Exploring coping strategies and life choices made by HIV-discordant couples in long-term relationships: insights from South Africa, Tanzania and the Ukraine: full report
PUBLICATION YEAR: 2009
TITLE AUTHOR(S): L.Rispel, A.Cloete, C.Metcalf, K.Moody
KEYWORDS: HIV/AIDS, RELATIONSHIPS, RISK BEHAVIOUR, SEXUAL BEHAVIOUR, TANZANIA, UKRAINE
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 5667
HANDLE: 20.500.11910/5029
URI: http://hdl.handle.net/20.500.11910/5029
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Globally, HIV prevention and treatment programmes have tended to focus on individuals and HIV prevention programmes have focused mostly on HIV-negative individuals. In recent years, an increasing number of HIV prevention programmes have been established that target HIV-positive individuals to prevent them from becoming re-infected with additional HIV strains, and to prevent HIV transmission to their uninfected partners. Recent data suggest that a large proportion of new HIV infections in mature epidemics occur within discordant couples, making discordance a major contributor to the spread of HIV in sub-Saharan Africa. This document reports on the findings of an exploratory study on coping strategies and life choices of long-term sero-discordant couples in South Africa, Tanzania and the Ukraine. The study was conducted by the Global Network of People Living with HIV/AIDS (GNP+), in collaboration with the South African Human Sciences Research Council (HSRC) and the Centre for Health Policy at the University of the Witwatersrand (Johannesburg, South Africa). Research on discordance tends to have a biomedical focus, focusing on: epidemiology and factors associated with HIV discordance; factors associated with immunity (e.g. why some individuals with repeated exposure to HIV remain uninfected); and discordant couples as target populations for vaccine trials. There is still a paucity of research on psycho-social aspects and strategies to inform the development of specific risk reduction programmes for discordant couples.-
Related Research Outputs:
- Looking to the future: South African men and women negotiating HIV risk and relationship intimacy
- Reported physical and sexual abuse in childhood and adult HIV risk behaviour in three African countries: findings from Project Accept (HPTN-043)
- Emotion as opportunity: reflections on multiple concurrent partnerships among young men in South Africa
- Abstract: Determinants of the use of voluntary counselling and testing services among the sexually active adult population of South Africa
- Intimate partner violence as a factor associated with risky sexual behaviours and alcohol misuse among men
- Methamphetamine use and sexual risks for HIV infection in Cape Town, South Africa
- Disclosure of HIV status to sex partners and sexual risk behaviours amongh HIV-positive men and women, Cape Town, South Africa
- Alcohol use and sexual risks for HIV/AIDS in sub-Saharan Africa: systematic review of empirical findings
- Behaviourial risks and HIV sero-status household survey in the Klerksdorp district of South Africa: a baseline study
- Alcohol expectations and risky drinking among men and women at high-risk for HIV infection in Cape Town, South Africa
- Recent multiple sexual partners and HIV transmission risks among people living with HIV/AIDS in Botswana
- Rapid appraisal of substance abuse and HIV awareness messages in poster communication to disadvantaged youth in South Africa
- Youth voices about sex and AIDS: implications for life skills education through the 'Learning Together' project in KwaZulu-Natal, South Africa
- Disclosure decisions and HIV transmission risk behaviour of HIV positive men who have sex with men (MSM) in Cape Town, South Africa
- Development of HIV behavioural risk reduction intervention programmes for people living with HIV/AIDS in support groups
- Behavioural change interventions including positive prevention for reducing the risk of HIV infection in South Africa
- Brief HIV risk reduction intervention for sexually transmitted infection clinic patients who use alcohol in Cape Town
- Methamphetamine use and sexual risks for HIV infection in Cape Town, South Africa
- Methamphetamine use and sexual risks for HIV infection in Cape Town, South Africa
- Stigma and discrimination experiences of HIV-positive men who have sex with men in Cape Town, South Africa