Love with HIV: A Latent Class Analysis of Sexual and Intimate Relationship Experiences Among Women Living with HIV in Canada

被引：7

作者：

Carter, Allison ^{[2
,3
,27
]}

Greene, Saara ^{[4
,36
]}

Money, Deborah ^{[5
,6
,51
,52
]}

Sanchez, Margarite ^{[7
,62
]}

Webster, Kath

Nicholson, Valerie ^{[1
]}

Brotto, Lori A. ^{[5
]}

Hankins, Catherine ^{[8
,9
]}

Kestler, Mary ^{[10
,43
]}

Pick, Neora ^{[10
,11
]}

Salters, Kate ^{[1
,2
,12
]}

Proulx-Boucher, Karene ^{[12
]}

O'Brien, Nadia ^{[12
,13
]}

Patterson, Sophie ^{[1
,14
]}

de Pokomandy, Alexandra ^{[1
,12
,13
]}

Loutfy, Mona ^{[15
,16
]}

Kaida, Angela ^{[1
]}

Hogg, Robert S. ^{[31
,40
]}

Abdul-Noor, Rahma ^{[17
]}

Anema, Aranka ^{[18
]}

Angel, Jonathan ^{[19
]}

Bakombo, Dada Mamvula ^{[20
]}

Barry, Fatimatou ^{[17
]}

Bauer, Greta ^{[21
]}

Beaver, Kerrigan ^{[17
]}

Boucher, Marc ^{[22
]}

Brophy, Jason ^{[23
]}

Brotto, Lori ^{[24
]}

Cardinal, Claudette ^{[17
,26
]}

Cioppa, Lynne ^{[17
]}

Conway, Tracey ^{[17
]}

Cotnam, Jasmine ^{[29
]}

d'Ambrumenil, Cori ^{[30
]}

Dayle, Janice ^{[20
]}

Ding, Erin ^{[31
]}

Dubuc, Daniele ^{[20
,61
]}

Duddy, Janice ^{[32
]}

Fernet, Mylene ^{[33
]}

Fraleigh, Annette ^{[17
]}

Frank, Peggy

Gagnier, Brenda ^{[17
]}

Gagnon, Marilou ^{[34
]}

Gahagan, Jacqueline ^{[35
,64
]}

Gasingirwa, Claudine

Gataric, Nada ^{[31
]}

Gormley, Rebecca ^{[31
]}

Greene, Saara ^{[4
,36
]}

Guerlotte, Charlotte ^{[38
]}

Hankins, Catherine ^{[8
,9
]}

Hawa, Roula ^{[17
]}

机构：

[1] Simon Fraser Univ, Fac Hlth Sci, Blusson Hall Room 10522,8888 Univ Dr, Burnaby, BC V5A 1S6, Canada

[2] British Columbia Ctr Excellence HIV AIDS, Epidemiol & Populat Hlth, Vancouver, BC, Canada

[3] Univ New South Wales, Fac Med, Kirby Inst, Sydney, NSW, Australia

[4] McMaster Univ, Sch Social Work, Hamilton, ON, Canada

[5] Univ British Columbia, Fac Med, Dept Obstet & Gynecol, Vancouver, BC, Canada

[6] Univ British Columbia, Fac Med, Dept Med, Vancouver, BC, Canada

[7] Posit Living Soc British Columbia, ViVA, Vancouver, BC, Canada

[8] Univ Amsterdam, Dept Global Hlth, AIGHD, Amsterdam, Netherlands

[9] McGill Univ, Fac Med, Dept Epidemiol Biostat & Occupat Hlth, Montreal, PQ, Canada

[10] Univ British Columbia, Fac Med, Div Infect Dis, Vancouver, BC, Canada

[11] British Columbia Womens Hosp & Hlth Ctr, Oak Tree Clin, Vancouver, BC, Canada

[12] McGill Univ, Hlth Ctr, Chron Viral Illness Serv, Montreal, PQ, Canada

[13] McGill Univ, Dept Family Med, Montreal, PQ, Canada

[14] Univ Liverpool, Dept Publ Hlth & Policy, Liverpool, Merseyside, England

[15] Womens Coll Hosp, Womens Coll Res Inst, Toronto, ON, Canada

[16] Univ Toronto, Dept Med, Toronto, ON, Canada

[17] Womens Coll Res Inst, Thiruchirapalli, India

[18] Harvard Med Sch, Boston, MA 02115 USA

[19] Ottawa Hosp Res Inst, Ottawa, ON, Canada

[20] McGill Univ, Hlth Ctr, Montreal, PQ, Canada

[21] Univ Western Ontario, London, ON, Canada

[22] CHU Ste Justine, Montreal, PQ, Canada

[23] Childrens Hosp Eastern Ontario, Ottawa, ON, Canada

[24] Univ British Columbia, Vancouver, BC, Canada

[25] St Michaels Hosp, Toronto, ON, Canada

[26] Simon Fraser Univ, Burnaby, BC, Canada

[27] Kirby Inst, Kensington, NSW, Australia

[28] Ctr Hosp Univ Montreal, Montreal, PQ, Canada

[29] Canadian Aboriginal AIDS Network, Vancouver, BC, Canada

[30] AIDS Couver Isl, Victoria, BC, Canada

[31] British Columbia Ctr Excellence HIV AIDS, Vancouver, BC, Canada

[32] Pacific AIDS Network, Vancouver, BC, Canada

[33] Univ Quebec Montreal, Montreal, PQ, Canada

[34] Univ Victoria, Victoria, BC, Canada

[35] Dalhousie Univ, Halifax, NS, Canada

[36] McMaster Univ, Hamilton, ON, Canada

[37] McGill Univ, Montreal, PQ, Canada

[38] COCQ SIDA, Montreal, PQ, Canada

[39] Alberta Hlth Serv, Edmonton, AB, Canada

[40] Simon Fraser Univ, Burnaby, BC, Canada

[41] GAP VIES, Montreal, PQ, Canada

[42] AIDS Vancouver Isl, Vancouver, BC, Canada

[43] BC Womens Hosp & Hlth Ctr, Oak Tree Clin, Vancouver, BC, Canada

[44] Canadian AIDS Soc, Ottawa, ON, Canada

[45] Univ Michigan, Ann Arbor, MI 48109 USA

[46] CIHR Canadian HIV Trials Network, Vancouver, BC, Canada

[47] Vancouver Gen Hosp, Vancouver, BC, Canada

[48] Univ Toronto, Toronto, ON, Canada

[49] Oak Tree Clin, Birmingham, W Midlands, England

[50] British Columbia Ctr Excellence, Vancouver, BC, Canada

来源：

ARCHIVES OF SEXUAL BEHAVIOR | 2019年 / 48卷 / 04期

基金：

加拿大健康研究院;

关键词：

Love; Sex; Relationships; Power; Feminism; Women; HIV; COMMUNITY-BASED RESEARCH; ABBREVIATED PTSD CHECKLIST; YOUNG-ADULTS; RELATIONSHIP DYNAMICS; HETEROSEXUAL COUPLES; DISCORDANT COUPLES; MODEL-SELECTION; POSITIVE WOMEN; SAS PROCEDURE; BOOTY CALLS;

D O I：

10.1007/s10508-019-1418-5

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Love remains hidden in HIV research in favor of a focus on risk. Among 1424 women living with HIV in Canada, we explored (1) whether eight facets of sex and intimacy (marital status, sexual activity, physical intimacy, emotional closeness, power equity, sexual exclusivity, relationship duration, and couple HIV serostatus) may coalesce into distinct relationship types, and (2) how these relationship types may be linked to love as well as various social, psychological, and structural factors. Five latent classes were identified: no relationship (46.5%), relationships without sex (8.6%), and three types of sexual relation-ships-short term (15.4%), long term/unhappy (6.4%), and long term/happy (23.2%, characterized by equitable power, high levels of physical and emotional closeness, and mainly HIV-negative partners). While women in long-term/happy relationships were most likely to report feeling love for and wanted by someone "all of the time," love was not exclusive to sexual or romantic partners and a sizeable proportion of women reported affection across latent classes. Factors independently associated with latent class membership included age, children living at home, sexism/genderism, income, sex work, violence, trauma, depression, HIV treatment, awareness of treatment's prevention benefits, and HIV-related stigma. Findings reveal the diversity of women's experiences with respect to love, sex, and relationships and draw attention to the sociostructural factors shaping intimate partnering in the context of HIV. A nuanced focus on promoting healthy relationships and supportive social environments may offer a more comprehensive approach to supporting women's overall sexual health and well-being than programs focused solely on sexual risk reduction.

引用

页码：1015 / 1040

页数：26

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