Concerns about partner infidelity are a barrier to adoption of HIV-prevention strategies among young South African couples.
Concerns about partner infidelity are a barrier to adoption of HIV-prevention strategies among young South African couples.
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DOI：
10.1080/13691058.2014.905707
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
MacPhail C
中科院分区：
文献类型：
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作者：
Parker L;Pettifor A;Maman S;Sibeko J;MacPhail C
作为一项更大的研究的一部分，我们研究了基于夫妇的艾滋病预防干预的可行性和可接受性，我们对10对夫妇进行了形成性的深度访谈，以探讨诸如实践安全性行为的挑战、艾滋病预防策略、性别权力和暴力以及信任和不忠问题。在这项研究中，男性和女性都认为不忠在他们的社会环境中无处不在，因此无法在不怀疑自己的关系中不忠的情况下讨论艾滋病毒的风险和预防。这影响了夫妻公开和有效地讨论预防艾滋病毒战略的能力，因此可能导致艾滋病毒预防战略，如使用避孕套和艾滋病毒检测的采用有限。安全性行为讨论的争议性使夫妻双方在伴侣关系中感染艾滋病毒的风险更高。这项研究揭示了南非现有的关系规范如何影响夫妻之间预防艾滋病毒的沟通，并表明，为了使艾滋病毒预防方案取得成功，处理诸如不信任和不忠等冲突问题的新方法至关重要。
As part of a larger study to examine the feasibility and acceptability of a couples-based HIV-prevention intervention, we conducted formative in-depth interviews with 10 couples to explore topics such as challenges in practising safer sex, HIV-prevention strategies, gender power and violence, and issues of trust and infidelity. In this study, both men and women perceived infidelity as ubiquitous in their social context and were therefore unable to discuss HIV risk and prevention without suspicions of infidelity in their own relationship. This impacted couples’ ability openly and effectively to discuss strategies to prevent HIV and thus may have contributed to the limited uptake of HIV-prevention strategies, such as condom use and HIV testing. The contentious nature of safe-sex discussions placed both members of the couple at a higher risk for HIV acquisition within the partnership. This study sheds light on how existing relationship norms in South Africa influence HIV-prevention communication within couples and suggests that new ways of approaching conflictual issues such as mistrust and infidelity are vital in order for HIV-prevention programmes to succeed.