Tchakounté Constantin, Nkenfou Céline N, Tchouangueu Thibau F, Ngoufack Nicole M, Tchuandom Salomon B, Ngono Olivier D, Kuiate Jules-Rogers, Ndjolo Alexis
Department of Biochemistry, University of Dschang, Dschang-Cameroon, Cameroon.
Chantal Biya International Reference Centre (CBIRC) P.O.Box 3077, Messa-Yaoundé, Cameroon.
Int J MCH AIDS. 2020;9(3):330-336. doi: 10.21106/ijma.370. Epub 2020 Aug 5.
One of the main reasons for risky sexual behavior observed in HIV serodiscordant couples despite the knowledge of the partner's status and counselling is childbearing. In Cameroon, there are few reports on HIV serodiscordant couples. This paper describes the influence of HIV on sexual relationships and decision to procreate.
This cross-sectional study was conducted in five health centers. Self-administered questionnaire was used to collect social and demographic information, while semi-structured in-depth individual and couple interviews were used to explore sexual relationships and decisions about fatherhood/motherhood. Blood samples were collected from the couples and tested for HIV to confirm serodiscordance. The data were analyzed using the GraphPad Prism Version 6 software.
A total of 53/192 (27.6%) HIV serodiscordant couples participated in the study, and 18/74 (24.32%) HIV positive seroconcordant couples and 32/80 HIV negative seroconcordant couples were used as controls. The majority of HIV-positive partners in serodiscordant couples were women (30/53), of whom 25/30 were on antiretroviral therapy. Nearly half of the respondents (23 /53) reported tensions related to serodiscordance, shown by reduced sex frequency. The use of condoms was not systematically observed among seroconcordant and serodiscordant couples with respective proportions of 55.55% and 20.75% (p = 0.0086). Thirty seven out of 53 HIV serodiscordant couples wanted children, among them, seven couples did not have any and expressed their aspiration for parenthood despite fear of infecting one's partner.
Sexuality of serodiscordant couples as well as of HIV positive seroconcordant couples was affected by the presence of HIV/AIDS. The desire to procreate may lead couples to adopt risky sexual behaviors. It is important to define specific guidelines for serodiscordant couples in order to improve their sexual life and consequently enable them to procreate with minimal risk of infecting their partner and or to transmit the virus to their baby.
在知晓伴侣感染状况并接受咨询的情况下，艾滋病毒血清学不一致的夫妻中出现危险行为的主要原因之一是生育问题。在喀麦隆，关于艾滋病毒血清学不一致夫妻的报道较少。本文描述了艾滋病毒对性关系及生育决定的影响。
本横断面研究在五个健康中心开展。采用自填式问卷收集社会和人口统计学信息，同时运用半结构化深度个人及夫妻访谈来探究性关系及生育相关决定。采集夫妻双方的血样进行艾滋病毒检测以确认血清学不一致情况。数据使用GraphPad Prism 6软件进行分析。
共有53/192（27.6%）对艾滋病毒血清学不一致的夫妻参与了研究，18/74（24.32%）对艾滋病毒阳性血清学一致的夫妻及32/80对艾滋病毒阴性血清学一致的夫妻作为对照。血清学不一致夫妻中大多数艾滋病毒阳性伴侣为女性（30/53），其中25/30正在接受抗逆转录病毒治疗。近一半的受访者（23/53）报告称血清学不一致导致关系紧张，表现为性行为频率降低。血清学一致和不一致的夫妻中使用避孕套的情况未被系统观察到，比例分别为55.55%和20.75%（p = 0.0086）。53对艾滋病毒血清学不一致的夫妻中有37对想要孩子，其中，7对尚无子女，尽管担心感染伴侣，但仍表达了为人父母的愿望。
艾滋病毒/艾滋病的存在影响了血清学不一致夫妻以及艾滋病毒阳性血清学一致夫妻的性行为。生育意愿可能导致夫妻采取危险的性行为。为血清学不一致的夫妻制定具体指导方针非常重要，以便改善他们的性生活，从而使他们能够在感染伴侣风险最小化和/或将病毒传播给婴儿风险最小化的情况下生育。
