Evidence map›Paper›PMID 31931733›Full record

ArticleBMC infectious diseases2020

A new grounded theory model of sexual adjustment to HIV: facilitators of sexual adjustment and recommendations for clinical practice.

Ben Huntingdon, Louise Sharpe, John de Wit, Martin Duracinsky, Ilona Juraskova

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Ben HuntingdonClinical Psychology Unit, School of Psychology, The University of Sydney, Brennan MacCallum Building (A18), NSW, Sydney, Australia. bhun1003@uni.sydney.edu.au.ORCID http://orcid.org/0000-0002-1226-9862
Louise SharpeClinical Psychology Unit, School of Psychology, The University of Sydney, Brennan MacCallum Building (A18), NSW, Sydney, Australia.
John de WitCentre for Social Research in Health, UNSW Sydney, Kensington, NSW, Australia.
Martin DuracinskySorbonne Paris Cité, EA 7334, Patient-Centered Outcomes Research, Université Paris-Diderot, Paris, France.
Ilona JuraskovaClinical Psychology Unit, School of Psychology, The University of Sydney, Brennan MacCallum Building (A18), NSW, Sydney, Australia.
The University of Sydney · AUDélégation Paris 7 · FRUtrecht University · NL

Funding

ANRS, France NA
6 · The paper itself

Abstract

backgroundLife expectancy of people living with HIV (PLWH) is increasing. Effective biomedical prevention methods (treatment as prevention and preexposure prophylaxis) are being widely implemented in high-income nations. Therefore, research into quality of life, including sexual adjustment, is of increasing importance to HIV care. Yet, sexual adjustment of PLWH has been neglected in past research. We propose a new model of sexual adjustment to HIV which explores the dynamic process, facilitators and barriers characterising sexual life of PLWH overtime.

methodThirty PLWH (19 male, 11 female) recruited from two HIV treatment centres as well as community groups, completed semi-structured interviews which were audio-recorded and transcribed verbatim for analysis using grounded theory.

resultsThe model of sexual adjustment to HIV is the first to establish how undue fears of transmission of HIV during sex and/or fear of rejection by sexual partners determine initial sexual behaviour after diagnosis and also sexual adjustment over time. Within the model, sexual adjustment to HIV is facilitated by factors which assist PLWH to overcome such fears, including: partner acceptance, peer, community and health professional support, and accurate knowledge of risk of transmission including of undetectable viral load and pre-exposure prophylaxis. Adjustment is inhibited when undue fears of transmission and of rejection persist long term, resulting in maladaptive behaviours to cope with such fears including avoidance of sex and problematic drug and alcohol use.

conclusionThis model offers clear directions for promoting sexual adjustment to HIV. Health professionals should: (a) assess and intervene for sexual quality of life (not just risk) among PLWH; (b) be aware that serosorting facilitates adjustment in the short to medium term, but may interfere with adjustment long-term, (c) promote opportunities for positive connection between PLWH, and (d) intervene directly with PLWH and HIV negative sexual partners to promote accurate risk of transmission knowledge, including how this applies to their own sexual practices, and whether they are experiencing undue fear of transmission over time.

Indexed as

Grounded TheoryAdultFemaleHealth PersonnelHIV InfectionsHIV SerosortingHumansMaleMiddle AgedModels, TheoreticalPatient Education as TopicPeer InfluencePre-Exposure ProphylaxisQuality of LifeSexual PartnersViral LoadAdjustment modelGrounded theoryHIVQualitative researchSexual behaviourSexual wellbeing

Identifiers

PMID31931733
PMCPMC6958581
OpenAlexW3013389532

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.