Pathways That Affect Wives' HIV Risk Among Serodiscordant Couples in India
Dados Bibliográficos
| AUTOR(ES) | |
|---|---|
| AFILIAÇÃO(ÕES) | Emory University, Atlanta, Georgia, USA, Government Medical College, Surat, Gujarat, India, Kennesaw State University, Kennesaw, Georgia, USA |
| ANO | Não informado |
| TIPO | Artigo |
| DOI | 10.1177/1049732315626694 |
| ADICIONADO EM | 2025-08-18 |
Resumo
This study examined factors that mitigate or heighten HIV risk among HIV-negative wives in serodiscordant relationships in Gujarat, India. Grounded theory was used to analyze 46 interviews (23 couples) where husbands were HIV-positive and wives were HIV-negative. A conceptual framework emerged from analysis from which we identified five pathways and four key behaviors: (a) safer sex, (b) no sex, (c) coercive sex, and (d) unprotected sex. Most couples either practiced safe sex or abstained from sex. Factors such as wives' assertiveness, a wife's fear of acquiring HIV, mutual understanding, positive sex communication, and a husband's desire to protect wife influenced safe sex/sexual abstinence. Factors such as desire for children, a husband's alcohol use, and intimate partner violence influenced coercive and unprotected sex. Counseling topics on sex communication, verbal and non-verbal safer sex strategies, as well as addressing intimate partner violence and alcohol use may be important in preventing risk to HIV-negative wives.
Referências Citadas
(1987)