RTI International, Women's Global Health Imperative, UC Berkeley SPH, 628 Beacon Street, Oakland, CA, 94610, USA.
University of Zimbabwe-University of California San Francisco Collaborative Research Program (UZ-UCSF), San Francisco, CA, USA.
AIDS Behav. 2020 Mar;24(3):866-880. doi: 10.1007/s10461-019-02521-9.
Gender roles and imbalances in sexual power contribute to the heightened HIV-1 risk faced by women in Sub-Saharan Africa. This has led prevention research to focus on the development of female controlled methods. Despite the design of products such as vaginal rings to be used autonomously by women, male partners and women's perceptions of relationships influence HIV prevention choices. To understand the influences that male partners and dyadic dynamics had on the use of the Dapivirine Vaginal Ring in the ASPIRE trial, this analysis of qualitative data explored the types of intimate partner relationships that women engaged in. This paper describes how partners facilitated or challenged women's ring use and how women dealt with these challenges within six different types of relationships characterized by power dynamics and commitment levels. We offer insights into how future use of female-initiated HIV prevention products can be promoted through recognition of different relationship types.
性别角色和性权力的不平衡导致撒哈拉以南非洲的女性面临更高的 HIV-1 风险。这促使预防研究的重点转向开发女性控制的方法。尽管设计了阴道环等产品供女性自主使用，但男性伴侣和女性对关系的看法会影响 HIV 预防选择。为了了解男性伴侣和对偶动态对 ASPIRE 试验中使用 dapivirine 阴道环的影响，对定性数据的分析探讨了女性参与的亲密伴侣关系的类型。本文描述了伴侣如何促进或挑战女性使用避孕环，以及女性如何在六种不同类型的关系中应对这些挑战，这些关系的特点是权力动态和承诺水平。我们提供了有关如何通过识别不同的关系类型来促进未来使用女性主导的 HIV 预防产品的见解。
