Abstract：
OBJECTIVE: The HIV/AIDS epidemic has disproportionately affected men who have sex with men (MSM) since its onset. Despite important medical advancements in treatment, the enduring effects of living with HIV continue to adversely impact the health and well-being of this population. This cross-sectional nationwide study examined psychosocial and sexual health among MSM in Denmark, comparing those living with and without HIV.
METHODS: Data from MSM living with HIV were collected from the SHARE study, a Danish nationwide survey that investigated psychosocial, sexual and reproductive health among people with HIV, and compared with data from MSM without HIV, retrieved from the nationally representative cohort study, Project SEXUS. Associations between HIV status and psychosocial and sexual health outcomes were examined using logistic regression models while controlling for potentially confounding variables.
RESULTS: Among 369 MSM with HIV and 1002 MSM without HIV, logistic regression analyses revealed that living with HIV was significantly associated with having current symptoms of anxiety and depression and greater dissatisfaction with one\'s body. Additionally, MSM with HIV significantly more often than MSM without HIV reported low sexual desire, sexual inactivity, a lack of sexual needs in the last year and erectile dysfunction. Having received payment for sex was more frequently reported by MSM with HIV, as was sexualised drug use, including chemsex drugs.
CONCLUSIONS: Compared with MSM without HIV, MSM with HIV in Denmark report a higher burden of mental health and sex life challenges.
METHODS: Data from MSM living with HIV were collected from the SHARE study, a Danish nationwide survey that investigated psychosocial, sexual and reproductive health among people with HIV, and compared with data from MSM without HIV, retrieved from the nationally representative cohort study, Project SEXUS. Associations between HIV status and psychosocial and sexual health outcomes were examined using logistic regression models while controlling for potentially confounding variables.
RESULTS: Among 369 MSM with HIV and 1002 MSM without HIV, logistic regression analyses revealed that living with HIV was significantly associated with having current symptoms of anxiety and depression and greater dissatisfaction with one\'s body. Additionally, MSM with HIV significantly more often than MSM without HIV reported low sexual desire, sexual inactivity, a lack of sexual needs in the last year and erectile dysfunction. Having received payment for sex was more frequently reported by MSM with HIV, as was sexualised drug use, including chemsex drugs.
CONCLUSIONS: Compared with MSM without HIV, MSM with HIV in Denmark report a higher burden of mental health and sex life challenges.
摘要：
目的：自发病以来，艾滋病毒/艾滋病的流行对男男性行为者（MSM）的影响不成比例。尽管在治疗方面取得了重要的医学进步，艾滋病毒感染者的持久影响继续对这一人群的健康和福祉产生不利影响。这项全国性的横断面研究调查了丹麦MSM中的心理社会和性健康，比较那些有和没有艾滋病毒的人。
方法：从SHARE研究中收集来自MSMHIV感染者的数据，丹麦的一项全国性调查调查了社会心理，艾滋病毒感染者的性健康和生殖健康，并与没有艾滋病毒的MSM数据进行比较，从具有全国代表性的队列研究中检索，SEXUS项目。在控制潜在混杂变量的同时，使用逻辑回归模型检查了HIV状况与心理社会和性健康结果之间的关联。
结果：在369名感染HIV的MSM和1002名没有HIV的MSM中，logistic回归分析显示，HIV感染者与目前的焦虑和抑郁症状以及对身体的不满程度显著相关。此外,携带艾滋病毒的MSM明显多于没有艾滋病毒的MSM报告性欲低，性不活动，去年缺乏性需求和勃起功能障碍。MSM感染艾滋病毒的人更经常报告收到性付款，就像吸毒一样，包括化学药物.
结论：与无HIV的MSM相比，在丹麦，携带艾滋病毒的MSM报告了更高的心理健康负担和性生活挑战。
方法：从SHARE研究中收集来自MSMHIV感染者的数据，丹麦的一项全国性调查调查了社会心理，艾滋病毒感染者的性健康和生殖健康，并与没有艾滋病毒的MSM数据进行比较，从具有全国代表性的队列研究中检索，SEXUS项目。在控制潜在混杂变量的同时，使用逻辑回归模型检查了HIV状况与心理社会和性健康结果之间的关联。
结果：在369名感染HIV的MSM和1002名没有HIV的MSM中，logistic回归分析显示，HIV感染者与目前的焦虑和抑郁症状以及对身体的不满程度显著相关。此外,携带艾滋病毒的MSM明显多于没有艾滋病毒的MSM报告性欲低，性不活动，去年缺乏性需求和勃起功能障碍。MSM感染艾滋病毒的人更经常报告收到性付款，就像吸毒一样，包括化学药物.
结论：与无HIV的MSM相比，在丹麦，携带艾滋病毒的MSM报告了更高的心理健康负担和性生活挑战。
