Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

A qualitative study of barriers to consistent condom use among HIV-1 serodiscordant couples in Kenya

Bibliographic Data

ID19440736
AuthorsKenneth Ngure (0000-0002-8062-0933, Kenyatta National Hospital, corresponding author), Nelly Mugo (0000-0002-2347-006X, University of Washington), Connie Celum (0000-0002-8813-3419, University of Washington), Jared M Baeten (0000-0001-8242-8438, University of Washington), M Morris (0000-0002-1191-3521, University of Washington), Owuor Olungah (University of Nairobi), Joyce Olenja (0000-0002-8401-5116, University of Nairobi), Harrison Tamooh (Kenyatta National Hospital), Bettina Shell‐duncan (0000-0001-5020-5029, University of Washington), Bettina Shell-Duncan
Year2012
Volume24
Issue4
Pages509-516
Publication date2012-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2011.613911
PMID22085306
PMCIDPMC3932299
OpenAlexW2081848887
LanguageEN
Citations received17
References cited21

This study explored barriers to consistent condom use among heterosexual HIV-1 serodiscordant couples who were aware of the HIV-1 serodiscordant status and had been informed about condom use as a risk reduction strategy. We conducted 28 in-depth interviews and 9 focus group discussions among purposively selected heterosexual HIV-1 serodiscordant couples from Thika and Nairobi districts in Kenya. We analyzed the transcribed data with a grounded theory approach. The most common barriers to consistent condom use included male partners' reluctance to use condoms regardless of HIV-1 status coupled with female partners' inability to negotiate condom use, misconceptions about HIV-1 serodiscordance, and desire for children. Specific areas of focus should include development of skills for women to effectively negotiate condom use, ongoing information on HIV-1 serodiscordance and education on safer conception practices that minimize risk of HIV-1 transmission

Condom · Family medicine · Focus group · Gynecology · Negotiation · Qualitative research · Serodiscordant · Sociology · Viral load · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Sex work and related issues

  • “We chose PrEP because I wanted to be sure that this child my wife was going to conceive was indeed mine.” Factors influencing the choice of safer conception methods and experiences with its use

    Open Access•Joelle Brown, Joelle M Brown et al.•BMC Public Health•2024

  • Why should I take drugs for your infection?”

    Open Access•John Idoko, Morenike O Folayan et al.•BMC Public Health•2015

  • Protection at First Sexual Intercourse Among Adolescent Girls and Young Women in Kenya

    Open Access•Edinah Casmir, Afkera Kesete Daniel et al.•Archives of Sexual Behavior•2021

  • Reproductive Justice

    Open Access•Desmond Klu, Kingsford Norshie et al.•Sexuality & Culture•2025

  • HIV status, fertility intentions, and contraception in the era of expanded access to antiretroviral therapy

    Open Access•Victor Agadjanian, Sarah R Hayford•Global Public Health•2016

  • Sexual Behavior and Perceived HIV Risk Among HIV-Negative Members of Serodiscordant Couples in East Africa

    Open Access•the Partners Demonstration Project Team, Valentine Wanga et al.•AIDS and Behavior•2020

  • Preferences for Daily or Intermittent Pre-exposure Prophylaxis Regimens and Ability to Anticipate Sex Among HIV Uninfected Members of Kenyan HIV Serodiscordant Couples

    Open Access•Sarah T Roberts, Renee Heffron et al.•AIDS and Behavior•2014

  • Sexual and Relationship Benefits of a Safer Conception Intervention Among Men with HIV Who Seek to Have Children with Serodifferent Partners in Uganda

    Open Access•Amelia M Stanton, Mwebesa Bwana et al.•AIDS and Behavior•2021

  • No Evidence of Sexual Risk Compensation Following PrEP Initiation Among Heterosexual HIV Serodiscordant Couples in Kenya and Uganda

    Open Access•Katrina F Ortblad, Randy M Stalter et al.•AIDS and Behavior•2019

  • HIV-serodifferent couples’ perspectives and practices regarding HIV prevention strategies

    Open Access•James M McMahon, Janie Simmons et al.•PLOS Global Public Health•2022

  • Preventing HIV and achieving pregnancy among HIV sero-different couples

    Open Access•Joelle Brown, Serah Gitome et al.•PLOS Global Public Health•2023

  • Gendered differences in the perceived risks and benefits of oral PrEP among HIV-serodiscordant couples in Kenya

    Jennifer J Carroll, Kenneth Ngure et al.•AIDS Care•2016

  • My intention was a child but I was very afraid

    Kenneth Ngure, Jared M Baeten et al.•AIDS Care•2014

  • Safer conception among HIV-1 serodiscordant couples in East Africa

    Kerry Hancuch, Jared M Baeten et al.•AIDS Care•2018

  • “I never thought that it would happen … ” Experiences of HIV seroconverters among HIV-discordant partnerships in a prospective HIV prevention study in Kenya

    Kenneth Ngure, Sophie Vusha et al.•AIDS Care•2016

  • “Now that PrEP is reducing the risk of transmission of HIV, why then do you still insist that we use condoms?” the condom quandary among PrEP users and health care providers in Kenya

    Elizabeth Irungu, Kenneth Ngure et al.•AIDS Care•2021

  • Falling short of universal access to reproductive health

    Tamil Kendall•Culture Health & Sexuality•2013

  • Effect of serotesting with counselling on condom use and seroconversion among HIV discordant couples in Africa.

    Open Access•Susan Allen, J Tice et al.•BMJ•1992

  • Viral Load and Heterosexual Transmission of Human Immunodeficiency Virus Type 1

    Thomas C Quinn, Maria J Wawer et al.•New England Journal of Medicine•2000

  • Randomized, Controlled Intervention Trial of Male Circumcision for Reduction of HIV Infection Risk

    Open Access•Bertran Auvert, Dirk Taljaard et al.•PLoS Medicine•2005

  • New heterosexually transmitted HIV infections in married or cohabiting couples in urban Zambia and Rwanda

    Open Access•Kristin Dunkle, Kristin L Dunkle et al.•The Lancet•2008

  • Alcohol Use and Sexual Risks for HIV/Aids in Sub-Saharan Africa

    Open Access•Seth C Kalichman, Leickness C Simbayi et al.•Prevention Science•2007

  • The Effectiveness of Condoms in Reducing Heterosexual Transmission of HIV

    Karen R Davis, C Weller et al.•Family Planning Perspectives•1999

  • Sample size in qualitative research

    Open Access•Margarete Sandelowski•Research in Nursing & Health•1995

  • Enhancing global control of alcohol to reduce unsafe sex and HIV in sub-Saharan Africa

    Open Access•Matthew Chersich, Matthew F Chersich et al.•Globalization and Health•2009

  • Living with discordance

    Rebecca Bunnell, R E Bunnell et al.•AIDS Care•2005

  • Changes in sexual risk taking with antiretroviral treatment

    Avina Sarna, Matthew Chersich et al.•Culture Health & Sexuality•2009

  • Aids

    Virginia Berridge, Peter Aggleton et al.•Contemporary Sociology A Journal…•1993

  • From sexual behavior to sexual encounters

    P Stanley Yoder•Reviews in Anthropology•2001

  • Codebook Development for Team-Based Qualitative Analysis

    Open Access•Kathleen M Macqueen, Eleanor Mclellan et al.•CAM Journal•1998

  • Negotiating Relevance

    Open Access•P Stanley Yoder•Medical Anthropology Quarterly•1997

Unique citing works17
Citations per year1,31
Citation span2013 - 2025 (13)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 17
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae