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From first love to marriage and maturity

A life-course perspective on HIV risk among young Swazi adults

Bibliographic Data

ID15099461
AuthorsAllison Ruark (0000-0002-5131-1568, Johns Hopkins University, corresponding author), Caitlin E Kennedy (0000-0001-6820-063X, Johns Hopkins University), Nonhlanhla Mazibuko (Swaziland National Trust Commission), Lunga Dlamini (Clinton Health Access Initiative), Amy Nunn (0000-0002-1362-2170, Brown University), Edward C Green (George Washington University), Pamela J Surkan (0000-0002-0334-5931, Johns Hopkins University)
Year2016
Volume18
Issue7
Pages812-825
Publication date2016-07-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2015.1134811
PMID26901064
OpenAlexW2281742066
LanguageEN
Citations received6
References cited41

This paper uses a life-course approach to explore the sexual partnerships and HIV-related risk of men and women in Swaziland throughout their adolescence, 20s and 30s. Twenty-eight Swazi men and women between the ages of 20 and 39 discussed their life histories in 117 in-depth interviews, with an average follow-up of nine months. Many participants described painful childhood experiences, including a lack of positive role models for couple relationships. Women's first sexual partnerships often involved coercion or force and resulted in pregnancy and abandonment by partners, leaving women economically vulnerable. Most men and women reported a desire to marry and associated marriage with respectability and monogamy. Men typically did not feel ready to marry until their 30s, while women often married only after years in tumultuous relationships. A high degree of relationship instability and change was observed over the study period, with half of participants reporting concurrency within their primary relationship. Participants' narratives revealed significant sources and circumstances of risk, particularly multiple and concurrent sexual partnerships, violence and lack of mutual trust within relationships, as well as social ideals that may provide opportunities for effective HIV prevention

Developmental psychology · Family medicine · Human sexuality · Life course approach · Political science · Sexual relationship · Sociology · Adolescent Sexual and Reproductive Health · Demography · Gender Studies · HIV/AIDS Research and Interventions · Medicine · Poverty, Education, and Child Welfare · Psychology

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Unique citing works6
Citations per year0,67
Citation span2017 - 2021 (5)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 6
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