What motivates serodiscordant couples to prevent HIV transmission within their relationships

Findings from a PrEP implementation study in Kenya

Dados Bibliográficos

ID15098521
AutoresRena C Patel (0000-0001-9893-5856, University of Washington, autor correspondente), Anna M Leddy (0000-0002-1508-4193, Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA), Josephine Odoyo (0000-0003-1749-8645, Kenya Medical Research Institute), Keerthana Anand (Center for Global Health Sciences, University of California, San Francisco, CA, USA), Gaelen Stanford-Moore (School of Medicine, University of California, San Francisco, CA, USA), Gaelen Stanford‐Moore (0000-0002-2247-8000, University of California, San Francisco), Imeldah Wakhungu (Kenya Medical Research Institute), Elizabeth A Bukusi (0000-0002-2031-2808, Kenya Medical Research Institute), Jared M Baeten (0000-0001-8242-8438, Departments of Epidemiology, Global Health, and Medicine, University of Washington, Seattle, WA, USA), Joelle Brown (0000-0002-6044-2906, University of California, San Francisco), Joelle M Brown (Departments of Epidemiology and Biostatistics and Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, CA, USA)
Ano2018
Volume20
Fascículo6
Páginas625-639
Data de publicação2018-06-03
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoCulture Health & Sexuality (JOURNAL)
Identificadores do periódicoISSN: 1369-1058 • E-ISSN: 1464-5351
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2017.1367421
PMID28903628
OpenAlexW2756422389
IdiomaEN
Citações recebidas8
Referências citadas32

With the planned scale-up of pre-exposure prophylaxis (PrEP) for HIV prevention among serodiscordant couples in resource-limited settings, gaining an understanding of what motivates serodiscordant couples to prevent HIV is critical. We conducted 44 semi-structured, in-depth individual or couple interviews with 63 participants (33 HIV-infected and 30 HIV-uninfected participants) enrolled in a prospective implementation study of oral antiretroviral-based prevention in Kisumu, Kenya. Transcripts were iteratively analysed using inductive content analysis. Findings point to the importance of maintaining the emotional and economic stability of the partnership and family as motivators in preventing HIV transmission. Female participants identified fear of blame or potential violence for transmitting HIV as a motivator. Furthermore, couples primarily held the HIV-infected individual responsible for HIV prevention, but also held women more accountable for the use of prevention methods such as condoms. These themes substantiate traditional gender norms but also reveal how dyadic interdependence challenges these norms. As programmes in resource-limited settings scale up PrEP access, they should simultaneously capitalise on HIV serodiscordant couples' motivations for HIV prevention and address gender norms so women do not find themselves unduly responsible for the prevention of HIV transmission

Antiretroviral therapy · Blame · Family medicine · General partnership · Human immunodeficiency virus (HIV · Men who have sex with men · Political science · Pre-exposure prophylaxis · Serodiscordant · Transmission (telecommunications · Treatment as prevention · Viral load · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology