Concerns about partner infidelity are a barrier to adoption of HIV-prevention strategies among young South African couples

Datos Bibliográficos

ID15098344
AutoresLisa Parker (0000-0001-8635-6953, Futures Group (United States), autor de correspondencia), Audrey Pettifor (0000-0002-3387-0817, University of North Carolina at Chapel Hill), Suzanne Maman (0000-0003-4048-1585, University of North Carolina at Chapel Hill), Jabu Sibeko (University of the Witwatersrand), Catherine Macphail (0000-0002-0614-0157, University of New England)
Año2014
Volumen16
Número7
Páginas792-805
Fecha de publicación2014-08-09
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaCulture Health & Sexuality (JOURNAL)
Identificadores de la revistaISSN: 1369-1058 • E-ISSN: 1464-5351
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2014.905707
PMID24816215
OpenAlexW2022696633
IdiomaEN
Citas recibidas18
Referencias citadas23

As part of a larger study to examine the feasibility and acceptability of a couples-based HIV-prevention intervention, we conducted formative in-depth interviews with 10 couples to explore topics such as challenges in practising safer sex, HIV-prevention strategies, gender power and violence, and issues of trust and infidelity. In this study, both men and women perceived infidelity as ubiquitous in their social context and were therefore unable to discuss HIV risk and prevention without suspicions of infidelity in their own relationship. This impacted couples' ability openly and effectively to discuss strategies to prevent HIV and thus may have contributed to the limited uptake of HIV-prevention strategies, such as condom use and HIV testing. The contentious nature of safe-sex discussions placed both members of the couple at a higher risk for HIV acquisition within the partnership. This study sheds light on how existing relationship norms in South Africa influence HIV-prevention communication within couples and suggests that new ways of approaching conflictual issues such as mistrust and infidelity are vital in order for HIV-prevention programmes to succeed

Computer security · Condom · Context (archaeology · Family medicine · Formative assessment · General partnership · Human immunodeficiency virus (HIV · Intervention (counseling · Political science · Psychiatry · SAFER · Safer sex · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology