Sexual and Relationship Benefits of a Safer Conception Intervention Among Men with HIV Who Seek to Have Children with Serodifferent Partners in Uganda.
Sexual and Relationship Benefits of a Safer Conception Intervention Among Men with HIV Who Seek to Have Children with Serodifferent Partners in Uganda.
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DOI：
10.1007/s10461-021-03533-0
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发表时间：
2022-06
影响因子：
4.4
通讯作者：
Kaida, Angela
中科院分区：
文献类型：
--
作者：
Stanton, Amelia M.;Bwana, Mwebesa;Owembabazi, Moran;Atukunda, Esther;Musinguzi, Elijah;Ezegbe, Henrietta;Smith, Patricia;Psaros, Christina;Matthews, Lynn T.;Kaida, Angela
关键词：
乌干达的许多男性艾滋病毒感染者（MWH）都希望有孩子，但很少接受与艾滋病毒护理有关的生殖咨询。由于男性参与更安全的受孕计划，他们错过了从这些计划中获益的机会。本子分析的目的是探讨的关系和亲密的好处，整合更安全的概念咨询和策略到艾滋病毒护理，一个新兴的主题，从退出采访的男子谁参加了试点更安全的概念程序和他们的合作伙伴。与妇女卫生部进行了20次访谈，他们希望在明年与未感染艾滋病毒/状况不明的女性伴侣生孩子，并与女性伴侣进行了单独的访谈（n = 20）;在40次访谈中，28次是由一对夫妇的两名成员完成的。访谈探讨了参与健康家庭计划的经验，该计划为MWH提供了更安全的概念咨询和获得特定策略的机会。采用专题分析法对数据进行分析。与参与该方案相关的关系和亲密利益的三个主要次主题或“途径”出现了：（1）改善二元沟通;（2）在生殖背景下的共同决策和权力平等;（3）增加性和关系亲密，减少对艾滋病毒传播和关系解体的恐惧。这些数据表明，干预措施不仅帮助夫妇实现其生殖目标，而且还改善了关系动态，促进了亲密关系，加强了伙伴关系，减少了对分离的恐惧。与妇女卫生部及其合作伙伴直接讨论这些好处可能会增加对艾滋病毒预防战略的参与。
Many men with HIV (MWH) in Uganda desire children, yet seldom receive reproductive counseling related to HIV care. Because men are under engaged in safer conception programming, they miss opportunities to reap the benefits of these programs. The objective of this sub-analysis was to explore the relationship and intimacy benefits of integrating safer conception counseling and strategies into HIV care, an emergent theme from exit interviews with men who participated in a pilot safer conception program and their partners. Twenty interviews were conducted with MWH who desired a child in the next year with an HIV-uninfected/status unknown female partner, and separate interviews were conducted with female partners (n = 20); of the 40 interviews, 28 were completed by both members of a couple. Interviews explored experiences participating in The Healthy Families program, which offered MWH safer conception counseling and access to specific strategies. Data were analyzed using thematic analysis. Three major subthemes or “pathways” to the relationship and intimacy benefits associated with participation in the program emerged: (1) improved dyadic communication; (2) joint decision-making and power equity in the context of reproduction; and (3) increased sexual and relational intimacy, driven by reduced fear of HIV transmission and relationship dissolution. These data suggest that the intervention not only helped couples realize their reproductive goals; it also improved relationship dynamics and facilitated intimacy, strengthening partnerships and reducing fears of separation. Directly addressing these benefits with MWH and their partners may increase engagement with HIV prevention strategies for conception.
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影响因子：
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作者：
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通讯作者：
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影响因子：
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DOI：
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发表时间：
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影响因子：
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