The virus stops with me: HIV-infected Ugandans' motivations in preventing HIV transmission

King, Rachel; Lifshay, Julie; Nakayiwa, Sylvia; Katuntu, David; Lindkvist, Pille; Bunnell, Rebecca

doi:10.1016/j.socscimed.2008.11.008

Cited by 30 publications

(28 citation statements)

References 29 publications

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“…King et al, in their study of HIV-positive individuals in Uganda, found that even among those with a strong commitment not to infect others (expressed as 'The virus stops with me'), consistent condom use was problematic in long-term relationships. 118 Further evidence of the problematic nature of condom use among serodiscordant couples is provided in two studies that included HIV widows whose ethnic group practiced 'wife inheritance' (a widow becomes the wife of a male relative on the death of her husband). In both studies, new husbands insisted on sex without a condom 38,119 even though they suspected that their 'new' wives were infected with HIV.…”

Section: Noncommercial Relationshipsmentioning

confidence: 99%

Condoms in sub-Saharan Africa

Maticka‐Tyndale¹

2012

Sex. Health

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Abstract. Sub-Saharan Africa (SSA) is the region with the world's highest rates of HIV and other sexually transmissible infections (STIs), yet numerous studies show that condom use is generally rare. This suggests a need for a better understanding of how condoms fit within sexual practices and relationships in SSA. This paper seeks to address this need by reviewing research published between the late 1980s and 2011 on use and factors influencing use of male condoms in SSA. What is evident from this research is that condom use involves complex social and interpersonal dynamics, with structural and cultural conditions exerting an influence through framing social cognitions and setting boundaries on autonomy that make the apparently irrational choice of eschewing condoms a rational decision. The influences of poverty; relationships with parents, peers and partners; limited, insufficient or absent information especially in rural areas and among men who have sex with men; gender and sexual norms, and the dynamics of gendered power; and beliefs and attitudes about HIV, condoms and sexuality all have been shown to work against condom use for a large proportion of Africa's people. However, promising results are shown in trends towards increased condom use among single women in numerous countries, increasing acceptance and use of condoms among some university students, successes in producing potentially sustainable condom use resulting from select interventions, and resistance to succumbing to the dominant gender-power dynamics and structural-cultural impediments that women in groups have mobilised.

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Section: Noncommercial Relationshipsmentioning

confidence: 99%

Condoms in sub-Saharan Africa

Maticka‐Tyndale¹

2012

Sex. Health

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“…La protección de otros para no contagiarlos es un aspecto que se destaca como un proceso reflexivo que se produce con el paso del tiempo (24). En esta investigación las motivaciones de las PVVIH para prevenir la infección de otros apuntan a la responsabilidad que sienten hacia la pareja sexual actual así como a una eventual pareja, todo con el fin de evitarles daño físico y emocional.…”

Section: Discussionunclassified

“…Por otro lado, la planificación de un embarazo por la mujer evita poner en riesgo a los niños. Las motivaciones coinciden con las encontradas en la literatura; sin embargo, no son expresadas con la connotación de la creencia que la transmisión del VIH es igual a "asesinato" o la percepción de que los niños son "inocentes" (24).…”

Section: Discussionunclassified

How to Understand the Experience of Persons Living with HIV: Implications for Clinical Practice and Research

et al. 2013

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Objetivo: las personas que viven con una enfermedad crónica experimentan procesos complejos de transformación personal para adaptarse a su nueva condición de salud. El objetivo del artículo es develar el significado de vivir con VIH en personas que fueron diag- nosticadas en etapa de sida. Materiales y métodos: estudio cualitativo descriptivo en el que se realizaron entrevistas en profundidad a 15 personas que viven con VIH (PVVIH) en etapa de sida, que se atienden en el sistema público de salud chileno. Resultados: del análisis de contenido emergieron seis dimensiones del significado de vivir con la enfermedad: cambios personales posteriores al diagnóstico; apoyo social y acompañamiento, resignación a la adquisición del VIH; percepción de discriminación / rechazo; revelación del diagnóstico; cuidar a otros de la adquisición del VIH. Conclusiones: los hallazgos orientan a los profesionales de la salud sobre las estrategias que se deben utilizar en la atención directa de las personas que viven con VIH con el fin de otorgar un cuidado integral considerando el apoyo para el desarrollo de estrategias de autocuidado y la revelación del diagnóstico a su núcleo cercano, para reducir los costos psicosociales asociados a la enfermedad.

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“…That Ariaal men also recognize condoms protect their partners from the negative concomitants of premarital pregnancy as well as HIV/AIDS only strengthens this notion of prevention altruism. Altruism is currently emphasized as a strong component for sub-Saharan HIV/AIDS intervention programs (King et al 2009), and in the Ariaal case, whether with respect to the negative consequences of HIV/AIDS and/or unwanted pregnancy, it points to a potentially important pathway for condom use. This study also is relevant to the historic, often acrimonious, debate in the late 1990s that posited the existence of an Fig.…”

Section: Summary and Discussionmentioning

confidence: 99%

Pathways and Barriers to Condom Use Among Ariaal Agro-pastoralists of Northern Kenya

Roth

Ngugi

Jansson³

2010

Sex Res Soc Policy

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Recent sexual behavior surveys in the Ariaal community of Karare, Marsabit District, northern Kenya, indicate a rapid increase in male condom use among unmarried men and women. Increased condom use stems from the Kenyan government's expanding HIV/AIDS programs to the remote parts of northern Kenya, resulting in easier access to condoms. This paper employs a modified reasoned action approach model to analyze 2009 survey data to understand how Ariaal sexual culture adapts to this policy. Univariate analysis indicates that for unmarried men and women, condom use is more strongly linked to premarital fertility prevention than HIV/AIDS protection, reflecting the long-standing Ariaal proscriptive norm against pre-marital fertility. Multiple regression and path analysis show gender-specific pathways to condom use, reflecting established and emergent sexual behavior. For women, significant pathways include the ability to obtain condoms and to refuse sex without condoms. For men, social norms and beliefs/attitudes including concern for their sexual partners are important pathways.

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The virus stops with me: HIV-infected Ugandans' motivations in preventing HIV transmission

Cited by 30 publications

References 29 publications

Condoms in sub-Saharan Africa

Condoms in sub-Saharan Africa

How to Understand the Experience of Persons Living with HIV: Implications for Clinical Practice and Research

Pathways and Barriers to Condom Use Among Ariaal Agro-pastoralists of Northern Kenya

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