How HIV diagnosis and disclosure affect sexual behavior and relationships in Ugandan fishing communities.
Identifieur interne : 002041 ( Ncbi/Merge ); précédent : 002040; suivant : 002042How HIV diagnosis and disclosure affect sexual behavior and relationships in Ugandan fishing communities.
Auteurs : Moriah Mcarthur [États-Unis] ; Isolde Birdthistle ; Janet Seeley ; Juliet Mpendo ; Gershim AsikiSource :
- Qualitative health research [ 1049-7323 ] ; 2013.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Agents antiVIH (usage thérapeutique), Comportement sexuel (), Comportement sexuel (ethnologie), Comportement sexuel (psychologie), Divulgation, Entretiens comme sujet, Facteurs socioéconomiques, Femelle, Fécondité, Humains, Jeune adulte, Mâle, Ouganda, Partenaire sexuel (psychologie), Population de passage et migrants (), Population de passage et migrants (psychologie), Préservatifs masculins (utilisation), Pêcheries (main d’œuvre), Sérodiagnostic du SIDA (utilisation), Séropositivité VIH (diagnostic), Séropositivité VIH (psychologie), Séropositivité VIH (traitement médicamenteux), Séropositivité VIH (économie).
- MESH :
- diagnostic : Séropositivité VIH.
- ethnologie : Comportement sexuel.
- main d’œuvre : Pêcheries.
- psychologie : Comportement sexuel, Partenaire sexuel, Population de passage et migrants, Séropositivité VIH.
- traitement médicamenteux : Séropositivité VIH.
- usage thérapeutique : Agents antiVIH.
- utilisation : Préservatifs masculins, Sérodiagnostic du SIDA.
- économie : Séropositivité VIH.
- Adolescent, Adulte, Adulte d'âge moyen, Comportement sexuel, Divulgation, Entretiens comme sujet, Facteurs socioéconomiques, Femelle, Fécondité, Humains, Jeune adulte, Mâle, Ouganda, Population de passage et migrants.
- Wicri :
- geographic : Ouganda.
English descriptors
- KwdEn :
- AIDS Serodiagnosis (utilization), Adolescent, Adult, Anti-HIV Agents (therapeutic use), Condoms (utilization), Disclosure, Female, Fertility, Fisheries (manpower), HIV Seropositivity (diagnosis), HIV Seropositivity (drug therapy), HIV Seropositivity (economics), HIV Seropositivity (psychology), Humans, Interviews as Topic, Male, Middle Aged, Sexual Behavior (ethnology), Sexual Behavior (psychology), Sexual Behavior (statistics & numerical data), Sexual Partners (psychology), Socioeconomic Factors, Transients and Migrants (psychology), Transients and Migrants (statistics & numerical data), Uganda, Young Adult.
- MESH :
- chemical , therapeutic use : Anti-HIV Agents.
- geographic : Uganda.
- diagnosis : HIV Seropositivity.
- drug therapy : HIV Seropositivity.
- economics : HIV Seropositivity.
- ethnology : Sexual Behavior.
- manpower : Fisheries.
- psychology : HIV Seropositivity, Sexual Behavior, Sexual Partners, Transients and Migrants.
- statistics & numerical data : Sexual Behavior, Transients and Migrants.
- utilization : AIDS Serodiagnosis, Condoms.
- Adolescent, Adult, Disclosure, Female, Fertility, Humans, Interviews as Topic, Male, Middle Aged, Socioeconomic Factors, Young Adult.
Abstract
In this article we examine how members of fishing communities on the shores of Lake Victoria in Uganda respond to HIV diagnosis in terms of disclosure to sexual partners. We then explore the subsequent changes in sexual behavior and relationships. To access this information, we collected life history data from 78 HIV-positive individuals in five fishing communities. We found that the strength of the sexual relationships shaped how and why individuals disclosed to partners, and that these relationships tended to be stronger when partners shared familial responsibility. Those who perceived their current sexual partnership to be weak sought to conceal their status by maintaining prediagnosis patterns of sexual behavior. The majority of the study's participants rarely changed their sexual behavior following HIV diagnosis, regardless of their relationship's strength. These findings elucidate barriers to disclosure and behavior change, and suggest that a life-course approach might enhance individual-level counseling so that counselors can provide tailored support to individuals regarding disclosure decisions and outcomes.
DOI: 10.1177/1049732313495327
PubMed: 23774629
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last="Mpendo">Juliet Mpendo</name><name sortKey="Seeley, Janet" sort="Seeley, Janet" uniqKey="Seeley J" first="Janet" last="Seeley">Janet Seeley</name></noCountry><country name="États-Unis"><region name="Tennessee"><name sortKey="Mcarthur, Moriah" sort="Mcarthur, Moriah" uniqKey="Mcarthur M" first="Moriah" last="Mcarthur">Moriah Mcarthur</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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