A little thing called love: condom use in high-risk primary heterosexual relationships.
A little thing called love: condom use in high-risk primary heterosexual relationships.
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DOI：
10.1363/4121809
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发表时间：
2009-12
影响因子：
5.8
通讯作者：
Weeks MR
中科院分区：
文献类型：
--
作者：
Corbett AM;Dickson-Gómez J;Hilario H;Weeks MR
研究表明，避孕套最不可能在初级关系中使用。如果我们要遏制艾滋病毒的传播，就必须更深入地了解妇女和男子在建立这些关系时所抱的期望，以及如何作出与使用避孕套和其他预防行为有关的决定。定性深入访谈进行了25个高风险的异性恋夫妇，包括艾滋病毒血清不一致的夫妇，在哈特福德，CT。定性数据进行编码和分析，在一个迭代的归纳和演绎的过程中，使用EQUAS. TI。参与者将不使用避孕套作为寻找和维持初级关系、建立信任和增加亲密关系的策略。许多人在这样做的同时认识到他们感染艾滋病毒/性传播感染的风险，这说明了爱的重要性和主要关系所满足的其他情感需求。第二，一些夫妇描述了实施协商安全或类似策略的方法，以尽量减少他们的艾滋病毒/性传播感染风险。这些策略的潜在有效性各不相同，包括分享性和/或药物使用史，披露先前的艾滋病毒检测结果，以及使用避孕套，直到确定这是一夫一妻制关系。调查结果表明，男性和女性可能会选择不使用避孕套，因为他们追求和试图保持一个主要的关系。艾滋病毒预防方法必须认识到爱的重要性以及主要关系所满足的需求，如果这些关系被最大风险人群认为是相关的。协商安全可能是异性恋者，特别是那些受艾滋病毒影响的关系中的异性恋者减少风险的重要工具。
Research shows that condoms are least likely to be used in primary relationships. A deeper understanding of the expectations women and men hold when entering into these relationships, as well as how decisions related to condom use and other prevention behaviors are made, is essential if we are to curb the spread of HIV. Qualitative in-depth interviews were conducted with 25 high-risk heterosexual couples, including HIV sero-discordant couples, in Hartford, CT. Qualitative data were coded and analyzed in an iterative inductive and deductive process using Atlas.ti. Participants employed non-use of condoms as a strategy to find and maintain a primary relationship, establish trust and increase intimacy. Many did so while recognizing their risk of HIV/STI illustrating the importance of love and the other emotional needs primary relationships satisfy. Second, several couples described practicing negotiated safety or similar strategies as a way to minimize their HIV/STI risk. These strategies varied in potential effectiveness and included sharing sexual and/or drug use history, disclosure of prior HIV test results, and using condoms until it was decided that this was a monogamous relationship, among others. Findings suggest that men and women may choose not to use condoms as they pursue and attempt to maintain a primary relationship. HIV prevention approaches must recognize the importance of love and the needs primary relationships satisfy if they are to be considered relevant by those at greatest risk. Negotiated safety may be an important risk reduction tool for heterosexuals, particularly those in HIV-affected relationships.
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影响因子：
1.4
作者：
Crawford, JM;Rodden, P;Van de Ven, P
通讯作者：
Van de Ven, P
影响因子：
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Adam, BD;Husbands, W;Maxwell, J
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影响因子：
2.1
作者：
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Meyerson, B
DOI：
10.1097/00126334-200501010-00015
发表时间：
2005-01-01
影响因子：
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作者：
Guzman, R;Colfax, GN;Buchbinder, S
通讯作者：
Buchbinder, S