Program in Global Health, Medicine, Infectious Diseases, UCLA, Los Angeles, USA.
Cult Health Sex. 2011 May;13(5):589-602. doi: 10.1080/13691058.2011.560965.
This paper examines the approaches heterosexual men and women in South Africa use to engage their partners in discussions of HIV and risk factors in their relationships. These strategies entail balancing the risks of infection while managing the challenges of maintaining a relationship. In a context in which there is a great deal of insecurity in relationships it is especially challenging to discuss HIV risks with partners. Our findings reveal that concerns about children or the desire to have children provided a legitimate basis for discussing HIV risk with partners. The focus of these discussions is on the future for their children. Research in South Africa should attend to men's and women's desires to have and to raise children. HIV prevention and treatment programmes can capitalise on concerns regarding children, and the future of the family, to engage men and women in discussing mutually acceptable strategies for preventing infection and ensuring safe conception.
本文探讨了南非异性恋男女在与伴侣讨论 HIV 和性关系中的风险因素时所采用的方法。这些策略需要在平衡感染风险的同时，应对维持关系的挑战。在一个关系中存在很大不安全感的情况下，与伴侣讨论 HIV 风险尤其具有挑战性。我们的研究结果表明，对孩子的关心或想要孩子的愿望为与伴侣讨论 HIV 风险提供了合理的依据。这些讨论的重点是孩子的未来。南非的研究应该关注男性和女性想要孩子并抚养孩子的愿望。艾滋病毒预防和治疗方案可以利用人们对孩子和家庭未来的关注，让男性和女性参与讨论可接受的共同预防感染和确保安全受孕的策略。
