Serodiscordance predictors among couples in the HIV context: implications for health care

Antonini, Marcela; Pontes, Priscila Silva; Melo, Elizabete Santos; Alves, Regina de Souza; Gir, Elucir; Sörensen, William; Reis, Renata Karina

doi:10.1186/s12889-021-11835-0

Cited by 3 publications

(3 citation statements)

References 36 publications

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“…These findings concur with those of a study conducted in South Africa by Madiba, Ralebona, and Lowane ( 2021 ), who posit that disclosure to family and friends about one’s HIV status is usually deliberate, selective, and often planned, where PLWHIV tend to weigh the risks and benefits associated this planned disclosure. Related to this, study findings by Antonini et al ( 2021 ) emphasise the importance of professional counselling and psycho-social support in assisting couples to cope with HIV-discordance and related disclosure.…”

Section: Discussionmentioning

confidence: 92%

Psychosocial support for HIV serodiscordant couples

Lelaka

Moyo

Tshivhase

et al. 2022

Health Psychology and Behavioral Medicine

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Introduction South Africa has the largest HIV epidemic, with 8.2 million people living with the virus. It has a high HIV prevalence of 13.7% and 230,000 new infections in 2020. It is estimated that HIV serodiscordant couples contribute up to 60% of new HIV infections in sub-Saharan Africa. However, there have been no specific programmes/activities to deliberately cater for couples in HIV serodiscordant relationships. The purpose of this study was to examine the psychosocial support provided for HIV serodiscordant couples both in health care settings and in the community. Methods An interpretative phenomenological analysis (IPA) design was utilised for this study. In-depth interviews were conducted with thirteen HIV serodiscordant couples. Data collection was guided by an interview guide. All audio-recorded interview data were transcribed verbatim into written text. Data analysis was conducted using an interpretative phenomenological analysis framework. A third person-an expert in qualitative research, acted as an independent co-coder and conducted the open coding of each transcript. Findings The findings indicated that HIV serodiscordant couples received psychosocial support from their partners, family, and health care workers. This support was emotional, or in the form of counselling, reminders on taking medication, financial and household chores. The support provided by health care providers proved to be deficient and did not address the diverse needs of this group. Conclusion Psychosocial support plays a critical role in enhancing the quality of life of HIV serodiscordant couples. Therefore, client centred, and tailor-made interventions should be made available to this special with diverse needs group.

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Section: Discussionmentioning

confidence: 92%

Psychosocial support for HIV serodiscordant couples

Lelaka

Moyo

Tshivhase

et al. 2022

Health Psychology and Behavioral Medicine

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“…This was a cross-sectional study carried out in health care referral units for treatment of infectious diseases in a city in southeast Brazil. The method of this study was described previously (Antonini et al, 2021; Sousa et al, 2021).…”

Section: Methodsmentioning

confidence: 99%

“…The sample size of the study was initially calculated to estimate the prevalence of people with active sex life living with HIV in the city ( n = 10,000), considering an expected prevalence of 62% (Antonini et al, 2021; Sousa et al, 2021). A prevalence study with a precision estimate of 0.05 and 95% confidence interval (CI) would result in a sample size of 339 participants.…”

Section: Methodsmentioning

confidence: 99%

Amplified HIV Transmission Risk Among People Living With HIV in Southeast Brazil

Reis

Antonini²,

Sousa³

et al. 2023

J Assoc Nurses AIDS Care

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This study investigated the factors associated with amplified HIV transmission risk among people living with HIV from a city in southeast Brazil. A cross-sectional study was conducted with 397 people living with HIV recruited in infectious diseases clinics. Data on risk of HIV transmission, sociodemographic characteristics, sexual behaviors, professional counseling, serological HIV status, HIV-related clinical data, and beliefs about risk of HIV transmission were collected through interviews and medical records. Hierarchical ordered multinomial regression analyses were performed. Amplified HIV risk transmission was associated with lower age, alcohol consumption before having sex, illicit drug use before sexual intercourse, and not receiving professional counseling about HIV transmission. The belief that HIV can be transmitted to a partner not living with HIV was associated with lower likelihood of amplified risk for HIV transmission. Our findings suggest the importance of minimizing substance use before having sex, professional counseling, and beliefs about HIV transmission on amplified HIV risk transmission.

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Perceptions of Pre-exposure Prophylaxis (PrEP) for HIV prevention among men living with HIV in the context of reproductive goals in South Africa: a qualitative study

Ntinga,

Isehunwa,

Msimango

et al. 2024

BMC Public Health

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Background Pre-exposure Prophylaxis (PrEP) and Treatment as Prevention (TasP) are effective strategies to prevent HIV transmission within serodifferent couples. However, limited usage of PrEP, knowledge and interest has been amongst the barriers for men, alongside testing and treatment adherence. We explored the perceptions of PreP for HIV prevention with Men living with HIV (MWH) who have reproductive goals, to understand awareness and experiences related to PrEP use in the context of HIV prevention with their partners. Methods We undertook a qualitative study with 25 MWH aged 18 to 65 between April and September 2021 in South Africa. Potential participants were screened for eligibility and scheduled to participate in telephonic interviews. Interviews were audio recorded, transcribed, translated and thematically analysed. Results Themes were organized into opportunities and barriers that men with HIV articulate as important for using PrEP to meet individual, couple, and community reproductive goals. At the individual level, some men were willing to discuss PrEP with their partners to protect their partners and babies from acquiring HIV. Lack of knowledge about PrEP among men was a potential barrier to promoting PrEP among their female partners. At the couple level, PrEP use was seen as a way to strengthen relationships between partners, signifying care, trust, and protection and was seen as a tool to help serodifferent couples meet their reproductive goals safely. At the community level, PrEP was viewed as a tool to promote HIV testing and prevention efforts, especially among men, but participants emphasized the need for more education and awareness. Conclusion Despite PrEP implementation in South Africa, awareness of PrEP among men with HIV in rural areas remains low. Engaging MWH to support their partners in accessing PrEP could be an innovative strategy to promote HIV prevention. Additionally, providing men with comprehensive reproductive health information can empower them to make more informed decisions, adopt safer sexual practices, and challenge societal norms and stigmas around HIV.

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Serodiscordance predictors among couples in the HIV context: implications for health care

Cited by 3 publications

References 36 publications

Psychosocial support for HIV serodiscordant couples

Psychosocial support for HIV serodiscordant couples

Amplified HIV Transmission Risk Among People Living With HIV in Southeast Brazil

Perceptions of Pre-exposure Prophylaxis (PrEP) for HIV prevention among men living with HIV in the context of reproductive goals in South Africa: a qualitative study

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