Sexual Relationship Power and Periconception HIV-Risk Behavior Among HIV-Infected Men in Serodifferent Relationships
Sponsor
This work was supported by the Harvard CFAR (P30 AI060354) and K23 MH095655.
Published In
AIDS and Behavior
Document Type
Citation
Publication Date
6-4-2019
Abstract
Gender norms affect HIV risk within serodifferent partnerships. We assessed how the sexual relationship power described by men living with HIV (MLWH) associates with periconception HIV-transmission risk behavior. Quantitative surveys were conducted with 82 MLWH reporting a recent pregnancy with an HIV-negative or unknown-serostatus partner in KwaZulu-Natal, South Africa. Surveys assessed decision-making dominance (DMD) using the Pulerwitz et al. sexual relationship power scale; partnership characteristics; and HIV-risk behaviors. Multivariable logistic regression models evaluated associations between DMD score and HIV-risk behaviors. Higher male decision-making dominance was associated with non-disclosure of HIV-serostatus to pregnancy partner (aRR 2.00, 95% CI 1.52, 2.64), not knowing partner’s HIV-serostatus (aRR 1.64, 95% CI 1.27, 2.13), condomless sex since pregnancy (aRR 1.92, 95% CI 1.08, 3.43), and concurrent relationships (aRR 1.50, 95% CI 1.20, 1.88). Efforts to minimize periconception HIV-risk behavior must address gender norms and power inequities.
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DOI
10.1007/s10461-019-02536-2
Persistent Identifier
https://archives.pdx.edu/ds/psu/28882
Citation Details
Khidir, H., Mosery, N., Greener, R., Milford, C., Bennett, K., Kaida, A., ... Matthews, L. T. (2019). Sexual Relationship Power and Periconception HIV-Risk Behavior Among HIV-Infected Men in Serodifferent Relationships. AIDS And Behavior. https://doi.org/10.1007/s10461-019-02536-2
Description
© Springer Science+Business Media, LLC, part of Springer Nature 2019