Abstract：
:Mutual fidelity and partner reduction have been identified as key behavioural strategies to prevent HIV transmission in sub-Saharan Africa, particularly following recognition of the role that multiple concurrent sexual partnerships play in driving generalised HIV epidemics. We analysed social representations of fidelity and infidelity in a sample of 1,343 narratives about HIV written by young Africans between 1997 and 2014. The narratives were written at four different time points (1997, 2005, 2008, 2014) by authors aged 10-24 in urban and rural areas of Senegal, Burkina Faso, South-east Nigeria, Kenya and Eswatini. We combined three analytical approaches: descriptive statistics of quantifiable characteristics of the narratives, thematic data analysis and a narrative-based approach. In the sample, fidelity is often promoted as the ideal by narrators, peers and romantic partners, in line with broader discourses around HIV prevention, romantic relationships, familial obligations, and religious and moral imperatives. However, mutual fidelity is rarely modelled in the narratives and representations of combining methods to prevent HIV from entering relationships via infidelity are uncommon. Representations of fidelity reflect loss-framed fear arousal techniques that perpetuate HIV-related stigma. Narrative-based approaches that facilitate skills-building, critical reflection and address stigma can better address fidelity and partner reduction.
journal_name
SAHARA Jauthors
Singleton R,Billaud M,McLeod H,Tiendrebeogo G,Dia F,Obong'o C,Nkambule-Vilakati S,Mbakwem B,Sabben G,Winskell Kdoi
10.1080/17290376.2021.1950042keywords:
["Fidelity","HIV","multiple concurrent sexual partners","qualitative","sub-Saharan Africa","young people"]subject
Has Abstractpub_date
2021-12-01 00:00:00pages
86-97issue
1eissn
1729-0376issn
1813-4424journal_volume
18pub_type
杂志文章相关文献
文献大全abstract：:Women living with HIV in a stigmatising community need support to cope with their HIV status. In a process of action research, a structured support group programme was designed to meet the needs of women to cope with their diagnosis and interpersonal relationships. The emphasis was on identifying their needs and devel...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2005.9724858
更新日期：2005-11-01 00:00:00
abstract：:Culture plays a vital role in determining the level of health of the individual, the family and the community. This is particularly relevant in the context of Africa, where the values of extended family and community significantly influence the behaviour of the individual. The behaviour of the individual in relation t...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2004.9724822
更新日期：2004-05-01 00:00:00
abstract：:A large number of voluntary counselling and testing (VCT) sites are being opened in sub-Saharan Africa. The services provided by these sites are playing an increasingly important role in the prevention of HIV/AIDS.The sites offer many possibilities and it is crucial that they provide the optimum services for clients. ...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type：
doi：10.1080/17290376.2004.9724840
更新日期：2004-11-01 00:00:00
abstract：:The primary goal of this study was to survey local government HIV/AIDS projects in South Africa. A total of 240 questionnaires were sent to local municipalities nationally between May and July 2002. A total of 44 municipalities returned their questionnaires, covering 53 projects. Most projects focused on prevention an...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2004.9724832
更新日期：2004-08-01 00:00:00
abstract：:The HIV/AIDS pandemic in South Africa has negatively transformed the lives of many in townships and rural areas. People living with AIDS (PWAs) are the socially weakened, whose means of survival include migrating, enduring gender violence, and they are thus confined to living in the margins of society. Using the conce...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2005.9724844
更新日期：2005-04-01 00:00:00
abstract：:The HIV/AIDS epidemic in Africa has assumed a dimension raising heartbreaking anxiety among national governments and civil society groups. In Ghana for example, the pandemic is well-documented and has gone beyond a health problem, and now encompasses all socio-economic aspects of life. The estimated rate of infection ...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2006.9724872
更新日期：2006-08-01 00:00:00
abstract：:This paper discusses the issue of equity in the distribution of ARV drugs in the Malawi health system. Malawi is one of the countries most severely affected by HIV/AIDS in southern Africa. It is also one of the poorest countries in the world. ARV drugs are expensive.The Malawi government, with assistance from the Glob...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章,多中心研究
doi：10.1080/17290376.2007.9724818
更新日期：2007-05-01 00:00:00
abstract：:The implementation and evaluation of a peer education and support programme in secondary schools to prevent and reduce high-risk sexual behaviour amongst adolescents is discussed.The aims of the programme were to provide accurate information about HIV/AIDS, discuss and reconsider peer group norms, and establish suppor...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2007.9724891
更新日期：2007-11-01 00:00:00
abstract：:Vaginal microbicides, substances that may substantially decrease transmission of sexually transmitted infections (STI) including human immunodeficiency virus (HIV), are currently in clinical trials. They are being presented as woman-initiated prevention methods that have the potential to be used without partners' know...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2008.9724897
更新日期：2008-04-01 00:00:00
abstract：:In southern Africa, HIV and AIDS accounts for the largest proportion of orphans. Very often the orphaned children become destitute, and young girls in particular become more vulnerable to HIV and AIDS as they try to fend for the rest of the family. This paper reports on the number of orphans in Kariba, Zimbabwe, descr...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2008.9724910
更新日期：2008-09-01 00:00:00
abstract：:The purpose of this review was to identify and assess studies that have quantified the association between alcohol consumption and HIV infection in sub-Saharan Africa. PubMed, CAB Abstracts and article references were searched to identify studies published in English between 2000 and 2008 that reported relative measur...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章,评审
doi：10.1080/17290376.2009.9724944
更新日期：2009-12-01 00:00:00
abstract：:The aim of the study was to examine and describe the individual and structural-environmental factors that shape the vulnerability of brothel-based female sex workers (FSWs) in Ibadan, southwest Nigeria to HIV infection. A descriptive qualitative research design was utilised to elicit data, using in-depth interviews an...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章,多中心研究
doi：10.1080/17290376.2010.9724957
更新日期：2010-08-01 00:00:00
abstract：:Addressing HIV and AIDS is the responsibility of many stakeholders including private sector companies. However, increasing evidence reveals that the majority of companies around the world are yet to acknowledge and respond to HIV and AIDS as a workplace issue. One factor that has been identified in the literature as p...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2010.9724971
更新日期：2010-12-01 00:00:00
abstract：:In South Africa, the HIV&AIDS education policy documents indicate opportunities for integration across disciplines/subjects. There are different interpretations of integration/inclusion and mainstreaming HIV&AIDS education, and numerous levels of integration. Integration ensures that learners experience the discipline...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2012.744909
更新日期：2012-12-01 00:00:00
abstract：BACKGROUND:Accidental needlestick injury rate among healthcare workers in Hawassa is extremely high. Epidemiological findings proved the infectious potential of this injury contaminated with a Human Immunodeficiency Virus (HIV)-infected patient's blood. OBJECTIVE:This study aimed at estimating the risk of HIV transmis...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2012.665252
更新日期：2012-01-01 00:00:00
abstract：:The HIV/AIDS pandemic put significant strain on healthcare services in the country. Hospitals were no longer coping with the escalating number of AIDS patients. This resulted in the early discharge of patients, with some patients, too ill to be nursed at home, being sent to hospices for continued care. The Batswana ha...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2012.683584
更新日期：2012-01-01 00:00:00
abstract：:LGBT communities are emerging across Africa in 2012. Many are emerging in the context of the continents severe HIV epidemic. Homophobia is a barrier to social acceptance and to health and other social services, but African communities are showing reliance in addressing stigma and discrimination, and in organizing for ...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2012.743813
更新日期：2012-01-01 00:00:00
abstract：:Men may be key players in the transmission of sexually transmitted infections (STI), and it is important that STI/HIV health services reach men. The objective of this study was to explore sexual health care access and seeking behaviours in men. This study used focus groups to examine sexual health care access and seek...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2011.9724989
更新日期：2011-01-01 00:00:00
abstract：:The Department of Correctional Services Policy on the management of HIV and AIDS for offenders include voluntary counselling and testing (VCT) for HIV as one of the priorities in the rehabilitation of inmates. The aim of this study was to determine factors associated with the utilisation of VCT services in the correct...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2011.9724993
更新日期：2011-01-01 00:00:00
abstract：:This study compared the level of CD4 count, viral load and health-related quality of life (HRQOL) between treatment-naïve AIDS patients and a cohort of people living with HIV who have been on treatment for 12 months. This study is based on a secondary data analysis of the records of 642 people with HIV consisting of 3...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2013.807070
更新日期：2013-03-01 00:00:00
abstract：AIM:The study aimed to determine the prevalence, predictors, and self-reported management of HIV- or ARV-related symptoms among HIV patients prior to antiretroviral therapy (ART) and over three time points while receiving ART in KwaZulu-Natal, South Africa. METHOD:A total of 735 consecutive patients (29.8% male and 70...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章,多中心研究
doi：10.1080/17290376.2013.870119
更新日期：2013-01-01 00:00:00
abstract：:HIV and AIDS still pose a major public health problem to most countries in sub-Saharan Africa, Zambia included. The objective of the paper is to determine changes in selected sexual behaviour and practice and HIV prevalence indicators between 2001-2002 and 2007. We used the Demographic and Health Survey Indicators Dat...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章,评审
doi：10.1080/17290376.2014.903620
更新日期：2013-01-01 00:00:00
abstract：:This study aimed to gain more insight into young Rwandans' perceptions on sex and relationships, which is essential for formulating effective sexual and reproductive health (SRH) promotion interventions. Using a 'mailbox technique', this paper studies the spontaneous thoughts of Rwandan young people on sexuality. Mail...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2014.927950
更新日期：2014-01-01 00:00:00
abstract：:There is limited data on stigma among older HIV-infected adults in sub-Saharan Africa. We describe the experiences of stigma and disclosure in a cohort of HIV-positive older people in Uganda. Using data from the Wellbeing of Older Peoples' Study of Kalungu (rural site) and Wakiso district (peri-urban site) residents, ...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2014.938103
更新日期：2014-01-01 00:00:00
abstract：:In HIV-discordant relationships, the HIV-negative partner also carries the burden of a stigmatised disease. For this reason, couples often hide their HIV-discordant status from family, friends and community members. This perpetuates the silence around HIV-discordant relationships and impacts on targeted HIV prevention...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2015.1014403
更新日期：2015-01-01 00:00:00
abstract：:The aim of the research on which this article is based was to understand the behavioural changes of the target student population over time to ensure that future prevention programmes are more effective in changing behaviour. This study reports on quantitative data collected at the University of the Western Cape over ...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章,评审
doi：10.1080/17290376.2015.1086275
更新日期：2015-01-01 00:00:00
abstract：:There is still a considerable debate about whether socioeconomic or cultural factors underpin the high prevalence of sexual partner concurrency in parts of Southern and Eastern Africa. We analyzed the patterning and correlates of concurrency in a population-based sample of 1182 sexually active 14-24 year olds in Carle...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2015.1100093
更新日期：2015-01-01 00:00:00
abstract：BACKGROUND:We conducted a case study of the Zimbabwe National AIDS Trust Fund ('AIDS Levy') as an approach to domestic government financing of the response to HIV and AIDS. METHODS:Data came from three sources: a literature review, including a search for grey literature, review of government documents from the Zimbabw...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章,评审
doi：10.1080/17290376.2015.1123646
更新日期：2016-01-01 00:00:00
abstract：:HIV counseling and testing (HCT) has been prioritized as one of the prevention strategies for HIV/AIDS, and promoted as an essential tool in scaling up and improving access to treatment, care and support especially in community settings. Home-based HCT (HBHCT) is a model that has consistently been found to be highly a...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章,随机对照试验
doi：10.1080/17290376.2016.1248477
更新日期：2016-12-01 00:00:00
abstract：:Progress in promoting knowledge of HIV status has been made globally, but half of all people living with HIV are still unaware of their HIV status. It is argued the new innovative HIV self-testing strategy could increase the uptake of HIV testing among the people. The aim of the study was to assess outpatients' health...
journal_title：SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
pub_type： 杂志文章
doi：10.1080/17290376.2018.1517607
更新日期：2018-12-01 00:00:00
