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Importance of relationship context in HIV transmission: Results from a qualitative case-control study in Rakai, Uganda

Author

Listed:
  • Higgins, J.A.
  • Mathur, S.
  • Eckel, E.
  • Kelly, L.
  • Nakyanjo, N.
  • Sekamwa, R.
  • Namatovu, J.
  • Ddaaki, W.
  • Nakubulwa, R.
  • Namakula, S.
  • Nalugoda, F.
  • Santelli, J.S.

Abstract

We present results from life history interviews with 60 young adults from southernUganda.Using a novel qualitative case-control design, we compared newly HIV-positive cases with HIV-negative controls matched on age, gender, marital status, and place of residence. Relationship context was the most salient theme differentiating cases fromcontrols. Comparedwith HIV-negative respondents, recent seroconverters described relationships marked by poorer communication, greater suspicion and mistrust, and larger and more transitory sexual networks. Results highlight the importance of dyadic approaches to HIV and possibly of couple-based interventions. Using HIV-matched pairs allowed additional understanding of the factors influencing transmission. This hybrid methodological approach holds promise for future studies of sexual health.

Suggested Citation

  • Higgins, J.A. & Mathur, S. & Eckel, E. & Kelly, L. & Nakyanjo, N. & Sekamwa, R. & Namatovu, J. & Ddaaki, W. & Nakubulwa, R. & Namakula, S. & Nalugoda, F. & Santelli, J.S., 2014. "Importance of relationship context in HIV transmission: Results from a qualitative case-control study in Rakai, Uganda," American Journal of Public Health, American Public Health Association, vol. 104(4), pages 612-620.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301670_8
    DOI: 10.2105/AJPH.2013.301670
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    Cited by:

    1. Julie Pulerwitz & Sanyukta Mathur & Daniel Woznica, 2018. "How empowered are girls/young women in their sexual relationships? Relationship power, HIV risk, and partner violence in Kenya," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-14, July.
    2. Allison Ruark & Rachel Chase & John Hembling & Valerie Rhoe Davis & Paul Clayton Perrin & Dorothy Brewster-Lee, 2017. "Measuring couple relationship quality in a rural African population: Validation of a Couple Functionality Assessment Tool in Malawi," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-19, November.

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