Partners at risk: motivations, strategies, and challenges to HIV transmission risk reduction among HIV-infected men and women in Uganda

Autor:	Sylvia Nakayiwa, Cissy Kazibwe, David Katuntu, Rachel King, Richard Batamwita, Enoch Ezati, Julie Lifshay, Alex Coutinho, Olga Grinstead Reznick, Rebecca Bunnell
Rok vydání:	2009
Předmět:	Adult Male medicine.medical_specialty Health (social science) Sexual transmission Social Psychology Libido Sexual Behavior HIV Infections Developmental psychology law.invention Condoms Sex Factors Acquired immunodeficiency syndrome (AIDS) Condom law Medicine Humans Interpersonal Relations Uganda Risk factor Motivation business.industry Public health Behavior change Public Health Environmental and Occupational Health Social Support Middle Aged medicine.disease Sexual Partners Domestic violence Female Power Psychological business Attitude to Health Risk Reduction Behavior Demography
Zdroj:	AIDS care. 21(6)
ISSN:	1360-0451
Popis:	Prevention with positives (PWP) is a fundamental component of HIV prevention in industrialized countries. Despite the estimated 22.4 million HIV-infected adults in Africa (UNAIDS, 2006), culturally appropriate PWP guidelines have not been developed for this region. In order to inform these guidelines, we conducted 37 interviews (17 women, 20 men, no couples) from October 2003 to May 2004 with purposefully selected HIV-infected individuals in care in Uganda. Participants reported increased condom use and reduced intercourse frequency and numbers of partners after testing HIV-positive. Motivations for behavior change included concerns for personal health and the health of others, and decreased libido. Gender-power inequities (sometimes manifesting in forced sex), pain experienced by women while using condoms, decreased pleasure for men while using condoms, lack of social support, and desire for children appear to have resulted in increased risk for uninfected partners. Interventions addressing domestic violence, partner negotiation, use of lubricants and alternative sexual activities could increase condom use and/or decrease sexual activity and/or numbers of partners, thereby reducing HIV transmission risk.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5fed66466831fe4a9cf592f7d5a8eb05 https://pubmed.ncbi.nlm.nih.gov/19484616 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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