Gendered differences in the perceived risks and benefits of oral PrEP among HIV-serodiscordant couples in Kenya

被引：23

作者：

Carroll, Jennifer J. ^{[1
,2
]}

Ngure, Kenneth ^{[3
,5
]}

Heffron, Renee ^{[1
,3
]}

Curran, Kathryn ^{[1
]}

Mugo, Nelly R. ^{[6
]}

Baeten, Jared M. ^{[1
,3
,4
]}

机构：

[1] Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA

[2] Univ Washington, Dept Anthropol, Seattle, WA 98195 USA

[3] Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA

[4] Univ Washington, Dept Med, Seattle, WA USA

[5] Jomo Kenyatta Univ Agr & Technol, Nairobi, Kenya

[6] Kenya Govt Med Res Ctr, Nairobi, Kenya

来源：

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2016年 / 28卷 / 08期

基金：

美国国家卫生研究院;

关键词：

HIV; antiretroviral therapy; Kenya; heterosexual couples; PrEP; qualitative; PARTNER VIOLENCE; PREVENTION; WOMEN; ACCEPTABILITY; PROPHYLAXIS; ATTITUDES; POWER;

D O I：

10.1080/09540121.2015.1131972

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Pre-exposure prophylaxis (PrEP) is effective for preventing HIV among HIV-serodiscordant heterosexual couples. Gender roles may influence perceived personal and social risks related to HIV-prevention behaviors and may affect use of PrEP. In this study, interviews and focus groups were conducted with 68 individuals from 34 mutually disclosed serodiscordant heterosexual partnerships in Thika, Kenya. Sociocultural factors that affect adherence to PrEP were explored using grounded analysis. Three factors were identified, which shape perceptions of PrEP: gendered power dynamics and control over decision-making in the household; conflicts between risk-reduction strategies and male sexual desire; culture-bound definitions of women's work. Adherence to PrEP in the Partners PrEP Study was high; however, participants articulated conflicting interests related to PrEP in connection with traditional gender roles. The successful delivery of PrEP will require understanding of key social factors, particularly related to gender and dyadic dynamics around HIV serostatus.

引用

页码：1000 / 1006

页数：7

共 31 条

[1] Antiretroviral Prophylaxis for HIV Prevention in Heterosexual Men and Women [J].

Baeten, J. M. ;

Donnell, D. ;

Ndase, P. ;

Mugo, N. R. ;

Campbell, J. D. ;

Wangisi, J. ;

Tappero, J. W. ;

Bukusi, E. A. ;

Cohen, C. R. ;

Katabira, E. ;

Ronald, A. ;

Tumwesigye, E. ;

Were, E. ;

Fife, K. H. ;

Kiarie, J. ;

Farquhar, C. ;

John-Stewart, G. ;

Kakia, A. ;

Odoyo, J. ;

Mucunguzi, A. ;

Nakku-Joloba, E. ;

Twesigye, R. ;

Ngure, K. ;

Apaka, C. ;

Tamooh, H. ;

Gabona, F. ;

Mujugira, A. ;

Panteleeff, D. ;

Thomas, K. K. ;

Kidoguchi, L. ;

Krows, M. ;

Revall, J. ;

Morrison, S. ;

Haugen, H. ;

Emmanuel-Ogier, M. ;

Ondrejcek, L. ;

Coombs, R. W. ;

Frenkel, L. ;

Hendrix, C. ;

Bumpus, N. N. ;

Bangsberg, D. ;

Haberer, J. E. ;

Stevens, W. S. ;

Lingappa, J. R. ;

Celum, C. .

NEW ENGLAND JOURNAL OF MEDICINE, 2012, 367 (05) :399-410

[2] The everyday violence of hepatitis C among young women who inject drugs in San Francisco [J].

Bourgois, P ;

Prince, B ;

Moss, A .

HUMAN ORGANIZATION, 2004, 63 (03) :253-264

[3] Living with discordance: knowledge, challenges, and prevention strategies of HIV-discordant couples in Uganda [J].

Bunnell, RE ;

Nassozi, J ;

Marum, E ;

Mubangizi, J ;

Malamba, S ;

Dillon, B ;

Kalule, J ;

Bahizi, J ;

Musoke, N ;

Mermin, JH .

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2005, 17 (08) :999-1012

[4] Prevention of HIV-1 Infection with Early Antiretroviral Therapy [J].

Cohen, Myron S. ;

Chen, Ying Q. ;

McCauley, Marybeth ;

Gamble, Theresa ;

Hosseinipour, Mina C. ;

Kumarasamy, Nagalingeswaran ;

Hakim, James G. ;

Kumwenda, Johnstone ;

Grinsztejn, Beatriz ;

Pilotto, Jose H. S. ;

Godbole, Sheela V. ;

Mehendale, Sanjay ;

Chariyalertsak, Suwat ;

Santos, Breno R. ;

Mayer, Kenneth H. ;

Hoffman, Irving F. ;

Eshleman, Susan H. ;

Piwowar-Manning, Estelle ;

Wang, Lei ;

Makhema, Joseph ;

Mills, Lisa A. ;

de Bruyn, Guy ;

Sanne, Ian ;

Eron, Joseph ;

Gallant, Joel ;

Havlir, Diane ;

Swindells, Susan ;

Ribaudo, Heather ;

Elharrar, Vanessa ;

Burns, David ;

Taha, Taha E. ;

Nielsen-Saines, Karin ;

Celentano, David ;

Essex, Max ;

Fleming, Thomas R. .

NEW ENGLAND JOURNAL OF MEDICINE, 2011, 365 (06) :493-505

[5] 'If I am given antiretrovirals I will think I am nearing the grave': Kenyan HIV serodiscordant couples' attitudes regarding early initiation of antiretroviral therapy [J].

Curran, Kathryn ;

Ngure, Kenneth ;

Shell-Duncan, Bettina ;

Vusha, Sophie ;

Mugo, Nelly R. ;

Heffron, Renee ;

Celum, Connie ;

Baeten, Jared M. .

AIDS, 2014, 28 (02) :227-233

[6] Experience of sexual violence among women in HIV discordant unions after voluntary HIV counselling and testing: a qualitative critical incident study in Uganda [J].

Emusu, Donath ;

Ivankova, Nataliya ;

Jolly, Pauline ;

Kirby, Russell ;

Foushee, Herman ;

Wabwire-Mangen, Fred ;

Katongole, Drake ;

Ehiri, John .

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2009, 21 (11) :1363-1370

[7] Increased risk of HIV in women experiencing physical partner violence in Nairobi, Kenya [J].

Fonck, K ;

Els, L ;

Kidula, N ;

Ndinya-Achola, J ;

Temmerman, M .

AIDS AND BEHAVIOR, 2005, 9 (03) :335-339

[8]

Geertz C., 1973, INTERPRETATION CULTU

[9] Relation between perceived vulnerability to HIV and precautionary sexual behavior [J].

Gerrard, M ;

Gibbons, FX ;

Bushman, BJ .

PSYCHOLOGICAL BULLETIN, 1996, 119 (03) :390-409

[10]

Glaser B.G., 1967, The Discovery of Grounded Theory: Strategies for Qualitative Research, DOI [10.1097/00006199-196807000-00014, DOI 10.1097/00006199-196807000-00014]

← 1 2 3 4 →