{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T11:00:07Z","timestamp":1767351607774,"version":"3.48.0"},"reference-count":54,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T00:00:00Z","timestamp":1758499200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008220","name":"Canadian Foundation for AIDS Research","doi-asserted-by":"publisher","award":["32\u2010142"],"award-info":[{"award-number":["32\u2010142"]}],"id":[{"id":"10.13039\/100008220","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Sexual dysfunction (SD) is common among gay, bisexual and other men who have sex with men (GBM) with HIV, yet little is known about their views on SD care. We explored these views to inform patient\u2010centred SD care to improve care delivery and sexual health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured interviews were conducted in 2024 with 31 Montreal\u2010based GBM with HIV who experienced SD in the last 5\u2009years (reduced libido, erectile dysfunction, premature\/delayed ejaculation and\/or pain during sex), covering SD care experiences and preferences. Thematic analysis was applied to interview transcripts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants mostly reported reduced libido (83.9%) and erectile dysfunction (ED(80.6%), with over half (58.0%) experiencing multiple SDs concurrently. Themes regarding SD care experiences were (1) costs and benefits of ED medication, (2) limited benefits of testosterone replacement therapy, (3) mixed views on talk therapy (and a preference for group therapy), and (4) not seeking care due to questions of SD definition and normalcy. SD care preferences concerned both provider characteristics (identity, approach to patients and expertise) and care delivery (information provision, involvement and respect and access to diverse resources).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Irrespective of the approach to SD care sought (medication or talk therapy), participants experienced limited success. For some, doubts about the severity of their SD impeded help\u2010seeking. SD care preferences for the provider (e.g., expertise) and care provided (e.g., information, patient involvement) offer paths to more patient\u2010centred care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.70115","type":"journal-article","created":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T11:28:47Z","timestamp":1758540527000},"page":"74-85","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sexual dysfunction care needs of gay, bisexual, and other men who have sex with men living with\n                    <scp>HIV<\/scp>\n                    in Montreal, Canada"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1853-7730","authenticated-orcid":false,"given":"Francesco","family":"Avallone","sequence":"first","affiliation":[{"name":"Center for Outcomes Research and Evaluation The Research Institute of McGill University Health Centre  Montreal Quebec Canada"},{"name":"Department of Family Medicine, Faculty of Medicine and Health Sciences McGill University  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8364-7421","authenticated-orcid":false,"given":"Kim","family":"Engler","sequence":"additional","affiliation":[{"name":"Center for Outcomes Research and Evaluation The Research Institute of McGill University Health Centre  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0395-374X","authenticated-orcid":false,"given":"Ford","family":"Hickson","sequence":"additional","affiliation":[{"name":"Department of Public Health, Environments and Society, Faculty of Public Health and Policy London School of Hygiene and Tropical Medicine  London 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