Sexual functioning among HIV-infected women

Publication Date


UMMS Affiliation

Graduate School of Nursing; Center for Infectious Disease and Vaccine Research

Document Type



*Adaptation, Psychological; Adult; Cross-Sectional Studies; Female; HIV Infections; Humans; Interviews as Topic; Massachusetts; Middle Aged; *Quality of Life; Questionnaires; Severity of Illness Index; *Sexual Behavior


Nursing | Public Health and Community Nursing


The influence of HIV on sexual activity and functioning presents a unique set of issues. HIV transmissibility, partner disclosure, potential vertical transmission and, for some HIV-infected women, problems associated with illicit drug use, may affect sexuality. Few studies have examined HIV-infected women's sexuality and none have studied the relationship between HIV symptoms, HIV illness stage, quality of life, meaning of illness and sexual functioning. This descriptive study examines sexual activity, sexual functioning and safer sex behavior among 101 HIV-seropositive women. Results indicate that (1) the majority of women continue to be sexually active after testing HIV positive, (2) sexual functioning does not change as a result of HIV disease progression, and (3) few women report that HIV itself caused worsening of their sexual functioning. Those women with better mental health, more positive meaning attributed to life with HIV infection, better quality of life, fewer HIV-related symptoms and who never used injection drugs had higher levels of sexual functioning. Greater focus on sexual functioning as an integral part of clinical assessment is needed. Patterns of sexual behavior among HIV-infected women require continued study as we search for more effective means to prevent secondary HIV transmission.

DOI of Published Version



AIDS Patient Care STDS. 2003 Feb;17(2):75-83. Link to article on publisher's site

Journal/Book/Conference Title

AIDS patient care and STDs

Related Resources

Link to article in PubMed

PubMed ID