Format

Send to

Choose Destination
AIDS Behav. 2018 Nov;22(11):3468-3479. doi: 10.1007/s10461-018-2044-2.

Motivated Reasoning and HIV Risk? Views on Relationships, Trust, and Risk from Young Women in Cape Town, South Africa, and Implications for Oral PrEP.

Author information

1
Women's Global Health Imperative, RTI International, 351 California Street, Suite 500, San Francisco, CA, 94104, USA. mhartmann@rti.org.
2
Department of Global Health and Population, Harvard University, Boston, MA, USA.
3
The Desmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
4
Department of Global Health, University of Washington, Seattle, WA, USA.
5
Women's Global Health Imperative, RTI International, 351 California Street, Suite 500, San Francisco, CA, 94104, USA.
6
Center for AIDS Prevention Studies, Department of Medicine, UCSF, San Francisco, CA, USA.

Abstract

In high prevalence environments relationship characteristics are likely to be associated with HIV risk, yet evidence indicates general underestimation of risk. Furthermore uncertainty about partner's risk may challenge PrEP demand among young African women. We conducted quantitative and qualitative interviews with women before and after HIV discussions with partners, to explore how partner's behavior affected risk perceptions and interest in PrEP. Twenty-three women were interviewed once; twelve had a follow-up interview after speaking to their partners. Fourteen women were willing to have their partner contacted; yet two men participated. Several themes related to relationships and risk were identified. These highlighted that young women's romantic feelings and expectations influenced their perceptions of risk within their relationships, consistent with the concept of motivated reasoning. Findings emphasize challenges in using risk to promote HIV prevention among young women. Framing PrEP in a positive empowering way that avoids linking it to relationship risk may ultimately encourage greater uptake.

KEYWORDS:

Female-initiated methods; HIV prevention; HIV risk; Pre-exposure prophylaxis

PMID:
29404757
PMCID:
PMC6077112
DOI:
10.1007/s10461-018-2044-2
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Springer Icon for PubMed Central
Loading ...
Support Center