Sexual happiness and satisfaction with sexual security in men from Asunción and Central

Main Article Content

Carlos Miguel Rios-González
Guillermo Daniel Recalde-Recalde

Abstract

Introduction: sexual satisfaction and safety are key elements for male well-being, integrating physical and emotional aspects of intimacy. These concepts encompass the full enjoyment of sexual relationships, along with comfort and confidence in the protective practices used.
Objective: determine sexual happiness and satisfaction with sexual safety in men from Asunción and Central during 2023.
Methodology: a cross-sectional study was carried out in Asunción and Central during the months of September to November 2023. The study population consisted of eligible men who were over 18 years of age, who were assigned the sex male at birth, residents of the selected cities. The study variables were demographics, mental health (anxiety, depression and suicidal ideation).
Results: The study included 143 participants. Of these, 55.24 % (79) were between 18 and 29 years
old, 69.23 % (99) identified as gay, and 12.59 % (18) as bisexual. Men who have sex with men showed a higher probability of reporting satisfaction, with an age-adjusted odds ratio of 2.82 (95 %CI: 1.41-3.57, p=0.001) compared to heterosexuals. Having three or more stable partners and eleven or more non-stable partners was strongly associated with being MSM (p=0.003 and p=0.001, respectively).
Conclusion: men who have sex with men reported higher levels of sexual satisfaction, suggesting a positive experience in their intimate relationships. However, this group also showed a tendency to have a higher number of sexual partners, both stable and non-stable. These differences in sexual behaviors may indicate distinct social norms or personal preferences among the studied groups.

Article Details

How to Cite
1.
Rios-González CM, Recalde-Recalde GD. Sexual happiness and satisfaction with sexual security in men from Asunción and Central. Rev. Nac. (Itauguá) [Internet]. 2024 Oct. 4 [cited 2024 Oct. 31];16(3):043-56. Available from: http://revistadelnacional.com.py/index.php/inicio/article/view/196
Section
Artículo Original

References

In Danger: UNAIDS Global AIDS Update 2022. Geneva: Joint United Nations Programme on HIV/ AIDS; 2022. Disponible en: https://www.unaids.org/sites/default/files/media_asset/2022- global-aids-update-summary_en.pdf

Cáceres CF, Konda K, Segura ER, Lyerla R. Epidemiology of male same-sex behaviour and associated sexual health indicators in low- and middle-income countries: 2003-2007 estimates. Sex Transm Infect. 2008;84 Suppl 1(Suppl ̲1):i49-56. doi: 10.1136/sti.2008.030569.

Baral SD, Poteat T, Strömdahl S, Wirtz AL, Guadamuz TE, Beyrer C. Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. Lancet Infect Dis. 2013;13(3):214-22.

Plöderl M, Tremblay P. Mental health of sexual minorities: a systematic review. Int Rev Psychiatry. 2015;27(5):367-85.

Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003;129(5):674-97.

Hatzenbuehler ML. How does sexual minority stigma "get under the skin"?: a psychological mediation framework. Psychol Bull. 2009;135(5):707-30.

Beyrer C, Baral SD, van Griensven F, Goodreau SM, Chariyalertsak S, Wirtz AL, et al. Global epidemiology of HIV infection in men who have sex with men. Lancet. 2012;380(9839):367-77.

Mayer KH, Bekker LG, Stall R, Grulich AE, Colfax G, Lama JR. Comprehensive clinical care for men who have sex with men: an integrated approach. Lancet. 2012;380(9839):378-87.

Bourne A, Reid D, Hickson F, Torres-Rueda S, Weatherburn P. "Chemsex" and harm reduction need among gay men in South London. Int J Drug Policy. 2015;26(12):1171-6.

Tomkins A, George R, Kliner M. Prevalence of and factors associated with chemsex among men who have sex with men: a systematic review and meta-analysis. HIV Med. 2019;20(7):416-36.

Pakianathan M, Whittaker W, Lee MJ, Avery J, Green S, Nathan B, et al. Chemsex and new HIV diagnosis in gay, bisexual and other men who have sex with men attending sexual health clinics. HIV Med. 2018;19(7):485-90.

Grant RM, Lama JR, Anderson PL, McMahan V, Liu AY, Vargas L, et al. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Engl J Med. 2010;363(27):2587-99.

Gomez GB, Borquez A, Caceres CF, Segura ER, Grant RM, Garnett GP, et al. The potential impact of pre-exposure prophylaxis for HIV prevention among men who have sex with men and transwomen in Lima, Peru: a mathematical modelling study. PLoS Med. 2012;9(10):e1001323.

Ravasi G, Grinsztejn B, Baruch R, Guanira JV, Luque R, Cáceres CF, et al. Towards a fair consideration of PrEP as part of combination HIV prevention in Latin America. J Int AIDS Soc. 2016;19(7 Suppl 6):21113.

Starks TJ, Tuck AN, Millar BM, Parsons JT. The impact of sexual orientation identity and sexual behavior on sexual satisfaction: Results from a national probability sample. J Sex Res. 2019;56(9):1163-73.

Safren SA, Reisner SL, Herrick A, Mimiaga MJ, Stall RD. Mental health and HIV risk in men who have sex with men. J Acquir Immune Defic Syndr. 2010;55 Suppl 2:S74-7.

Khubchandani J, Brey R, Kotecki J, Kleinfelder, J, Anderson J. The psychometric properties of PHQ-4 depression and anxiety screening scale among college students. Archives of psychiatric nursing. 2016;30(4): 457-462.

Cáceres CF, Mendoza W. The national response to the HIV/AIDS epidemic in Peru: accomplishments and gaps--a review. J Acquir Immune Defic Syndr. 2009;51 Suppl 1:S60-6.

Ríos-González C. Prácticas sexuales en hombres que tienen sexo con otros hombres, en Asunción: reporte preliminar. Salud Pública Mex. 2024;66(3):335-6.

Ayala G, Makofane K, Santos GM, Beck J, Do TD, Hebert P, et al. HIV treatment cascades that leak: correlates of drop-off from the HIV care continuum among men who have sex with men worldwide. J AIDS Clin Res. 2014;5(8):331.