Two-way associations between relationship quality and uptake of couples health screening including HIV testing and counselling together

Quantitative analysis of a couples cohort in rural South Africa

Datos Bibliográficos

ID19440319
AutoresFatma Abdelkhalek (0000-0002-1912-9619, University of Southampton, autor de correspondencia), Phillip Joseph (0000-0001-9299-8629, Human Sciences Research Council, Sweetwaters, Pietermaritzburg, South Africa), Laurie F Derose (0000-0002-2608-8106, University of America), Laurie DeRose (Catholic University of America, Washington DC, USA), Emmanuel Olamijuwon (0000-0002-6109-8131, University of Southampton), Pumla Dladla (Human Sciences Research Council, Sweetwaters, Pietermaritzburg, South Africa), Thulani Ngubane (0000-0003-1030-0181, Human Sciences Research Council, Sweetwaters, Pietermaritzburg, South Africa), Victoria Hosegood (0000-0002-2244-2518, University of Southampton), Heidi Van Rooyen (0000-0002-6502-6098, Human Sciences Research Council, Sweetwaters, Pietermaritzburg, South Africa), Alastair Van Heerden (0000-0003-2530-6885, Human Sciences Research Council, Sweetwaters, Pietermaritzburg, South Africa), Nicky Mcgrath (0000-0002-1039-0159, University of Southampton), Nuala Mcgrath
Año2024
Volumen36
Númerosup1
Páginas187-200
Fecha de publicación2024-07-09
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaAIDS Care (JOURNAL)
Identificadores de la revistaISSN: 0954-0121 • E-ISSN: 1360-0451
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2024.2308741
PMID38381809
OpenAlexW4392017473
IdiomaEN
Citas recibidas1
Referencias citadas29

In the context of a couples cohort established to evaluate an optimised couples-focused behavioural intervention in rural South Africa, we examined: (1) Is couples’ relationship quality (RQ) associated with couples HIV testing and counselling (CHTC) uptake? (2) Does CHTC uptake or the intervention components uptake improve subsequent RQ? Enrolled couples, (n = 218), previously naïve to couples HIV testing, were invited to two group sessions and offered four couples counselling sessions (CS1-CS4), as part of the intervention and administered a questionnaire individually at baseline, four weeks, and four months, which included item-scales to measure RQ: satisfaction, intimacy, dyadic trust, conflict, and mutual constructive communication. Logistic models indicated that no baseline RQ measures were significantly associated with CHTC uptake. Linear regression models showed that CHTC uptake before four weeks assessment significantly improved couples’ satisfaction and trust at four weeks, and intimacy at four months. Attending at least one CS was associated with increased satisfaction, intimacy, and decreased conflict within couples at four weeks; the improvement in intimacy was sustained at four months. Consistent with the theoretical interdependence model, our findings suggest that CHTC and CS seemed to strengthen aspects of relationship quality, possibly leading to further collaboration in managing lifestyle changes and treatment adherence

Biology · Cohort · Family medicine · Logistic regression · Psychiatry · Adolescent Sexual and Reproductive Health · Attachment and Relationship Dynamics · Clinical Psychology · Demography · HIV/AIDS Research and Interventions · Medicine · Psychology · Internal Medicine