Couple Efficacy and Communal Coping for HIV Prevention Among Kenyan Pregnant Couples.

Couple Efficacy and Communal Coping for HIV Prevention Among Kenyan Pregnant Couples.
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肯尼亚怀孕夫妇预防艾滋病的夫妻功效与共同应对。

DOI:
10.1007/s10461-021-03559-4
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发表时间:
2022-07
期刊:
影响因子:
4.4
通讯作者:
Turan, Janet M.
Turan, Janet M.
中科院分区:
医学2区
文献类型:
--
作者:
Musoke, Pamela;Darbes, Lynae;Hatcher, Abigail M.;Helova, Anna;Kwena, Zachary;Owino, George;Bukusi, Elizabeth A.;Turan, Janet M.

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在撒哈拉以南非洲地区,让夫妻双方都参与艾滋病预防工作可以改善母婴健康状况。我们利用 96 对夫妇的数据,探讨了感知到的关系动态对夫妇共同降低 HIV 风险的信心和能力的影响。感知到的关系质量改变了感知到的降低 HIV 威胁的信心和能力。在关系承诺方面,丈夫比妻子更有信心与配偶一起行动。在关系满意度和信任度方面,丈夫比妻子更有信心与配偶就降低 HIV 风险进行沟通。在感知到的关系质量和对共同应对的影响方面可能存在性别差异,需要进一步研究是否适用于在这种情况下制定干预措施。有效的以夫妻为导向的艾滋病预防干预措施应包含伴侣如何相互影响对方健康信念和行为的证据。
Involving both partners of a couple in HIV prevention can improve maternal and child health outcomes in sub-Saharan Africa. Using data from 96 couples, we explored the actor and partner effects of perceived relationship dynamics on a couple’s confidence and ability to reduce HIV risk together. Perceived relationship quality altered perceived confidence and ability to reduce HIV threat. One’s own ability to confidently act together with their spouse appeared to be stronger for husbands than wives with respect to relationship commitment. A partner’s confidence to communicate with their spouse about HIV risk reduction appeared to be stronger from husbands to wives for relationship satisfaction and trust. Gender differences in perceived relationship quality and effects on communal coping may exist and requires further study for applicability in intervention development in this setting. Efficacious couple-oriented interventions for HIV prevention should incorporate evidence on how partners mutually influence each other’s health beliefs and behaviors.
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