Couple communication, sexual coercion, and HIV risk reduction in Kigali, Rwanda

Straten, Ariane Van Der; King, Rachel; Grinstead, Olga; Serufilira, Antoine; Allen, Susan

doi:10.1097/00002030-199511000-00022

Cited by 36 publications

(46 citation statements)

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“…Women who have experienced physical abuse are found to be less likely than others to employ these protective methods, despite having equal knowledge of their efficacy. This finding corroborates similar findings from studies conducted in different settings, including Rwanda (van der Straten et al 1995), South Africa (Jewkes et al 2003), and the United States (Posner et al 2001). Knows where to get a condom 99.5 98.9…”

Section: Discussionsupporting

confidence: 88%

Intimate Partner Violence and Increased Lifetime Risk of Sexually Transmitted Infection Among Women in Ukraine

Dude¹

2007

Studies in Family Planning

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Population-based, cross-sectional data from 3587 ever-married Ukrainian women aged 17-44 are used to examine the association between physical violence perpetrated by a sexual partner (defined as kicking, hitting, slapping, pushing, or attacking with a weapon) and sexual health knowledge, sexual behavior, and the likelihood of reporting a sexually transmitted infection (STI). Such violence, both past and recent, is found to be associated with increased lifetime risk of acquiring an STI. Women who have been abused by a sexual partner, whether in the past 12 months or less recently, are significantly less likely to use condoms currently, and are significantly more likely to report having had multiple sexual partners in the past year. Findings from the study indicate that physical violence perpetrated by a sexual partner is associated with risky sexual behaviors and increased risk of sexually transmitted infection in Ukraine, and may constitute a barrier to prevention of HIV/STI transmission.

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Section: Discussionsupporting

confidence: 88%

Intimate Partner Violence and Increased Lifetime Risk of Sexually Transmitted Infection Among Women in Ukraine

Dude¹

2007

Studies in Family Planning

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“…Couple testing programs have shown promising results (Kamenga et al 1991;Allen et al 1992;Roth et al 2001;Allen et al 2003). One concern is that joint testing could lead to domestic violence, but pilot studies have shown that HIV testing and counseling of couples have beneficial long-term effects on HIV-related communications (Van der Straten et al 1995, 1998.…”

Section: A Large Majority Of Infected Couples Are Discordantmentioning

confidence: 99%

Sero‐Discordant Couples in Five African Countries: Implications for Prevention Strategies

Walque

2007

Population & Development Rev

122

100

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Most analyses of the determinants of HIV infection are performed at the individual level. The recent Demographic and Health Surveys, which include results from HIV tests, allow the study of HIV infection at the level of the cohabiting couple. This article exploits this feature of the data for Burkina Faso, Cameroon, Ghana, Kenya, and Tanzania. The analysis yields two findings about the dynamics of the HIV/AIDS epidemic that have important implications for policy. First, at least two-thirds of the infected couples are sero-discordant, that is, only one of the two partners is infected. This implies scope for prevention efforts among infected couples. Second, among 30-40 percent of the infected couples only the woman is infected. This is at odds with levels of self-reported extramarital sex by women and with the common perception that unfaithful men are the main link between high-risk groups and the general population. These findings are confirmed by tests of robustness. These results indicate that extramarital sexual activity among women in union is a substantial source of vulnerability to HIV that should be, as much as male extramarital activity, targeted by prevention efforts. Copyright 2007 The Population Council, Inc..

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“…Partner HPSC is required to explore, agree upon and use of condoms (Cecil et al 1998;Liskin & Sakondhvat 1992), but it can be difficult for women, even those who are assertive in other contexts (Quina et al 2000). In Kigali, Rwanda, couple communication was associated with condom use only if it was about sexually transmitted infections (STIs) (van der Straten et al 1995). In Gaborone, Botswana, the most assertive women were not assertive about sexual matters (MacDonald 1996), probably because of lower self-efficacy for safer sex (Amaro & Raj 2000).…”

Section: Concerns About Hpscmentioning

confidence: 99%

“…In addition, many of the scales were not behaviourally specific and hardly quantified the related factors. Some studies indicated that communication improved dual decision-making and enhanced safer sex practices (Quinna et al 2000;van der Straten et al 1995;Wingood & DiClemente 1998). Others revealed that when women initiate safer sex conversations it may evoke suspicion, defensiveness, coercion, violence and unsafe sex (St. Lawrence et al 1998), impacting on their assertiveness for protection against HIV/AIDS and STIs.…”

Section: Inadequate Research On Hpsc In Botswanamentioning

confidence: 99%

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Procedures for an instrument development study: the Botswana experience

Magowe

2011

International Nursing Review

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Eight measures were reliable, with Cronbach's alphas between 0.69 and 0.95. Underlying factors were extracted for these. Two measures were unreliable, one with spuriously low reliability due to its brevity. Some significant relationships were identified between measures. DISCUSSION OF FINDINGS: The results highlighted the importance of HPSC, the significant influence of the male sexual partners and other relatives, and the need to integrate HPSC at all levels of HIV/acquired immunodeficiency syndrome prevention and research, focusing on the effectiveness of HPSC.

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Couple communication, sexual coercion, and HIV risk reduction in Kigali, Rwanda

Cited by 36 publications

References 0 publications

Intimate Partner Violence and Increased Lifetime Risk of Sexually Transmitted Infection Among Women in Ukraine

Intimate Partner Violence and Increased Lifetime Risk of Sexually Transmitted Infection Among Women in Ukraine

Sero‐Discordant Couples in Five African Countries: Implications for Prevention Strategies

Procedures for an instrument development study: the Botswana experience

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