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Negotiation of risk in sexual relationships and reproductive decision-making amongst HIV sero-different couples

Bibliographic Data

ID15098700
AuthorsCarmel Kelly (0000-0002-2952-6693, corresponding author), Maria Lohan (0000-0003-3525-1283), Fiona Alderdice (0000-0003-2404-5644), Dale Spence
Year2011
Volume13
Issue7
Pages815-827
Publication date2011-08-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2011.563865
PMID21452089
OpenAlexW1972680211
LanguageEN
Citations received14
References cited38

The paper focuses on the ways in which medical discourses of HIV transmission risk, personal bodily meanings and reproductive decision-making are re-negotiated within the context of sero-different relationships, in which one partner is known to be HIV-positive. Eighteen in-depth interviews were conducted with 10 individuals in Northern Ireland during 2008-2009. Drawing on an embodied sociological approach, the findings show that physical pleasure, love, commitment, a desire to conceive without medical interventions and a dislike of condoms within regular ongoing relationships, shaped individuals' sense of biological risk. In addition, the subjective logic that a partner had not previously become infected through unprotected sex prior to knowledge of HIV status and the added security of an undetectable viral load significantly impacted upon women's and, especially, men's decisions to have unprotected sex in order to conceive. The findings speak to the importance of reframing public health campaigns and clinical counselling discourses on HIV risk transmission to acknowledge how couples negotiate this risk, alongside pleasure and commitment within ongoing relationships

Cognitive reframing · Geography · Negotiation · Pleasure · Population · Psychiatry · Psychological intervention · Psychotherapist · Reproductive health · Sociology · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Psychology · Sex work and related issues · Social Psychology

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Unique citing works14
Citations per year0,93
Citation span2011 - 2025 (15)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 14

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