To tell or not to tell
Male partner engagement in a Phase 3 microbicide efficacy trial in South Africa
Bibliographic Data
| ID | 15098430 |
|---|---|
| Authors | Christine A Kelly (0000-0002-8710-7083, corresponding author), Barbara Friedland (0000-0002-5041-3634, Population Council), Barbara A Friedland, Neetha S Morar (South African Medical Research Council), Lauren L Katzen (Population Council), Gita Ramjee (South African Medical Research Council), Mathildah Mpata Mokgatle (0000-0001-5807-8212, University of Limpopo), Khatija Ahmed (0000-0003-0309-1641, Setshaba Research Centre) |
| Year | 2015 |
| Volume | 17 |
| Issue | 8 |
| Pages | 1004-1020 |
| Publication date | 2015-09-14 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Culture Health & Sexuality (JOURNAL) |
| Journal identifiers | ISSN: 1369-1058 • E-ISSN: 1464-5351 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/13691058.2015.1030451 |
| PMID | 25913101 |
| OpenAlex | W2101253966 |
| Language | EN |
| Citations received | 5 |
| References cited | 33 |
Gender norms that privilege men's sexual power and pleasure, and distrust of condom use in intimate relationships, leave women vulnerable to HIV and other sexually transmitted infections. Vaginal microbicides allow women to exert a degree of control over their sexual health, through responsibility for product insertion as well as the possibility of covert use. In practice, however, the uptake of new HIV-prevention products is heavily influenced by partnership dynamics. This paper presents a secondary analysis of data from two qualitative sub-studies conducted during a Phase 3 microbicide efficacy trial in South Africa. Using transcripts from in-depth interviews and focus group discussions with 278 female trial participants and 27 male partners, we investigated the extent to which women disclosed microbicide use to their partners, and the level and types of male engagement with microbicide use. Most women chose to communicate with their partners about the trial, but the timing and content of associated discussions differed according to their motivation for disclosure. Men provided their partners with both moral and practical support, but reported a desire for greater involvement in decision-making surrounding microbicide uptake and use. The findings inform recommendations for constructive male participation in future trials and, ultimately, introduction of a marketed product
Condom · Distrust · Environmental health · Family medicine · Focus group · General partnership · Human immunodeficiency virus (HIV · Microbicide · Microbicides for sexually transmitted diseases · Political science · Population · Psychotherapist · Qualitative research · Reproductive health · Sociology · Vaginal microbicide · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology
Influences of geo-spatial location on pre-exposure prophylaxis use in South Africa
The influence of social constructs of hegemonic masculinity and sexual behaviour on acceptability of vaginal microbicides in Zambia
Relationship Type and Use of the Vaginal Ring for HIV-1 Prevention in the MTN 020/Aspire Trial
Educating men about vaginal microbicides
Trust, Sexual Trust, and Sexual Health
Engaging Men in Prevention and Care for HIV/Aids in Africa
Towards an Understanding of Risk Behavior
Gender and sexuality
The role of men in women's acceptance of an intravaginal gel in a randomized clinical trial in Blantyre, Malawi
The role of partnership dynamics in determining the acceptability of condoms and microbicides
Covert Use of Topical Microbicides
Masculinities and condom use patterns among young rural South Africa men
A Framework for Examining the Sustained Acceptability of Microbicides
Disclosure of Microbicide Gel Use to Sexual Partners
The Importance of Male Partner Involvement for Women’s Acceptability and Adherence to Female-Initiated HIV Prevention Methods in Zimbabwe
Re-framing microbicide acceptability
Sharing the trousers
Sexual communication among married couples in the context of a microbicide clinical trial and acceptability study in Pune, India
The relational dynamics of hegemonic masculinity among South African men and women in the context of HIV
Sexual risk behaviour for women working in recreational venues in Mwanza, Tanzania
Masculinity and HIV disclosure among heterosexual South African men
The study has taught me to be supportive of her’
Men's attitudes to condoms and female controlled means of protection against HIV and STDs in south-western Uganda
Acceptability and adherence of a candidate microbicide gel among high-risk women in Africa and India
Acceptability of a Microbicide Among Women and Their Partners in a 4-Country Phase I Trial
HIV prevention
Degrees of disclosure
Masculinity as a barrier to men's use of HIV services in Zimbabwe
Microbicide acceptability research
Female control of sexuality
Hidden harms
Men's attitudes towards a potential vaginal microbicide in Zimbabwe, Mexico and the USA
| Unique citing works | 5 |
|---|---|
| Citations per year | 0,56 |
| Citation span | 2017 - 2020 (4) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 5 |