Ngure Kenneth, Mugo Nelly, Celum Connie, Baeten Jared M, Morris Martina, Olungah Owuor, Olenja Joyce, Tamooh Harrison, Shell-Duncan Bettina
Department of Obstetrics and Gynaecology, Kenyatta National Hospital, Nairobi, Kenya.
AIDS Care. 2012;24(4):509-16. doi: 10.1080/09540121.2011.613911. Epub 2011 Nov 15.
This study explored barriers to consistent condom use among heterosexual HIV-1 serodiscordant couples who were aware of the HIV-1 serodiscordant status and had been informed about condom use as a risk reduction strategy. We conducted 28 in-depth interviews and 9 focus group discussions among purposively selected heterosexual HIV-1 serodiscordant couples from Thika and Nairobi districts in Kenya. We analyzed the transcribed data with a grounded theory approach. The most common barriers to consistent condom use included male partners' reluctance to use condoms regardless of HIV-1 status coupled with female partners' inability to negotiate condom use, misconceptions about HIV-1 serodiscordance, and desire for children. Specific areas of focus should include development of skills for women to effectively negotiate condom use, ongoing information on HIV-1 serodiscordance and education on safer conception practices that minimize risk of HIV-1 transmission.
本研究探讨了已知一方感染HIV-1而另一方未感染的异性恋伴侣持续使用避孕套的障碍，这些伴侣了解自身HIV-1血清学不一致状态，并已被告知使用避孕套是一种降低风险的策略。我们对肯尼亚锡卡和内罗毕地区经过有目的挑选的异性恋HIV-1血清学不一致伴侣进行了28次深入访谈和9次焦点小组讨论。我们采用扎根理论方法分析了转录数据。持续使用避孕套最常见的障碍包括男性伴侣无论自身HIV-1感染状况如何都不愿使用避孕套，以及女性伴侣无法就使用避孕套进行协商、对HIV-1血清学不一致存在误解和想要孩子。具体关注领域应包括培养女性有效协商使用避孕套的技能、持续提供关于HIV-1血清学不一致的信息以及开展关于降低HIV-1传播风险的安全受孕做法的教育。
