Rwanda Zambia HIV Research Group, Emory University, Atlanta, Georgia, USA.
Psychol Res Behav Manag. 2009;2:47-58. doi: 10.2147/prbm.s4910. Epub 2009 Mar 10.
To compare responses to a sexual behavioral survey of spouses in cohabiting heterosexual relationships in Kigali, Rwanda.
Cross-sectional survey.
Husbands and wives in 779 cohabiting couples were interviewed separately with parallel questionnaires. Participants were recruited from a three-year old cohort of 1458 antenatal clinic attendees enrolled in a prospective study in 1988. Analyses compared responses at the gender- and couple-level for agreement and disagreement.
Couples were in disagreement more than agreement. Women reported occasionally refusing sex, suggesting condom use, and believing married men were unfaithful. Men reported being in a faithful relationship, greater condom use, and being understanding when wives refused sex. Agreement included relationship characteristics, safety of condoms, and whether condoms had ever been used in the relationship. Disagreement included the preferred timing of next pregnancy, desire for more children, and whether a birth control method was currently used and type of method.
Rwandan husbands and wives differed in sexual behavior and reproductive-related topics. Couple-level reporting provides the most reliable measure for relationship aspects as couples' agreement cannot be assumed among cohabiting partnerships. Furthermore, HIV prevention programs for couples should incorporate communication skills to encourage couple agreement of HIV-related issues.
比较卢旺达基加利同居异性伴侣对性行为调查的反应。
横断面调查。
用平行问卷分别对 779 对同居夫妇中的丈夫和妻子进行访谈。参与者是从 1988 年参加前瞻性研究的 1458 名产前诊所就诊者中招募的一个为期三年的队列中的夫妇。分析比较了性别和夫妇层面的一致性和不一致性。
夫妇之间的不一致多于一致。女性偶尔拒绝性行为、建议使用避孕套以及认为已婚男性不忠实。男性报告说他们处于忠实的关系中，使用避孕套的频率更高，当妻子拒绝性行为时也更能理解。一致性包括关系特征、避孕套的安全性以及关系中是否曾使用过避孕套以及使用的避孕方法类型。不一致性包括下次怀孕的最佳时间、想要更多孩子的愿望以及目前是否使用了避孕方法以及方法的类型。
卢旺达的丈夫和妻子在性行为和生殖相关的话题上存在差异。夫妇层面的报告为关系方面提供了最可靠的衡量标准，因为不能假设同居伴侣之间存在一致性。此外，夫妇的艾滋病毒预防方案应纳入沟通技巧，以鼓励夫妇就艾滋病毒相关问题达成一致。
