A qualitative study of barriers to consistent condom use among HIV-1 serodiscordant couples in Kenya

作者：Ngure Kenneth^*; Mugo Nelly; Celum Connie; Baeten Jared M; Morris Martina; Olungah Owuor; Olenja Joyce; Tamooh Harrison; Shell Duncan Bettina

来源：AIDS Care-Psychological and Socio-Medical Aspects of AIDS/HIV, 2012, 24(4): 509-516.

DOI：10.1080/09540121.2011.613911

• HIV-1
• serodiscordant
• condom use
• Kenya

This study explored barriers to consistent condom use among heterosexual HIV-1 serodiscordant couples who were aware of the HIV-1 serodiscordant status and had been informed about condom use as a risk reduction strategy. We conducted 28 in-depth interviews and 9 focus group discussions among purposively selected heterosexual HIV-1 serodiscordant couples from Thika and Nairobi districts in Kenya. We analyzed the transcribed data with a grounded theory approach. The most common barriers to consistent condom use included male partners' reluctance to use condoms regardless of HIV-1 status coupled with female partners' inability to negotiate condom use, misconceptions about HIV-1 serodiscordance, and desire for children. Specific areas of focus should include development of skills for women to effectively negotiate condom use, ongoing information on HIV-1 serodiscordance and education on safer conception practices that minimize risk of HIV-1 transmission.

• 出版日期2012