Sex after ART: sexual partnerships established by HIV-infected persons taking anti-retroviral therapy in Eastern Uganda

Sex after ART: sexual partnerships established by HIV-infected persons taking anti-retroviral therapy in Eastern Uganda
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DOI:
10.1080/13691050903003897
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发表时间:
2009-01-01
影响因子:
2.2
通讯作者:
Bunnell, Rebecca
Bunnell, Rebecca
中科院分区:
医学3区
文献类型:
--
作者:
Seeley, Janet;Russell, Steven;Bunnell, Rebecca

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本文探讨了社会背景,影响的形成和性质的人之间的性伙伴关系的抗逆转录病毒治疗(ART)。我们利用定性,纵向研究的70人(36名妇女和34名男子)谁一直在乌干达东部参加了三年多的家庭为基础的ART计划的结果。自开始抗逆转录病毒治疗以来,32名(18名男性和14名女性)参与者报告有了新的伴侣。五名参与者(4名男性和1名女性)与他们在开始抗逆转录病毒治疗之前的配偶重新建立了关系。总体而言,70名参与者中有37名在开始抗逆转录病毒治疗后有了性伴侣。陪伴,物质支持,社会和文化规范,以及对性和孩子的渴望,是新关系的驱动因素。ART为人们带来的继续生活的机会,使人们重新回到重视婚姻和生育的社会世界。必须认真对待艾滋病毒感染者和接受抗逆转录病毒治疗者的性权利,并促进更安全的性行为。
This paper explores the social contexts that influence the formation and nature of sexual partnerships among people on anti-retroviral therapy (ART). We draw on the findings of a qualitative, longitudinal study of 70 people (36 women and 34 men) who have been participating in a home-based ART programme for over three years in Eastern Uganda. Since initiating ART, 32 (18 men and 14 women) participants reported having had a new partner. Five participants (4 men and 1 woman) renewed relationships with spouses with whom they had been prior to starting ART. Overall, 37 of the 70 participants had had a sexual partner after starting ART. Companionship, material support, social and cultural norms, as well as a desire for sex and children, are drivers of new relationships. The opportunity that ART brings for people to get on with their lives brings with it a reinstatement into a social world that places a value on marriage and child-bearing. The sexual rights of those living with HIV and on ART need to be taken seriously and safer sex facilitated.