Kumwenda, Moses Kelly, Corbett, Elizabeth Lucy, Chikovore, Jeremiah, Phiri, Mackwellings, Mwale, Daniel, Choko, Augustine Talumba, Nliwasa, Marriot, Sambakunsi, Rodrick, Taegtmeyer, Miriam, Gutteberg, Tore Jarl et al (show 2 more authors)
(2018)
Discordance, Disclosure and Normative Gender Roles: Barriers to Couple Testing Within a Community-Level HIV Self-Testing Intervention in Urban Blantyre, Malawi.
AIDS AND BEHAVIOR, 22 (8).
pp. 2491-2499.
Text
Discordance, Disclosure and Normative Gender Roles Barriers to Couple Testing Within a Community-Level HIV Self-Testing Inte.pdf - Published version Download (868kB) | Preview |
Abstract
A community-based HIV self-testing study in Blantyre, Malawi demonstrated that not all individuals living in couples tested with their partner. We describe factors dissuading individuals in couples from self-testing with their partner. Data were drawn from qualitative study exploring consequences of HIV self-testing within couples. In-depth interviews were conducted with 33 individuals living in couples who tested alone. Participants expressed fear of dealing with HIV-discordant relationships. Failure to self-test with a partner was correlated with gender, with more men than women overtly declining or unconsciously unable to have joint HIV self-test. Men feared exposure of infidelity and were often not available at home for economic reasons. Barriers to uptake of couple HIV self-testing seemed to be shaped by gendered dichotomies of social-relationships. To help achieve the first 90% of the UNAIDS 90:90:90 goals, it is important to overcome structural barriers to realise the full potential of HIV self-testing.
Item Type: | Article |
---|---|
Uncontrolled Keywords: | Disclosure, Discordance, Gender, Couple, Self-test |
Depositing User: | Symplectic Admin |
Date Deposited: | 06 Feb 2020 10:16 |
Last Modified: | 19 Jan 2023 00:04 |
DOI: | 10.1007/s10461-018-2038-0 |
Open Access URL: | https://doi.org/10.1007/s10461-018-2038-0 |
Related URLs: | |
URI: | https://livrepository.liverpool.ac.uk/id/eprint/3073761 |