"Him Leaving Me – That is My Fear Now": A Mixed Methods Analysis of Relationship Dissolution Between Ugandan Pregnant and Postpartum Women Living with HIV and Their Male Partners.
High rates of relationship dissolution among pregnant women living with HIV (PWLHIV) and their male partners might increase mothers' and children's vulnerability to financial hardship and poor health outcomes. This mixed methods analysis identified factors associated with separation between PWLHIV a...
| Publicado en: | AIDS & Behavior Vol. 27; no. 6; pp. 1776 - 1793 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jun2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163414262&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163414262 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Jun2023 vid: 27 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 163414262 160093527 163414262 163414262 10.1007/s10461-022-03910-3 163414262 ppf: 1776 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: "Him Leaving Me – That is My Fear Now": A Mixed Methods Analysis of Relationship Dissolution Between Ugandan Pregnant and Postpartum Women Living with HIV and Their Male Partners. aug: au: Bulterys, Michelle A. Mujugira, Andrew Nakyanzi, Agnes Wyatt, Monique A. Kamusiime, Brenda Kasiita, Vicent Kakoola, Grace Nalukwago Nalumansi, Alisaati Twesigye, Collins Pisarski, Emily E. Sharma, Monisha Boyer, Jade Naddunga, Faith Ware, Norma C. Celum, Connie L. affil: Department of Global Health, University of Washington, 325 Ninth Avenue, 98104, Seattle, WA, USA sug: subj: Expectant Mothers Psychosocial Factors Postnatal Period HIV-Positive Persons Psychosocial Factors Sexual Partners Men Interpersonal Relations Divorce In Pregnancy Human Multimethod Studies Financial Management Outcomes (Health Care) Secondary Analysis Descriptive Statistics Multiple Regression Interviews Female Male Conflict (Psychology) Marital Status Mental Health Medication Compliance Patient Safety Counseling Support, Psychosocial Pregnancy Funding Source Female Male ab: High rates of relationship dissolution among pregnant women living with HIV (PWLHIV) and their male partners might increase mothers' and children's vulnerability to financial hardship and poor health outcomes. This mixed methods analysis identified factors associated with separation between PWLHIV and their male partners. We utilized data from a randomized controlled trial (www.ClinicalTrials.gov NCT03484533) of 500 PWLHIV attending antenatal care in Uganda and 237 male partners between 2018 and 2020 and followed until 12 months postpartum. Multivariate regression models estimated the impact of relationship factors on the adjusted relative risk of separation during follow up, and we conducted in-depth interviews with 45 women and 45 men enrolled in the trial. Overall, 23% of PWLHIV reported separation during the study period. HIV serodifferent status, financial burdens and gender expectations were sources of relationship conflict. Significant factors associated with separation included unmarried, non-cohabitating, shorter, polygamous relationships, as well as HIV non-disclosure and verbal abuse. Participants discussed potential positive and negative consequences of separation, including impact on their mental health, treatment continuation, financial security, and safety. Addressing relationship dynamics is essential to improve counseling messaging and support PWLHIV who are experiencing relationship conflict. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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