How HIV Diagnosis and Disclosure Affect Sexual Behavior and Relationships in Ugandan Fishing Communities.


McArthur, M; Birdthistle, I; Seeley, J; Mpendo, J; Asiki, G; (2013) How HIV Diagnosis and Disclosure Affect Sexual Behavior and Relationships in Ugandan Fishing Communities. Qualitative health research, 23 (8). pp. 1125-37. ISSN 1049-7323 DOI: https://doi.org/10.1177/1049732313495327

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Abstract

: In this article we examine how members of fishing communities on the shores of Lake Victoria in Uganda respond to HIV diagnosis in terms of disclosure to sexual partners. We then explore the subsequent changes in sexual behavior and relationships. To access this information, we collected life history data from 78 HIV-positive individuals in five fishing communities. We found that the strength of the sexual relationships shaped how and why individuals disclosed to partners, and that these relationships tended to be stronger when partners shared familial responsibility. Those who perceived their current sexual partnership to be weak sought to conceal their status by maintaining prediagnosis patterns of sexual behavior. The majority of the study's participants rarely changed their sexual behavior following HIV diagnosis, regardless of their relationship's strength. These findings elucidate barriers to disclosure and behavior change, and suggest that a life-course approach might enhance individual-level counseling so that counselors can provide tailored support to individuals regarding disclosure decisions and outcomes.<br/>

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Global Health and Development
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Population Studies (1974-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Research Centre: Population Studies Group
PubMed ID: 23774629
Web of Science ID: 321492800011
URI: http://researchonline.lshtm.ac.uk/id/eprint/1035403

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