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Living with Discordance: A Qualitative Description of the Challenges Faced by HIV Negative Married Women | ||
| International Journal of Community Based Nursing & Midwifery | ||
| مقاله 2، دوره 8، شماره 2 - شماره پیاپی 30، تیر 2020، صفحه 103-115 اصل مقاله (393.98 K) | ||
| نوع مقاله: Original Article | ||
| شناسه دیجیتال (DOI): 10.30476/ijcbnm.2020.82845.1093 | ||
| نویسندگان | ||
| Mona Larki1؛ Narjes Bahri2؛ Javad Moghri3؛ Robab Latifnejad Roudsari* 4، 5 | ||
| 1Student Research Committee, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran; | ||
| 2Department of Midwifery, School of Medicine, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran; | ||
| 3Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; | ||
| 4Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; | ||
| 5Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| چکیده | ||
| Background: Serodiscordant couples are faced with many social, sexual and relationship challenges in all aspects of their lives. The sources of conflicts could be disease acquisition, transfer of HIV to the uninfected partner, and fertility decisions. The current qualitative study was designed to explore the challenges faced by HIV negative women in serodiscordant relationships. Methods: This qualitative description was conducted in Mashhad, Northeast of Iran, between October 2018 and June 2019. 15 HIV-negative women who were living with their HIV-positive husbands were selected through purposive sampling method. The data were collected using semi-structured interviews. Data were analyzed using conventional content analysis adopted by Graneheim and Lundman. MAXQDA version 12, was used for data organization. Components of rigor including credibility, dependability, confirmability and transferability were considered. Results: The main overarching theme which emerged from the qualitative study was “threats to family life”, consisting of five categories along with their subcategories. These categories included stigmatic reactions followed by disclosure of the status, social misconceptions and limitation of information sources, psychological disruptions, hard decision making for fertility, and role conflict in the family. Conclusion: This study provides an insight into different aspects of challenges faced by Iranian women in HIV-serodiscordant relationships. Also, our study supports the view of other investigators who believe that there is an urgent need for provision of counseling and empowerment interventions for HIV- serodiscordant couples. | ||
| کلیدواژه‌ها | ||
| Challenge؛ HIV/AIDS؛ Iran؛ Qualitative description؛ Serodiscordant couple | ||
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| مراجع | ||
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1 Selvaraj K, Kumar AMV, Chawla S, et
al. Are partners of HIV-infected people
being tested for HIV? A mixed-methods
research from Gujarat, India. Public
Health Action. 2017;7:46-54.
2 UNAIDS. Overview: in the Islamic
Republic of Iran in 2018. Switzerland:
UNAIDS; 2018. [cited 14 April 2019].
Available from: http://www.unaids.
org/en/regionscountries/countries/
islamicrepublicofiran.
3 National AIDS Committee Secretariat,
Ministry of Health and Medical
Education. Islamic Republic of Iran
AIDS Progress Report. Tehran: National
AIDS Committee Secretariat, Ministry
of Health and Medical Education; 2015.
4 Trickey A, May MT, Vehreschild JJ, et al.
Survival of HIV-positive patients starting
antiretroviral therapy between 1996 and
2013: a collaborative analysis of cohort
studies. The Lancet HIV. 2017;4:e349-56.
5 Rodger AJ, Cambiano V, Bruun T, et al.
Sexual activity without condoms and
risk of HIV transmission in serodifferent
couples when the HIV-positive partner is
using suppressive antiretroviral therapy.
JAMA. 2016;316:171-81.
6 Little KM, Taylor AW, Borkowf CB, et
al. Perinatal antiretroviral exposure and
prevented mother-to-child HIV infections
in the era of antiretroviral prophylaxis
in the United States, 1994-2010. The
Pediatric Infectious Disease Journal.
2017;36:66-71.
7 Mendelsohn JB, Calzavara L, Daftary
A, et al. A scoping review and thematic
analysis of social and behavioural research
among HIV-serodiscordant couples in
high-income settings. BMC Public Health.
2015;15:241.
8 Joseph Davey D, West S, Umutoni V, et
al. A systematic review of the current
status of safer conception strategies for
HIV affected heterosexual couples in
sub-Saharan Africa. AIDS and Behavior.
2018;22:2916-46.
9 Sun L, Wang F, Liu A, et al. Natural
conception may be an acceptable
option in HIV-serodiscordant couples
in resource limited settings. PloS One.
2015;10:e0142085.
10 Patel RC, Leddy AM, Odoyo J, et al.
What motivates serodiscordant couples
to prevent HIV transmission within
their relationships: findings from a PrEP
implementation study in Kenya. Culture,
Health & Sexuality. 2018;20:625-39.
11 Mashaphu S, Burns JK. Couples-based
interventions in the context of HIV
discordance. South African Journal of
Psychiatry. 2017;23:1009.
12 Mashaphu S, Wyatt GE, Gomo E, Tomita
A. Intimate partner violence among HIVserodiscordant
couples in Durban, South
Africa. South African Medical Journal.
2018;108:960-4.
13 Muessig KE, Cohen MS. Advances
in HIV prevention for serodiscordant
couples. Current HIV/AIDS Reports.
2014;11:434-46.
14 Coleman-Sarfo Klo ED. Challenges
Faced by HIV Positive Partners Living
in Discordance with HIV Negative
Partners: A Case Study of 37 Military
Hospital. Clinical Research in HIV/AIDS.
2017;4:1041.
15 King R, Wamai N, Khana K, et al. “Maybe
his blood is still strong”: a qualitative
study among HIV-sero-discordant couples
on ART in rural Uganda. BMC Public
Health. 2012;12:801.
16 Thomson KA, Baeten JM, Mugo NR,
et al. Tenofovir-based oral preexposure
prophylaxis prevents HIV infection
among women. Current Opinion in HIV
and AIDS. 2016;11:18-26.
17 Van der Elst EM, Mbogua J, Operario
D, et al. High acceptability of HIV preexposure
prophylaxis but challenges in
adherence and use: qualitative insights
from a phase I trial of intermittent and
daily PrEP in at-risk populations in Kenya.
AIDS and Behavior. 2013;17:2162-72.
18 World Health Organization. Guidance
on couples HIV testing and counselling
including antiretroviral therapy for
treatment and prevention in serodiscordant
couples: recommendations for a public
health approach. Gneva: World Health
Organization; 2012.
19 Barnett T, Whiteside A, Decosas J. The
Jaipur paradigm--a conceptual framework
for understanding social susceptibility
and vulnerability to HIV. South African
Medical Journal. 2000;90:1098-101.
20 Pope C, White RT, Malow R. HIV/
AIDS: Global frontiers in prevention/
intervention. UK: Taylor & Francis; 2014.
21 Testa M, Livingston JA, VanZile-Tamsen
C. Advancing the study of violence
against women using mixed methods:
Integrating qualitative methods into a
quantitative research program. Violence
Against Women. 2011;17:236-50.
22 Kim H, Sefcik JS, Bradway C.
Characteristics of qualitative descriptive
studies: a systematic review. Research in
Nursing & Health. 2017;40:23-42.
23 Graneheim UH, Lundman B. Qualitative
content analysis in nursing research:
concepts, procedures and measures to
achieve trustworthiness. Nurse Education
Today. 2004;24:105-12.
24 Mohseni Tabrizi A, Hekmatpour P. HIV/
AIDS related stigma in Iran: A qualitative
study. International Journal of Social
Sciences. 2016;6:13-9.
25 Rispel LC, Cloete A, Metcalf CA. ‘We
keep her status to ourselves’: Experiences
of stigma and discrimination among
HIV-discordant couples in South Africa,
Tanzania and Ukraine. SAHARA J.
2015;12:10-7.
26 Adejumo AO. Perceived HIV
stigmatization, HIV/AIDS cognition and
personality as correlates of HIV selfdisclosure
among people living with HIV
in Ibadan, Nigeria. Gender and Behaviour.
2011;9:3854-69.
27 Atuyambe LM, Ssegujja E, Ssali S, et
al. HIV/AIDS status disclosure increases
support, behavioural change and, HIV
prevention in the long term: a case for an
Urban Clinic, Kampala, Uganda. BMC
Health Services Research. 2014;14:276.
28 Greeff M, Phetlhu R, Makoae LN, et al.
Disclosure of HIV status: experiences and
perceptions of persons living with HIV/
AIDS and nurses involved in their care
in Africa. Qualitative Health Research.
2008;18:311-24.
29 Johnston WI. HIV-negative: How the
uninfected are affected by AIDS. 2 nd
ed. Germany: Springer; 2013.
30 Pulerwitz J, Michaelis A, Verma R, Weiss
E. Addressing gender dynamics and
engaging men in HIV programs: lessons
learned from Horizons research. Public
Health Reports. 2010;125:282-92.
31 Ngure K, Mugo N, Celum C, et al.
A qualitative study of barriers to
consistent condom use among HIV-1
serodiscordant couples in Kenya. AIDS
Care. 2012;24:509-16.
32 Said AP, Seidl EMF. Serodiscordance
and prevention of HIV: perceptions of
individuals in stable and non-stable
relationships. Interface-Comunicação,
Saúde, Educação. 2015;19:467-78.
33 Kawwass JF, Smith DK, Kissin DM, et al.
Strategies for preventing HIV infection
among HIV-uninfected women attempting
conception with HIV-infected men-United
States. MMWR Morbidity and Mortality
Weekly Report. 2017;66:554-7.
34 Matthews LT, Crankshaw T, Giddy J, et
al. Reproductive decision-making and
periconception practices among HIVpositive
men and women attending HIV
services in Durban, South Africa. AIDS
and Behavior. 2013;17:461-70.
35 Pintye J, Ngure K, Curran K, et al.
Fertility decision-making among
Kenyan HIV-serodiscordant couples who
recently conceived: implications for safer
conception planning. AIDS Patient Care
and STDs. 2015;29:510-6.
36 Kimemia G, Ngure K, Baeten JM, et
al. Perceptions of pregnancy occurring
among HIV-serodiscordant couples in
Kenya. Reproductive Health. 2019;16:85.
37 Groß M, Herr A, Hower M, et al.
Unemployment, health, and education
of HIV-infected males in Germany.
International Journal of Public Health.
2016;61:593-602.
38 Poudel AN, Newlands D, Simkhada P.
The economic burden of HIV/AIDS on
individuals and households in Nepal: a
quantitative study. BMC Health Services
Research. 2017;17:76. | ||
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