肯尼亚HIV-1血清学不一致夫妇持续使用避孕套的障碍的定性研究。
A qualitative study of barriers to consistent condom use among HIV-1 serodiscordant couples in Kenya.
作者信息
Ngure Kenneth, Mugo Nelly, Celum Connie, Baeten Jared M, Morris Martina, Olungah Owuor, Olenja Joyce, Tamooh Harrison, Shell-Duncan Bettina
机构信息
Department of Obstetrics and Gynaecology, Kenyatta National Hospital, Nairobi, Kenya.
出版信息
AIDS Care. 2012;24(4):509-16. doi: 10.1080/09540121.2011.613911. Epub 2011 Nov 15.
Abstract
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.
摘要
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。
相似文献
1
A qualitative study of barriers to consistent condom use among HIV-1 serodiscordant couples in Kenya.肯尼亚HIV-1血清学不一致夫妇持续使用避孕套的障碍的定性研究。
AIDS Care. 2012;24(4):509-16. doi: 10.1080/09540121.2011.613911. Epub 2011 Nov 15.
2
Perceptions of pregnancy occurring among HIV-serodiscordant couples in Kenya.肯尼亚 HIV 血清不一致夫妇对怀孕的看法。
Reprod Health. 2019 Jun 18;16(1):85. doi: 10.1186/s12978-019-0751-4.
3
I Knew I Would Be Safer. Experiences of Kenyan HIV Serodiscordant Couples Soon After Pre-Exposure Prophylaxis (PrEP) Initiation.我知道我会更安全。肯尼亚HIV血清学不一致伴侣在开始暴露前预防（PrEP）后不久的经历。
AIDS Patient Care STDS. 2016 Feb;30(2):78-83. doi: 10.1089/apc.2015.0259.
4
Maintenance of safe sex behavior by HIV-serodiscordant heterosexual couples.HIV血清学不一致的异性恋伴侣维持安全性行为。
AIDS Educ Prev. 1998 Dec;10(6):493-505.
5
Consistent condom use among highly effective contraceptive users in an HIV-endemic area in rural Kenya.肯尼亚农村一个艾滋病毒流行地区高效避孕方法使用者中坚持使用避孕套。
PLoS One. 2019 May 6;14(5):e0216208. doi: 10.1371/journal.pone.0216208. eCollection 2019.
6
Gendered differences in the perceived risks and benefits of oral PrEP among HIV-serodiscordant couples in Kenya.肯尼亚艾滋病毒血清学不一致的伴侣对口服暴露前预防（PrEP）的感知风险和益处的性别差异。
AIDS Care. 2016 Aug;28(8):1000-6. doi: 10.1080/09540121.2015.1131972. Epub 2016 Jan 11.
7
Psychological distress, drug and alcohol use as correlates of condom use in HIV-serodiscordant heterosexual couples.心理困扰、药物和酒精使用与血清学不一致的异性恋伴侣中避孕套使用的相关性。
AIDS. 1993 Nov;7(11):1493-9. doi: 10.1097/00002030-199311000-00014.
8
Lost opportunities to reduce periconception HIV transmission: safer conception counseling by South African providers addresses perinatal but not sexual HIV transmission.错失减少围孕期 HIV 传播的机会：南非医务人员提供的更安全受孕咨询仅针对围产期 HIV 传播，而不针对性 HIV 传播。
J Acquir Immune Defic Syndr. 2014 Dec 1;67 Suppl 4(Suppl 4):S210-7. doi: 10.1097/QAI.0000000000000374.
9
Experiences Using Pre-Exposure Prophylaxis for Safer Conception Among HIV Serodiscordant Heterosexual Couples in the United States.美国HIV血清学不一致异性恋伴侣使用暴露前预防以实现更安全受孕的经验
AIDS Patient Care STDS. 2017 Aug;31(8):348-355. doi: 10.1089/apc.2017.0098. Epub 2017 Jul 18.
10
Sensation seeking and HIV serodiscordant couples.寻求刺激与艾滋病毒血清学不一致的伴侣。
J Assoc Nurses AIDS Care. 2005 Nov-Dec;16(6):3-11. doi: 10.1016/j.jana.2005.09.001.
引用本文的文献
1
"We chose PrEP because I wanted to be sure that this child my wife was going to conceive was indeed mine." Factors influencing the choice of safer conception methods and experiences with its use: a qualitative study among HIV sero-discordant couples in Zimbabwe.“我们选择 PrEP，是因为我想确保我妻子将要怀上的这个孩子确实是我的。”影响更安全的受孕方法选择的因素和使用经验：津巴布韦 HIV 血清不一致夫妇中的定性研究。
BMC Public Health. 2024 Jul 19;24(1):1936. doi: 10.1186/s12889-024-19155-9.
2
"". A qualitative study on safer conception decision-making among HIV sero-different couples in Zimbabwe.“”。津巴布韦 HIV 血清学不同的夫妇中更安全受孕决策的定性研究。
Sex Reprod Health Matters. 2024 Dec;32(1):2366587. doi: 10.1080/26410397.2024.2366587. Epub 2024 Jul 15.
3
Preventing HIV and achieving pregnancy among HIV sero-different couples: Pilot study of a safer conception intervention in Zimbabwe.预防艾滋病毒并帮助艾滋病毒血清学不同的夫妇实现怀孕：津巴布韦一项更安全受孕干预措施的试点研究。
PLOS Glob Public Health. 2023 Feb 24;3(2):e0000796. doi: 10.1371/journal.pgph.0000796. eCollection 2023.
4
HIV-serodifferent couples' perspectives and practices regarding HIV prevention strategies: A mixed methods study.艾滋病毒血清学不同的伴侣对艾滋病毒预防策略的看法和做法：一项混合方法研究。
PLOS Glob Public Health. 2022 Aug 17;2(8):e0000620. doi: 10.1371/journal.pgph.0000620. eCollection 2022.
5
Coping Mechanisms of Previously Diagnosed and New HIV-Discordant, Heterosexual Couples Enrolled in a Pilot HIV Self-Testing Intervention Trial in Central Uganda.乌干达中部参与一项艾滋病自我检测干预试验试点的既往确诊及新确诊的艾滋病毒检测结果不一致的异性恋伴侣的应对机制
Front Reprod Health. 2021 Aug 24;3:700850. doi: 10.3389/frph.2021.700850. eCollection 2021.
6
Lived Experience and Risk Reduction Behaviors Among Sero-Negative Discordant Male Partners Living with HIV-Positive Women in Addis Ababa, Ethiopia, 2019: A Qualitative Phenomenological Study.2019年埃塞俄比亚亚的斯亚贝巴与HIV阳性女性共同生活的血清学阴性不一致男性伴侣的生活经历和风险降低行为：一项质性现象学研究
HIV AIDS (Auckl). 2022 Mar 19;14:119-128. doi: 10.2147/HIV.S353286. eCollection 2022.
7
Sexual and Relationship Benefits of a Safer Conception Intervention Among Men with HIV Who Seek to Have Children with Serodifferent Partners in Uganda.在乌干达，寻求与血清学异性伴侣生育子女的 HIV 男性中，一项更安全受孕干预措施的性和关系获益。
AIDS Behav. 2022 Jun;26(6):1841-1852. doi: 10.1007/s10461-021-03533-0. Epub 2021 Nov 19.
8
Prevalence of Consistent Condom Use and Associated Factors among Serodiscordant Couples in Ethiopia, 2020: A Mixed-Method Study.2020 年埃塞俄比亚血清学不一致夫妇中坚持使用避孕套的流行情况及相关因素：一项混合方法研究。
Biomed Res Int. 2021 Sep 30;2021:9923012. doi: 10.1155/2021/9923012. eCollection 2021.
9
Prevalence and factors associated with fertility desire among people living with HIV: A systematic review and meta-analysis.HIV 感染者的生育愿望及其相关因素的流行情况：系统评价和荟萃分析。
PLoS One. 2021 Mar 18;16(3):e0248872. doi: 10.1371/journal.pone.0248872. eCollection 2021.
10
Assessment of Magnitude of Consistent Condom Use and Associated Factors Among Police Force at Riot Control, Addis Ababa, Ethiopia: A Cross-Sectional Study.埃塞俄比亚亚的斯亚贝巴防暴警察中持续使用避孕套的程度及相关因素评估：一项横断面研究
HIV AIDS (Auckl). 2020 Jul 14;12:243-252. doi: 10.2147/HIV.S254176. eCollection 2020.
本文引用的文献
1
HIV status in discordant couples in sub-Saharan Africa: a systematic review and meta-analysis.撒哈拉以南非洲地区不一致配偶中的 HIV 状况：系统评价和荟萃分析。
Lancet Infect Dis. 2010 Nov;10(11):770-7. doi: 10.1016/S1473-3099(10)70189-4.
2
Correlates of incorrect condom use among depressed young women: an event-level analysis.抑郁年轻女性中不规范使用避孕套的相关因素：一项事件层面分析
J Pediatr Adolesc Gynecol. 2011 Feb;24(1):10-4. doi: 10.1016/j.jpag.2010.04.002. Epub 2010 May 21.
3
Prevalence and contexts of inconsistent condom use among heterosexual men and women living with HIV in India: implications for prevention.印度 HIV 感染者中异性恋男性和女性不坚持使用安全套的流行情况和背景：对预防的启示。
AIDS Patient Care STDS. 2010 Jan;24(1):49-58. doi: 10.1089/apc.2009.0214.
4
Enhancing global control of alcohol to reduce unsafe sex and HIV in sub-Saharan Africa.加强全球对酒精的控制，以减少撒哈拉以南非洲地区不安全的性行为和艾滋病毒。
Global Health. 2009 Nov 17;5:16. doi: 10.1186/1744-8603-5-16.
5
Changes in sexual risk taking with antiretroviral treatment: influence of context and gender norms in Mombasa, Kenya.抗逆转录病毒治疗中与性行为相关的风险变化：肯尼亚蒙巴萨的背景和性别规范的影响。
Cult Health Sex. 2009 Nov;11(8):783-97. doi: 10.1080/13691050903033423.
6
Characteristics of HIV-1 discordant couples enrolled in a trial of HSV-2 suppression to reduce HIV-1 transmission: the partners study.参与单纯疱疹病毒2型抑制以减少HIV-1传播试验的HIV-1不一致伴侣的特征：伴侣研究
PLoS One. 2009;4(4):e5272. doi: 10.1371/journal.pone.0005272. Epub 2009 Apr 30.
7
New heterosexually transmitted HIV infections in married or cohabiting couples in urban Zambia and Rwanda: an analysis of survey and clinical data.赞比亚和卢旺达城市地区已婚或同居伴侣中新发异性传播艾滋病毒感染情况：调查与临床数据分析
Lancet. 2008 Jun 28;371(9631):2183-91. doi: 10.1016/S0140-6736(08)60953-8.
8
Barriers to condom use.使用避孕套的障碍。
Eur J Contracept Reprod Health Care. 2008 Jun;13(2):114-22. doi: 10.1080/13625180802011302.
9
HIV transmission risk behavior among HIV-infected adults in Uganda: results of a nationally representative survey.乌干达HIV感染成年人中的HIV传播风险行为：一项全国代表性调查的结果
AIDS. 2008 Mar 12;22(5):617-24. doi: 10.1097/QAD.0b013e3282f56b53.
10
Regional differences in prevalence of HIV-1 discordance in Africa and enrollment of HIV-1 discordant couples into an HIV-1 prevention trial.非洲地区HIV-1不一致性的流行差异以及HIV-1不一致性伴侣参与HIV-1预防试验的情况。
PLoS One. 2008 Jan 9;3(1):e1411. doi: 10.1371/journal.pone.0001411.
Zotero 插件