“I never thought that it would happen … ” Experiences of HIV seroconverters among HIV-discordant partnerships in a prospective HIV prevention study in Kenya
Bibliographic Data
| ID | 19441355 |
|---|---|
| Authors | Kenneth Ngure (0000-0002-8062-0933, Jomo Kenyatta University of Agriculture and Technology), Sophie Vusha (Partners for Health and Development in Africa), Nelly Mugo (0000-0002-2347-006X, University of Washington), Mira Emmanuel-Fabula (0000-0003-3117-767X, University of Washington), Mariah Ngutu (Partners for Health and Development in Africa), Connie Celum (0000-0002-8813-3419, University of Washington), Jared M Baeten (0000-0001-8242-8438, University of Washington), Renee Heffron (0000-0001-6039-0352, Partners for Health and Development in Africa, corresponding author) |
| Year | 2016 |
| Volume | 28 |
| Issue | 12 |
| Pages | 1586-1589 |
| Publication date | 2016-12-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2016.1191610 |
| PMID | 27264119 |
| OpenAlex | W2413608289 |
| Language | EN |
| Citations received | 3 |
| References cited | 9 |
In spite of access to behavioral and biomedical HIV prevention strategies, HIV transmission occurs. For HIV-serodiscordant couples, prevention programs can be tailored to address individual and couples' needs to preserve their relationship while minimizing HIV risk. Programs for serodiscordant couples may benefit from learning from experiences of couples who transmit HIV. We conducted 20 individual in-depth interviews with 10 initially HIV-serodiscordant couples who transmitted HIV during prospective follow-up at a peri-urban research site in Thika, Kenya. Data were analyzed inductively to identify situations that led to prevention failure and coping mechanisms. Inconsistent condom use driven by low HIV risk perception and alcohol use often preceded seroconversion while persistent blame frequently hindered couples' communication soon after seroconversion. In this emerging era of antiretroviral-based HIV prevention, couples' counseling can capitalize on opportunities to foster a supportive environment to discuss initiation and adherence to time-limited pre-exposure prophylaxis and lifelong antiretroviral therapy, in addition to strategies to reduce alcohol use, diffuse blame, and use condoms
Family medicine · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Sex work and related issues · Virology
Increasing partner HIV testing and linkage to care in TB settings
“Now that PrEP is reducing the risk of transmission of HIV, why then do you still insist that we use condoms?” the condom quandary among PrEP users and health care providers in Kenya
What motivates serodiscordant couples to prevent HIV transmission within their relationships
What's Love Got to Do With It? Explaining Adherence to Oral Antiretroviral Pre-Exposure Prophylaxis for HIV-Serodiscordant Couples
Antiretroviral Prophylaxis for HIV Prevention in Heterosexual Men and Women
The Institutionalization of Global Aids and the Creation of the Joint United Nations Programme on HIV/Aids (Unaids)
A qualitative study of barriers to consistent condom use among HIV-1 serodiscordant couples in Kenya
Living with discordance
It [HIV] is part of the relationship’
Teen Sexual Behavior
| Unique citing works | 3 |
|---|---|
| Citations per year | 0.38 |
| Citation span | 2018 - 2021 (4) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 3 |