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AIDS and Behavior
Erschienen in: AIDS and Behavior 3/2020

04.06.2019 | Original Paper

Sexual Relationship Power and Periconception HIV-Risk Behavior Among HIV-Infected Men in Serodifferent Relationships

verfasst von: Hazar Khidir, Nzwakie Mosery, Ross Greener, Cecilia Milford, Kara Bennett, Angela Kaida, Christina Psaros, Steve A. Safren, David R. Bangsberg, Jennifer A. Smit, Lynn T. Matthews

Erschienen in: AIDS and Behavior | Ausgabe 3/2020

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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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Metadaten
Titel
Sexual Relationship Power and Periconception HIV-Risk Behavior Among HIV-Infected Men in Serodifferent Relationships
verfasst von
Hazar Khidir
Nzwakie Mosery
Ross Greener
Cecilia Milford
Kara Bennett
Angela Kaida
Christina Psaros
Steve A. Safren
David R. Bangsberg
Jennifer A. Smit
Lynn T. Matthews
Publikationsdatum
04.06.2019
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 3/2020
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-019-02536-2

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