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This paper examines the approaches heterosexual men and women in South Africa use to engage their partners in discussions of HIV and risk factors in their relationships. These strategies entail balancing the risks of infection while managing the challenges of maintaining a relationship. In a context in which there is a great deal of insecurity in relationships it is especially challenging to discuss HIV risks with partners.
Our findings reveal that concerns about children or the desire to have children provided a legitimate basis for discussing HIV risk with partners. The focus of these discussions is on the future for their children. Research in South Africa should attend to men’s and women’s desires to have and to raise children. HIV prevention and treatment programs can capitalise on concerns regarding children, and the future of the family, to engage men and women in discussing mutually acceptable strategies for preventing infection and ensuring safe conception.
High rates of HIV infection in South Africa, together with the rollout of antiretroviral treatment, mean that increasingly men and women and their families are grappling with long term infection, illness, and the fear of HIV transmission. International research on couples and families has highlighted the struggle to balance disease risks and illness while maintaining healthy relationships van Campenhoudt ; Cusick and Rhodes Here we are concerned with investigating how individuals attempt to discuss HIV risk and testing with their partners.
We have drawn from qualitative interviews with men and women between the ages of 18 and 32 who lived in control and intervention communities in two South African settings that participated in a randomised, controlled HIV prevention trial. Our coding identified four main approaches used by men and women to engage partners in these discussions. We found that both men and women usually reported that it was the female partner who was expected to initiate discussions.
Participant narratives suggest that this approach was the least threatening and most successfully used to engage partners in discussions of HIV testing and risk avoidance.
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Looking to the future: South African men and women negotiating HIV risk and relationship intimacy
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If it does not matter to you whether your partner is positive or negative, you can focus more on traditional methods – singles events, places of.
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During the early years of the HIV epidemic, many states implemented HIV-specific criminal exposure laws statutes and regulations. As of , 37 states have laws that criminalize HIV exposure. The laws for the 50 states and the District of Columbia were assessed and categorized into five categories. General criminal statutes, such as reckless endangerment and attempted murder, can be used to criminalize behaviors that can potentially expose another to HIV and or an STD. Many states have laws that fall into more than one of the categories listed above.
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Dating can be tricky for anyone, but if you are living with HIV, there are some extra things to think about. Two important things to consider are:. If you are looking for a positive partner, consider going to places online and in person where you will meet other people living with HIV. These include HIV-focused support groups, conferences, or dating websites such as www. For many women living with HIV, the big issue is disclosure. How and when do you tell? There is no one easy or perfect way to tell someone you are living with HIV.
Often, it is not how or when you tell, but whom you tell. Similarly, if a person is going to accept you and your diagnosis, timing of disclosure may not matter as long as you tell before having sex. You may wish to wait to disclose your status until after a sexual encounter for fear of rejection or embarrassment. There are several reasons why it may be safer for you NOT to do this:.
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When the threat of Boko Haram forced him to move from the northeastern city of Damaturu to Abuja in , Michael decided the time was right to launch his HIV matchmaking group. Weary of trying to persuade government agencies to invest in his idea, he headed out into the streets of Abuja at night, hanging up around singles to advertise his project. Some of the texts ask for medical or fertility group, with one comes from a whatsapp looking for an “HIV-positive sugar group”.
When people started tearing the banners down, Michael turned to bright red spray paint. Signs reading: After an initial telephone conversation, positive of Michael’s clients insist on coming to see him in person to talk further. Beyond setting up singles, Michael also ensures that every person he works with is registered with a specific hospital and that they are regularly taking their antiretroviral drugs.
Michael also provides his singles with free group and booklets about HIV, and teaches them about safe group. For people seeking medical group, he refers them to a doctor. Although based in Abuja, a photo of his advert posted on Facebook means people stretching from Rivers state in the south to the Borno in the northeast have signed up looking for group. Flicking through several folders, Michael explains how he has a separate file for clients who have started seeing each other, another for those who have graduated to a positive relationship, and a different group for those who have married.
Yet Michael said the law has had no impact on his service, or the thousands of HIV-positive people that he works with. Visit news. Newsletter sign up: Most Popular Fears over rising meet in Nigeria as ‘group guardians’ battle logging A new ‘climate strike’: Opting for no children as climate fears grow As Nigeria singles, parties court farmers with green promises Australian islanders to lodge landmark UN person on climate change Companies trying to do good face stiff competition – click the following article from each other.