@article{c74a03c9679449d3bec0bf6cb02c2000,
title = "Longitudinal Trends in Sexual Behaviors with Advancing Age and Menopause Among Women With and Without HIV-1 Infection",
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{\textquoteright}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.",
keywords = "Aging, Menopause, Sexual activity, Sexual risk behaviors, Women{\textquoteright}s Interagency HIV Study (WIHS)",
author = "Taylor, {Tonya N.} and Jeremy Weedon and Golub, {Elizabeth T.} and Karpiak, {Stephen E.} and Monica Gandhi and Cohen, {Mardge H.} and Levine, {Alexandra M.} and Minkoff, {Howard L.} and Adedimeji, {Adebola A.} and Lakshmi Goparaju and Susan Holman and Wilson, {Tracey E.}",
note = "Funding Information: This work was supported by the National Institute of Mental Health (1 KO1 MH095670, Taylor, PI). Data in this manuscript were collected by the Women{\textquoteright}s Interagency HIV Study (WIHS). The contents of this publication are solely the responsibility of the authors and do not represent the official views of the National Institutes of Health (NIH). WIHS (Principal Investigators): Bronx WIHS (Kathryn Anastos), U01-AI-035004; Brooklyn WIHS (Howard Minkoff and Deborah Gustafson), U01-AI-031834; Chicago WIHS (Mardge Cohen), U01-AI-034993; Metropolitan Washington WIHS (Mary Young), U01-AI-034994; Connie Wofsy Women{\textquoteright}s HIV Study, Northern California (Ruth Greenblatt, Bradley Aouizerat, and Phyllis Tien), U01-AI-034989; WIHS Data Management and Analysis Center (Stephen Gange and Elizabeth Golub), U01-AI-042590; Southern California WIHS (Alexandra Levine and Marek Nowicki), U01-HD-032632 (WIHS I – WIHS IV). The WIHS is funded primarily by the National Institute of Allergy and Infectious Diseases (NIAID), with additional co-funding from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), the National Cancer Institute (NCI), the National Institute on Drug Abuse (NIDA), and the National Institute on Mental Health (NIMH). Targeted supplemental funding for specific projects is also provided by the National Institute of Dental and Craniofacial Research (NIDCR), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the National Institute on Deafness and other Communication Disorders (NIDCD), and the NIH Office of Research on Women{\textquoteright}s Health. WIHS data collection is also supported by UL1-TR000004 (UCSF CTSA). The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the National Institutes of Health. Publisher Copyright: {\textcopyright} 2014, Springer Science+Business Media New York.",
year = "2015",
month = may,
day = "1",
doi = "10.1007/s10461-014-0901-1",
language = "English (US)",
volume = "19",
pages = "931--940",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "5",
}
