The Lived Experience of PLWHA and Partner’s Responses toward the Fulfillment of Sexual Needs

*I Gede Nyoman Ardi Supartha -  University of Indonesia, Indonesia
Agung Waluyo -  University of Indonesia, Indonesia
I Made Kariasa -  University of Indonesia, Indonesia
Received: 6 Jul 2017; Published: 28 Dec 2017.
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Abstract

Background: Every single person including people living with HIV/AIDS (PLWHA) have five basic needs; one of which is a physiological sexual need. Unfortunately, PLWHA face many difficulties in fulfilling their sexual needs due to the stigma and fear of infecting their partner.

Purpose: The purpose of this study was to explore the lived experience of PLWHA and partner’s responses toward the fulfillment of sexual needs.

Methods: This study was a qualitative descriptive phenomenological research, which collected data through in-depth interviews from fourteen PLWHA in Paramacitta Spirit Foundation, Denpasar. The participants were recruited through snowball sampling, informed and gave consent for their voluntary participation. The data were analyzed using Colaizzi’s phenomenological method.

Results: The study revealed five themes describing the sexual experiences of PLWHA, including: (1) the fulfillment of sexual need of PLWHA, (2) the roles of partner for PLWHA, (3) various perceived stimuli which could increase the sexual desire, (4) the perceived factors which could incapacitate the ability and quality of sexual desire, and (5) the efforts to increase sexual capability and quality.  

Conclusion: Sex was an important need for PLWHA to meet. Despite having a virus, after undergoing anti-retroviral (ARV) treatment, PLWHA felt healthier, and thus they could meet their sexual need like a normal person in general.

Note: This article has supplementary file(s).

Keywords
AIDS; PLWHA; sexual fulfillment; sexual need

Article Metrics:

  1. Adekanle, D. A., Olowookere, S. A., Adewole, A. D., Adeleke, N. A., & Ijadunola, M. Y. (2015). Sexual experiences of married HIV positive women in Osogbo, Southwest Nigeria: role of inappropriate status disclosure. BMC Women Health. 15:6.
  2. Basow, M. K., (2013). The role of sexual satisfaction in couple relationship satisfaction, individual stress and quality of life (Doctoral dissertation). The City University of New York.
  3. Bouhnik, A. D., Preau, M., Schiltz, M. A., Obadia, Y., & Spire, B. (2008). Sexual difficulties in people living with HIV in France. AIDS Behaviour. 12, 670-676.
  4. Chama, C., Morrupa, J., and Gashau, W. (2007). Sex and reproduction among HIV-infected people in Maiduguri, Nigeria. Journal of Obstetrics and Gynecology. 27(8): 812-815.
  5. Cohen, S. (2004). Social relationship and health. Am Psychol, 59(8):676-86.
  6. Collazos, J. (2007). Sexual dysfunction in the highly active antiretroviral therapy era. AIDS Rev, 9, 237-45.
  7. Collins, L. (2001). Cosmo Kama Sutra. Cosmopolitan. Retrieved from http://search.proquest.com/docview/199297843?accountid=17242.
  8. Coyle, K. K., Anderson, P. M., Franks, H. M., Glassman, J., Walker, J. D., & Charles, V. E. (2014). Romantic relationships: an important context for HIV/STI and pregnancy prevention programmes with young people. Sex Education, 14(5), 582–596.
  9. Craft, M. S., and Serovich, J. M. (2008). Sexual need fulfillment in the relationships of straight and bisexual men with HIV. AIDS Education and Prevention, 20(3), 2390248.
  10. Darbes, L. A., Chakravarty, D., Bougher, S. C., Neilands, T. B., & Hoff, C. (2011). Partner-provided social support influences choices of risk reduction strategies in gay male couples. AIDS Behaviour, 16:159-167.
  11. DeLaune, S. C., & Ladner, P. K. (2011). Fundamentals of Nursing: Standards & Practice Fourth Edition (4 th). Delmar Cengange Learning.
  12. Directorate General of Disease Control and Environmental Health, Republic of Indonesia. (2014). Situasi dan Analisis HIV/AIDS [Situation and Analysis of HIV/AIDS]. Retrieved on 6 November 2015 from http://www.depkes.go.id/resources/Infodatin%20AIDS.pdf
  13. Fane, M., Bensghir, R., Sbai, S., Chakib, A., Kadiri, N., Ayouch, A., … Himmich, H. (2011). Quality of sexual life for people living with HIV (PLWHA). Sexologies 20(3), 158-162.
  14. Gorman, S. (2014). Porn sex vs. real sex: exploring pornography’s impact on sexual behaviors, attitudes, and relationships (Doctoral dissertation). Department of Sociology, Georgia State University.
  15. Hummel, C. L. (2010). Impact of sexual frequency on sexual satisfaction, relationship satisfaction, and self-esteem (Master’s thesis). University of Victoria.
  16. International Council on Human Rights Policy. (2009). Sexuality and human rights. Geneva: Grand-Montfleury.
  17. Joint United Nations Programme on HIV/AIDS. (2015). AIDS by the number 2015. Retrieved from http://www.unaids.org/en/resources/documents/2015/AIDS_by_the_numbers_2015, on 20 December 2015.
  18. Jones, A. C. (2016). The role of sexual communication in committed relationships (Master’s Thesis). Utah State University.
  19. Kaplan, R. L. (2011). Living with HIV/AIDS in Lebanon: Women’s perceptions of meaning. ProQuest Dissertations and Theses, 203. Retrieved from http://search.proquest.com/docview/892777681?accountid=17242
  20. Lee, J. T., Lin, C. L., Wan, G. H., & Liang, C. C. (2010). Sexual positions and sexual satisfaction of pregnant women. Journal of Sec & Marital Therapy, (36), 408–420. https://doi.org/10.1080/0092623X.2010.510776
  21. Miller, A. M., Kismödi, E., Cottingham, J., & Gruskin, S. (2015). Sexual rights as human rights: A guide to authoritative sources and principles for applying human rights to sexuality and sexual health. Reproductive Health Matters, 23(46), 16–30. https://doi.org/10.1016/j.rhm.2015.11.007
  22. Muhanguzi, F. K. (2015). “Sex is sweet”: Women from low-income contexts in Uganda talk about sexual desire and pleasure. Reproductive Health Matters, 23(46), 62–70. https://doi.org/10.1016/j.rhm.2015.11.012
  23. National Institute of Mental Health. (2015). Stress and depression. Retrieved from https://www.nimh.nih.gov/stessanddepression on 10 May 2016.
  24. National Population and Family Planning Board. (2006). Materi Konseling: Buku saku bagi petugas lapangan program KB nasional [Counseling materials: a pocketbook for field officers of national family planning]. Jakarta: National Population and Family Planning Board.
  25. Paul, K., Turek, F. W., & Kryger, M. H. (2008). Sleep, stress and sex. Journal of Women’s Health, 1201–1208. https://doi.org/10.1089/jwh.2008.0841
  26. Qi-jian, S., Yi-Zhong, L., Fei-li, L., Jian, X., & Xin, D. (2014). Polyactin A increases CD4 T-cells counts in HIV-infected individuals with insufficient immunologic response to highly active antiretroviral therapy. International Journal of STD & AIDS 25(1), 24-28.
  27. Rowland, D. L., & Incrocci, L. (2008). Handbook of sexual and gender identity disorders. John Wiley & Sons, Inc.
  28. Santi, D., Brigante, G., Zona, S., Guaraldi, G., & Rochira, V. (2014). Male sexual dysfunction and HIV – a clinical perspective. Nat Rev Urol, 11(2), 99–109. https://doi.org/10.1038/nrurol.2013.314
  29. Shamloul, R. (2010). Natural Aphrodisiacs. Journal of Sexual Medicine, (7), 39–49. https://doi.org/10.1111/j.1743-6109.2009.01521.x
  30. Shapiro, K., & Ray, S. (2007). Sexual health for people living with HIV. Reproductive Health Matters; 12(29 Supplement):67-92.
  31. Sine, R. (2013). Sex drive: how do men and women compare? Retrieved from http://www.webmd.com/sex/features/sex-drive-how-do-men-women-compare on 2 December 2016.
  32. Struart, G.W., & Laraia, M. T. (2005). Principles and practice of psychiatric nursing (8th ed). Missouri: Mosby Inc.
  33. Træen, B. (2010). Sexual dissatisfaction among heterosexual Norwegians in couple relationships, Sexual and Relationship Therapy, 25(2), 132–147. https://doi.org/10.1080/14681991003622518
  34. Zhang, K., Xu, B., Liu, D., Wang, X., Zhu, J., Deng, C., … Jiang, H. (2014). Sildenafil improves erectile hardness in Chinese men with erectile dysfunction: a real-life study analyzed on age stratification. Urology, 83(4), 831–836. https://doi.org/10.1016/j.urology.2013.12.007