ArticleJournal of sex research2015
The influence of relationship power dynamics on HIV testing in rural Malawi.
Article in Journal of sex research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Trial
- Couples problem-solving therapy for perinatal women living with HIV and male partners in Malawi: a study protocol for a pilot trial ofBMJ open · 2026Article
- Managing multimorbidity together: relationship dynamics and dual medication adherence for hypertension and HIV in Malawi.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Observational
- Article
- Relationship Dynamics and Young Women's Contraceptive Use.Sexuality research & social policy : journal of NSRC : SR & SP · 2024Article
- Patient Preferences for Direct-to-Consumer Telemedicine Services: Replication and Extension of a Nationwide Survey.JMIR human factors · 2024Article
- Examining concordance of sexual-related factors and PrEP eligibility with HIV risk perception among adolescent girls and young women: cross-sectional insights from DREAMS sites in Kenya, Malawi, and Zambia.BMC public health · 2024Article
- Article
- Relationship Dynamics are Associated with Self-Reported Adherence but not an Objective Adherence Measure in Malawi.AIDS and behavior · 2022Article
- Making the Case for Joint Decision-Making in Future Multipurpose Prevention Technology (MPT) Choice: Qualitative Findings on MPT Attribute Preferences from the CUPID Study (MTN-045).Journal of the International AIDS Society · 2022Article
- Couple Efficacy and Communal Coping for HIV Prevention Among Kenyan Pregnant Couples.AIDS and behavior · 2022Article
- "A NOWADAYS DISEASE": HIV/AIDS AND SOCIAL CHANGE IN A RURAL SOUTH AFRICAN COMMUNITY.AJS; American journal of sociology · 2021Article
- The Unaddressed Needs of Alcohol-Using Couples on Antiretroviral Therapy in Malawi: Formative Research on Multilevel Interventions.AIDS and behavior · 2020Article
- Re-conceptualising gender and power relations for sexual and reproductive health: contrasting narratives of tradition, unity, and rights.Culture, health & sexuality · 2020Article
- A method for measuring spatial effects on socioeconomic inequalities using the concentration index.International journal for equity in health · 2020Article
- Navigating intimate sexual partnerships in an era of HIV: dimensions of couple relationship quality and satisfaction among adults in Eswatini and linkages to HIV risk.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2019Article
- Gender-based violence and engagement in biomedical HIV prevention, care and treatment: a scoping review.BMC public health · 2019Article
- Alcohol use and relationship quality among South African couples.Substance use & misuse · 2019Article
- 'I told her this is your life': relationship dynamics, partner support and adherence to antiretroviral therapy among South African couples.Culture, health & sexuality · 2017Article
- Measuring couple relationship quality in a rural African population: Validation of a Couple Functionality Assessment Tool in Malawi.PloS one · 2017Article
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Abstract
Using the theory of gender and power (TGP) and data from the Tsogolo la Thanzi (TLT) study, we examined how relationship power shapes young people's decisions to test for HIV in rural Malawi (N=932), a high-HIV prevalence setting undergoing rapid expansions in testing services. We used generalized estimating equations (GEE) to examine associations among five constructs of relationship power (socioeconomic inequalities, relationship dominance, relationship violence, relationship unity, and mistrust), perceived risk, and receiving an HIV test over a 16-month period. The results indicate that young Malawians are testing for HIV at relatively high rates, repeatedly, and not just during pregnancy. Over the study period, 47.3% of respondents received at least one HIV test outside of TLT (range: 0-4). The GEE analysis revealed that men and women with higher levels of relationship unity were less likely to test for HIV. For men, being a victim of sexual coercion was an additional barrier to testing. Women's testing decisions were more strongly influenced by perceptions of a partner's risk for HIV than their own, whereas men relied more on self-assessments. The results highlight that testing decisions are deeply embedded within the relationship context, which should be considered in future HIV testing interventions.
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