transmitted disease prevention strategies should be well-informed.

並列關鍵字

HIV/AIDS ； Pre-Exposure Prophylaxis (PrEP) ； Serodiscordant Couples ； Sexual Satisfactions ； Relationship Satisfactions

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