Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Sparkman Center for Global Health, School of Public Health, University of Alabama at Birmingham, 517 RPHB, 1665 University Blvd, Birmingham, AL, 35205, USA.
AIDS Behav. 2022 Jul;26(7):2135-2147. doi: 10.1007/s10461-021-03559-4. Epub 2022 Feb 5.
Involving both partners of a couple in HIV prevention can improve maternal and child health outcomes in sub-Saharan Africa. Using data from 96 couples, we explored the actor and partner effects of perceived relationship dynamics on a couple's confidence and ability to reduce HIV risk together. Perceived relationship quality altered perceived confidence and ability to reduce HIV threat. One's own ability to confidently act together with their spouse appeared to be stronger for husbands than wives with respect to relationship commitment. A partner's confidence to communicate with their spouse about HIV risk reduction appeared to be stronger from husbands to wives for relationship satisfaction and trust. Gender differences in perceived relationship quality and effects on communal coping may exist and requires further study for applicability in intervention development in this setting. Efficacious couple-oriented interventions for HIV prevention should incorporate evidence on how partners mutually influence each other's health beliefs and behaviors.
让夫妻双方都参与艾滋病预防可以改善撒哈拉以南非洲母婴的健康状况。本研究使用 96 对夫妻的数据，探索了夫妻双方对关系动态的感知如何影响他们共同减少艾滋病风险的信心和能力。感知到的关系质量改变了对减少艾滋病威胁的信心和能力。就夫妻双方对关系的承诺而言，丈夫与妻子相比，对共同采取行动充满信心的能力似乎更强。对于夫妻双方的关系满意度和信任度而言，丈夫对与妻子沟通减少艾滋病风险的信心似乎更强。在感知到的关系质量和对共同应对的影响方面可能存在性别差异，这需要进一步研究，以便在这一背景下将其应用于干预措施的制定。有效的针对夫妻的艾滋病预防干预措施应该纳入关于伴侣如何相互影响对方健康信念和行为的证据。
