Miller Ann Neville, Golding Lenette, Ngula Kyalo Wa, Wambua MaryAnne, Mutua Evans, Kitizo Mary N, Teti Caroline, Booker Nancy, Mwithia Kinya, Rubin Donald L
Afr J AIDS Res. 2009 Mar;8(1):51-60. doi: 10.2989/AJAR.2009.8.1.6.719.
A large portion of HIV transmission in sub-Saharan Africa occurs among married couples, yet the majority of research on safer-sex communication has focused on communication between couples in casual relationships. This paper explores how committed Kamba couples in Machakos District, Kenya, communicate about sensitive relational issues. The findings from focus group discussions with five groups of males and five groups of females are presented. The couples freely shared their thoughts about daily and economic issues and certain aspects of family planning and sexuality. Methods for raising sensitive issues with partners included monitoring the spouse's mood, gradual or indirect revelation, mentioning topics during sex, and use of third-party intermediaries. Interference by extended family members, especially husbands' mothers, and male authoritarian roles emerged as hindrances to effective communication between couples. The implications for HIV prevention regarding gender differences and the role of families in couples' communication are discussed.
撒哈拉以南非洲地区很大一部分艾滋病毒传播发生在已婚夫妇之间，但大多数关于安全性行为沟通的研究都集中在偶然关系中的伴侣之间的沟通上。本文探讨了肯尼亚马查科斯区忠诚的坎巴族夫妇如何就敏感的关系问题进行沟通。文中呈现了与五组男性和五组女性进行焦点小组讨论的结果。这些夫妇自由分享了他们对日常和经济问题以及计划生育和性方面某些问题的看法。与伴侣提出敏感问题的方法包括监测配偶的情绪、逐步或间接透露、在性行为期间提及话题以及使用第三方中介。大家庭成员，尤其是丈夫的母亲的干涉以及男性的专制角色成为夫妻间有效沟通的障碍。文中还讨论了在艾滋病毒预防方面性别差异以及家庭在夫妻沟通中的作用的影响。
