PrEP may help to save a relationship.
Article Type: Brief article
Subject: Condoms (Usage)
Disease transmission (Prevention)
HIV (Viruses) (Prevention)
Pub Date: 05/01/2012
Publication: Name: Reproductive Health Matters Publisher: Elsevier Science Publishers Audience: General Format: Magazine/Journal Subject: Family and marriage; Health; Women's issues/gender studies Copyright: COPYRIGHT 2012 Reproductive Health Matters ISSN: 0968-8080
Issue: Date: May, 2012 Source Volume: 20 Source Issue: 39
Product: Product Code: 3069770 Prophylactics & Diaphragms NAICS Code: 326299 All Other Rubber Product Manufacturing SIC Code: 3069 Fabricated rubber products, not elsewhere classified
Geographic: Geographic Scope: Kenya; Uganda Geographic Code: 6UGAN Uganda; 6KENY Kenya
Accession Number: 296571611
Full Text: A study of 60 people in HIV-discordant relationships who are participating in Pre-Exposure Prophylaxis (PREP) trials in Kenya and Uganda found that they saw PrEP as a way they could preserve their relationship, despite the pressures created by the knowledge of different HIV status and the risk of infection. PrEP reduces the risk of HIV transmission if drugs are taken before exposure, but it may be hard to maintain because the HIV-negative partner needs to take medication every day. In some trials, only around half of participants have managed this. However, adherence was 97-99% in the Partners PrEP study, which recruited HIV-discordant couples in a stable heterosexual relationship in Kenya and Uganda. 45 HIV-negative and 15 HIV-positive participants were interviewed. Avoiding HIV infection was felt to be essential, but appeared impossible for HIV-negative partners, especially women. Most couples said that long-term condom use was unrealistic, as condoms were considered expensive, inconvenient, uncomfortable and inconsistent with the desire to have children. Couples reported that they saw PrEP as a "way out" and fervently hoped that it would enable them to continue with the relationship. HIV-positive partners often helped with adherence to PREP. Monthly adherence counselling was also felt to be a source of support. (1)

(1.) Pebody R. For study participants, PrEP was an opportunity to save their relationship. AIDSMap News, 30 January 2012.

Doi: 10.1016/S0968-8080(12)39622-5
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