肯尼亚异性恋艾滋病毒血清学不一致伴侣间的高关系解体率。
High rates of relationship dissolution among heterosexual HIV-serodiscordant couples in Kenya.
作者信息
Mackelprang Romel D, Bosire Rose, Guthrie Brandon L, Choi Robert Y, Liu Amy, Gatuguta Anne, Rositch Anne F, Kiarie James N, Farquhar Carey
机构信息
Department of Epidemiology, University of Washington, 325 Ninth Avenue, Seattle, WA, 98104, USA,
出版信息
AIDS Behav. 2014 Jan;18(1):189-93. doi: 10.1007/s10461-013-0529-6.
Abstract
HIV-1 serodiscordant couples may experience increased risks of relationship dissolution; however, longitudinal stability of these relationships is poorly understood. We determined rates and correlates of separation among 469 serodiscordant couples in Nairobi and found that 113 (24 %) separated during 2 years of follow-up. Couples with a female HIV-1 infected partner (F+M-) and no income were more likely to separate than M+F- couples without income (HR = 5.0; 95 % CI 1.1-25.0), and F+M- and M+F- couples with income (HR = 2.4; 95 % CI 1.3-4.5 and HR = 2.3; 95 % CI 1.2-4.8, respectively). High separation rates may be important for couple support services and for conducting discordant couple studies.
摘要
一方感染HIV-1的伴侣关系解体风险可能会增加；然而，这类伴侣关系的长期稳定性却鲜为人知。我们确定了内罗毕469对一方感染HIV-1的伴侣的分居率及其相关因素，发现在2年的随访期内有113对（24%）分居。女性感染HIV-1的伴侣（F+M-）且没有收入的伴侣比没有收入的男性感染HIV-1的伴侣（M+F-）更有可能分居（风险比=5.0；95%置信区间1.1-25.0），以及有收入的F+M-和M+F-伴侣（风险比分别为2.4；95%置信区间1.3-4.5和2.3；95%置信区间1.2-4.8）。高分居率对于伴侣支持服务以及开展一方感染的伴侣研究可能具有重要意义。
相似文献
1
High rates of relationship dissolution among heterosexual HIV-serodiscordant couples in Kenya.肯尼亚异性恋艾滋病毒血清学不一致伴侣间的高关系解体率。
AIDS Behav. 2014 Jan;18(1):189-93. doi: 10.1007/s10461-013-0529-6.
2
Sexual and reproductive health in HIV serodiscordant couples.HIV血清学不一致伴侣中的性与生殖健康。
Afr J Reprod Health. 2013 Dec;17(4 Spec No):99-106.
3
A scoping review and thematic analysis of social and behavioural research among HIV-serodiscordant couples in high-income settings.对高收入环境中HIV血清学不一致夫妇的社会和行为研究的范围综述与主题分析。
BMC Public Health. 2015 Mar 13;15:241. doi: 10.1186/s12889-015-1488-9.
4
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.
5
"Since both of us are using antiretrovirals, we have been supportive to each other": facilitators and barriers of pre-exposure prophylaxis use in heterosexual HIV serodiscordant couples in Kisumu, Kenya.“由于我们两人都在使用抗逆转录病毒药物，所以一直相互支持”：肯尼亚基苏木异性恋HIV血清学不一致伴侣中暴露前预防用药的促进因素和障碍
J Int AIDS Soc. 2016 Dec 12;19(1):21134. doi: 10.7448/IAS.19.1.21134. eCollection 2016.
6
HIV-1 prevention for HIV-1 serodiscordant couples.HIV-1 血清学不一致的夫妇的 HIV-1 预防。
Curr HIV/AIDS Rep. 2012 Jun;9(2):160-70. doi: 10.1007/s11904-012-0114-z.
7
Use of a risk scoring tool to identify higher-risk HIV-1 serodiscordant couples for an antiretroviral-based HIV-1 prevention intervention.使用风险评分工具识别感染HIV-1血清学不一致的高危夫妇，以便进行基于抗逆转录病毒药物的HIV-1预防干预。
BMC Infect Dis. 2016 Oct 17;16(1):571. doi: 10.1186/s12879-016-1899-y.
8
"I never thought that it would happen … " Experiences of HIV seroconverters among HIV-discordant partnerships in a prospective HIV prevention study in Kenya.“我从没想到会发生这种事……”肯尼亚一项前瞻性艾滋病预防研究中，艾滋病病毒血清阳转者在艾滋病病毒抗体不一致伴侣关系中的经历。
AIDS Care. 2016 Dec;28(12):1586-1589. doi: 10.1080/09540121.2016.1191610. Epub 2016 Jun 5.
9
Low uptake of HIV testing and no HIV positivity in stable serodiscordant heterosexual partners of long-term treated HIV-infected Thais.长期接受治疗的泰国艾滋病毒感染者的稳定血清学不一致异性伴侣中，艾滋病毒检测接受率低且无艾滋病毒阳性情况。
AIDS Care. 2015;27(5):587-94. doi: 10.1080/09540121.2014.989485. Epub 2014 Dec 15.
10
Absence of transmission from HIV-infected individuals with HAART to their heterosexual serodiscordant partners.接受高效抗逆转录病毒治疗的HIV感染者未将病毒传播给其异性血清学不一致的伴侣。
Enferm Infecc Microbiol Clin. 2015 Dec;33(10):666-72. doi: 10.1016/j.eimc.2014.10.020. Epub 2014 Dec 30.
引用本文的文献
1
Impact of male peer-led outreach on uptake of HIV testing among male partners of pregnant women in Uganda: a randomized trial.男性同伴主导的外展服务对乌干达孕妇男性伴侣接受艾滋病毒检测的影响：一项随机试验
J Int AIDS Soc. 2025 Apr;28(4):e26440. doi: 10.1002/jia2.26440.
2
Sociodemographic associated factors with non-disclosure of HIV sero-status to sexual partners in Maputo, Mozambique.莫桑比克马普托地区与 HIV 血清阳性者向性伴侣隐瞒 HIV 血清状况相关的社会人口学因素。
Sci Rep. 2024 Sep 17;14(1):21736. doi: 10.1038/s41598-024-72430-y.
3
Neurodevelopment among children exposed to HIV and uninfected in sub-Saharan Africa.撒哈拉以南非洲地区感染 HIV 与未感染 HIV 的儿童的神经发育情况。
J Int AIDS Soc. 2023 Oct;26 Suppl 4(Suppl 4):e26159. doi: 10.1002/jia2.26159.
4
Neurodevelopment of children who are HIV-exposed and uninfected in Kenya.肯尼亚艾滋病毒暴露但未感染儿童的神经发育。
J Int AIDS Soc. 2023 Oct;26 Suppl 4(Suppl 4):e26149. doi: 10.1002/jia2.26149.
5
"Him Leaving Me - That is My Fear Now": A Mixed Methods Analysis of Relationship Dissolution Between Ugandan Pregnant and Postpartum Women Living with HIV and Their Male Partners.“他离开我——这是我现在的恐惧”：一项针对乌干达 HIV 阳性孕妇和产后妇女与其男性伴侣关系破裂的混合方法分析。
AIDS Behav. 2023 Jun;27(6):1776-1792. doi: 10.1007/s10461-022-03910-3. Epub 2022 Nov 8.
6
Network centrality for the identification of biomarkers in respondent-driven sampling datasets.基于网络中心度的应答驱动抽样数据集生物标志物识别。
PLoS One. 2021 Aug 24;16(8):e0256601. doi: 10.1371/journal.pone.0256601. eCollection 2021.
7
Attitudes Toward Pregnancy Among Women Enrolled in Prevention of Mother-to-Child Transmission of HIV (PMTCT) Services in Moshi, Tanzania.坦桑尼亚莫希预防艾滋病毒母婴传播服务项目中参与女性对妊娠的态度。
AIDS Behav. 2021 Dec;25(12):4008-4017. doi: 10.1007/s10461-021-03339-0. Epub 2021 Jun 14.
8
"We are in this together:" dyadic-level influence and decision-making among HIV serodiscordant couples in Tanzania receiving access to PrEP.“我们在一起共同努力”：坦桑尼亚 HIV 血清不一致的夫妇在获得 PrEP 时的二元影响和决策。
BMC Public Health. 2021 Apr 14;21(1):720. doi: 10.1186/s12889-021-10707-x.
9
Individual and Relationship Predictors of Couple-Level Sexual Concurrency in Heterosexual South African Couples.个体和关系因素对南非异性恋夫妇中夫妻间性伴数量的预测。
Arch Sex Behav. 2020 Apr;49(3):999-1015. doi: 10.1007/s10508-019-1444-3. Epub 2019 Sep 24.
10
Exploring social harms during distribution of HIV self-testing kits using mixed-methods approaches in Malawi.探讨马拉维使用混合方法在分发 HIV 自我检测工具包过程中产生的社会危害。
J Int AIDS Soc. 2019 Mar;22 Suppl 1(Suppl Suppl 1):e25251. doi: 10.1002/jia2.25251.
本文引用的文献
1
Antiretroviral prophylaxis for HIV prevention in heterosexual men and women.抗逆转录病毒预防治疗用于异性恋男性和女性的 HIV 预防。
N Engl J Med. 2012 Aug 2;367(5):399-410. doi: 10.1056/NEJMoa1108524. Epub 2012 Jul 11.
2
Outside sexual partnerships and risk of HIV acquisition for HIV uninfected partners in African HIV serodiscordant partnerships.非洲 HIV 血清不一致性伴侣中，除了性伴侣关系和 HIV 未感染者获得 HIV 的风险。
J Acquir Immune Defic Syndr. 2012 Jan 1;59(1):65-71. doi: 10.1097/QAI.0b013e318237b864.
3
Male partner antenatal attendance and HIV testing in eastern Uganda: a randomized facility-based intervention trial.乌干达东部地区男性伴侣的产前检查和 HIV 检测：一项基于医疗机构的随机干预试验。
J Int AIDS Soc. 2011 Sep 13;14:43. doi: 10.1186/1758-2652-14-43.
4
Prevention of HIV-1 infection with early antiretroviral therapy.早期抗逆转录病毒疗法预防 HIV-1 感染。
N Engl J Med. 2011 Aug 11;365(6):493-505. doi: 10.1056/NEJMoa1105243. Epub 2011 Jul 18.
5
Couple-based HIV prevention in the United States: advantages, gaps, and future directions.美国基于伴侣的艾滋病预防：优势、差距和未来方向。
J Acquir Immune Defic Syndr. 2010 Dec;55 Suppl 2(Suppl 2):S98-101. doi: 10.1097/QAI.0b013e3181fbf407.
6
Gender-related power differences, beliefs and reactions towards people living with HIV/AIDS: an urban study in Nigeria.性别相关的权力差异、对艾滋病毒/艾滋病感染者的信仰和反应：尼日利亚的一项城市研究。
BMC Public Health. 2010 Jun 12;10:334. doi: 10.1186/1471-2458-10-334.
7
Heterosexual HIV-1 transmission after initiation of antiretroviral therapy: a prospective cohort analysis.抗反转录病毒治疗启动后异性 HIV-1 传播：一项前瞻性队列分析。
Lancet. 2010 Jun 12;375(9731):2092-8. doi: 10.1016/S0140-6736(10)60705-2. Epub 2010 May 26.
8
Concurrent sexual partnerships among individuals in HIV sero-discordant heterosexual couples.艾滋病毒血清学不一致的异性恋伴侣中个体的同时性伴侣关系。
Int J STD AIDS. 2009 Oct;20(10):679-82. doi: 10.1258/ijsa.2009.009158.
9
Exploring the role of economic empowerment in HIV prevention.探索经济赋权在艾滋病预防中的作用。
AIDS. 2008 Dec;22 Suppl 4:S57-71. doi: 10.1097/01.aids.0000341777.78876.40.
10
Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa.撒哈拉以南非洲地区针对艾滋病毒血清学不一致的异性恋伴侣进行的以伴侣为中心的检测与咨询。
Reprod Health Matters. 2008 Nov;16(32):151-61. doi: 10.1016/S0968-8080(08)32407-0.
Zotero 插件