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Beyond HIV-serodiscordance: Partnership communication dynamics that affect engagement in safer conception care

Author

Listed:
  • Lynn T Matthews
  • Bridget F Burns
  • Francis Bajunirwe
  • Jerome Kabakyenga
  • Mwebesa Bwana
  • Courtney Ng
  • Jasmine Kastner
  • Annet Kembabazi
  • Naomi Sanyu
  • Adrine Kusasira
  • Jessica E Haberer
  • David R Bangsberg
  • Angela Kaida

Abstract

Introduction: We explored acceptability and feasibility of safer conception methods among HIV-affected couples in Uganda. Methods: We recruited HIV-positive men and women on antiretroviral therapy (ART) (‘index’) from the Uganda Antiretroviral Rural Treatment Outcomes cohort who reported an HIV-negative or unknown-serostatus partner (‘partner’), HIV-serostatus disclosure to partner, and personal or partner desire for a child within two years. We conducted in-depth interviews with 40 individuals from 20 couples, using a narrative approach with tailored images to assess acceptability of five safer conception strategies: ART for the infected partner, pre-exposure prophylaxis (PrEP) for the uninfected partner, condomless sex timed to peak fertility, manual insemination, and male circumcision. Translated and transcribed data were analyzed using thematic analysis. Results: 11/20 index participants were women, median age of 32.5 years, median of 2 living children, and 80% had HIV-RNA

Suggested Citation

  • Lynn T Matthews & Bridget F Burns & Francis Bajunirwe & Jerome Kabakyenga & Mwebesa Bwana & Courtney Ng & Jasmine Kastner & Annet Kembabazi & Naomi Sanyu & Adrine Kusasira & Jessica E Haberer & David , 2017. "Beyond HIV-serodiscordance: Partnership communication dynamics that affect engagement in safer conception care," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-17, September.
    • Handle: RePEc:plo:pone00:0183131
    DOI: 10.1371/journal.pone.0183131
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    References listed on IDEAS

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    1. Lewis, Megan A. & McBride, Colleen M. & Pollak, Kathryn I. & Puleo, Elaine & Butterfield, Rita M. & Emmons, Karen M., 2006. "Understanding health behavior change among couples: An interdependence and communal coping approach," Social Science & Medicine, Elsevier, vol. 62(6), pages 1369-1380, March.
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