ArticleSexually transmitted infections2017
Understanding the relationship between couple dynamics and engagement with HIV care services: insights from a qualitative study in Eastern and Southern Africa.
Article in Sexually transmitted infections, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Men missing from the HIV care continuum in sub-Saharan Africa: a meta-analysis and meta-synthesis.Journal of the International AIDS Society · 2022Pooled it
- Stigma interdependence among pregnant HIV-infected couples in a cluster randomized controlled trial from rural South Africa.Social science & medicine (1982) · 2020Trial
- Couple-Based Intervention to Improve HIV Care Engagement for Women and their Partners in KwaZulu-Natal, South Africa: Outcomes of a Pilot Randomized Controlled Trial.Journal of the International Association of Providers of AIDS CareTrial
- "AIDS care · 2026Article
- Cohort Profile Update: Magu Health and Demographic Surveillance System, Tanzania.International journal of epidemiology · 2024Article
- Article
- Experiences of people living with HIV in low- and middle-income countries and their perspectives in self-management: a meta-synthesis.AIDS research and therapy · 2024Review
- Article
- Effect of status disclosure on quality of life among people living with HIV/AIDS in Ghana: A health facility-based cross-sectional study.PLOS mental health · 2024Article
- Supportive couple relationships buffer against the harms of HIV stigma on HIV treatment adherence.BMC public health · 2023Article
- Women want male partner engagement in antenatal care services: A qualitative study of pregnant women from rural South Africa.PloS one · 2023Article
- Barriers to HIV care in Uganda and implications for universal test-and-treat: a qualitative study.AIDS care · 2022Article
- Designing a couple-based relationship strengthening and health enhancing intervention for pregnant women living with HIV and their male partners in Zambia: Interview findings from the target community.Social science & medicine (1982) · 2021Article
- Consequences of male partner engagement policies on HIV care-seeking in three African countries: Findings from the SHAPE UTT study.Global public health · 2021Article
- Testing for saturation in qualitative evidence syntheses: An update of HIV adherence in Africa.PloS one · 2021Article
- The Influence of Shared or Separate Partner Residence on HIV Testing Among Latino Immigrants in the United States.Journal of racial and ethnic health disparities · 2020Article
- Using theories of practice to understand HIV-positive persons varied engagement with HIV services: a qualitative study in six Sub-Saharan African countries.Sexually transmitted infections · 2017Article
- Bottlenecks to HIV care and treatment in sub-Saharan Africa: a multi-country qualitative study.Sexually transmitted infections · 2017Article
- Parental obligations, care and HIV treatment: How care for others motivates self-care in Zimbabwe.Journal of health psychologyArticle
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveTo explore the interplay between couple dynamics and the engagement of people living with HIV (PLHIV) with HIV care and treatment services in three health and demographic surveillance sites in Tanzania, Malawi and South Africa.
methodsA qualitative study was conducted involving 107 in-depth interviews with PLHIV with a range of HIV care and treatment histories, including current users of HIV clinics, and people not enrolled in HIV care. Interviews explored experiences of living with HIV and how and why they chose to engage or not with HIV services. Thematic analysis was conducted with the aid of NVivo 10.
resultsWe found an interplay between couple dynamics and HIV care and treatment-seeking behaviour in Tanzania, Malawi and South Africa. Being in a relationship impacted on the level and type of engagement with HIV services in multiple ways. In some instances, couples living with HIV supported each other which improved their engagement with care and strengthened their relationships. The desire to fulfil societal expectations and attract a new partner, or have a baby with a new partner, or to receive emotional or financial support, strengthened on-going engagement with HIV care and treatment. However, fear of blame, abandonment or abuse resulted in unwillingness to disclose and often led to disputes or discord between couples. There was little evidence of intracouple understanding of each other's lived experiences with HIV, and we found that couples rarely interacted with the formal health system together.
conclusionsCouple dynamics influenced engagement with HIV testing, care and treatment for both partners through a myriad of pathways. Couple-friendly approaches to HIV care and treatment are needed that move beyond individualised care and which recognise partner roles in HIV care engagement.
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