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Qual Health Res. 2016 Sep;26(11):1531-42. doi: 10.1177/1049732315626694. Epub 2016 Feb 4.

Pathways That Affect Wives' HIV Risk Among Serodiscordant Couples in India: Results From the Positive Jeevan Saathi Study.

Author information

1
Emory University, Atlanta, Georgia, USA snpate5@emory.edu.
2
Emory University, Atlanta, Georgia, USA.
3
Government Medical College, Surat, Gujarat, India.
4
Kennesaw State University, Kennesaw, Georgia, USA.

Abstract

This study examined factors that mitigate or heighten HIV risk among HIV-negative wives in serodiscordant relationships in Gujarat, India. Grounded theory was used to analyze 46 interviews (23 couples) where husbands were HIV-positive and wives were HIV-negative. A conceptual framework emerged from analysis from which we identified five pathways and four key behaviors: (a) safer sex, (b) no sex, (c) coercive sex, and (d) unprotected sex. Most couples either practiced safe sex or abstained from sex. Factors such as wives' assertiveness, a wife's fear of acquiring HIV, mutual understanding, positive sex communication, and a husband's desire to protect wife influenced safe sex/sexual abstinence. Factors such as desire for children, a husband's alcohol use, and intimate partner violence influenced coercive and unprotected sex. Counseling topics on sex communication, verbal and non-verbal safer sex strategies, as well as addressing intimate partner violence and alcohol use may be important in preventing risk to HIV-negative wives.

KEYWORDS:

HIV in India; HIV prevention; In depth interviews; marital sex; serodiscordant couples

PMID:
26848084
DOI:
10.1177/1049732315626694
[Indexed for MEDLINE]

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