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AIDS and Behavior
Published in: AIDS and Behavior 5/2015

01-05-2015 | Original Paper

Longitudinal Trends in Sexual Behaviors with Advancing Age and Menopause Among Women With and Without HIV-1 Infection

Authors: Tonya N. Taylor, Jeremy Weedon, Elizabeth T. Golub, Stephen E. Karpiak, Monica Gandhi, Mardge H. Cohen, Alexandra M. Levine, Howard L. Minkoff, Adebola A. Adedimeji, Lakshmi Goparaju, Susan Holman, Tracey E. Wilson

Published in: AIDS and Behavior | Issue 5/2015

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Abstract

We assessed changes in self-reported sexual activity (SA) over 13 years among HIV-infected and uninfected women. The impact of aging and menopause on SA and unprotected anal or vaginal intercourse (UAVI) was examined among women in the Women’s Interagency HIV Study (WIHS), stratifying by HIV status and detectable viral load among HIV-infected women. Generalized mixed linear models were fitted for each outcome, adjusted for relevant covariates. HIV-uninfected women evidenced higher levels of SA and UAVI than HIV-infected. The odds of SA declined by 62–64 % per decade of age. The odds of SA in a 6-month interval for women aged 40–57 declined by 18–22 % post-menopause (controlling for age). Among HIV+/detectable women only, the odds of any UAVI decreased by 17 % per decade of age; the odds of UAVI were unchanged pre-menopause, and then decreased by 28 % post-menopause. Elucidating the factors accounting for ongoing unprotected sex among older women should inform interventions.
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Metadata
Title
Longitudinal Trends in Sexual Behaviors with Advancing Age and Menopause Among Women With and Without HIV-1 Infection
Authors
Tonya N. Taylor
Jeremy Weedon
Elizabeth T. Golub
Stephen E. Karpiak
Monica Gandhi
Mardge H. Cohen
Alexandra M. Levine
Howard L. Minkoff
Adebola A. Adedimeji
Lakshmi Goparaju
Susan Holman
Tracey E. Wilson
Publication date
01-05-2015
Publisher
Springer US
Published in
AIDS and Behavior / Issue 5/2015
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-014-0901-1

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