HSRC IR Repository

'I told her this is your life': relationship dynamics, partner support and adherence to antiretroviral therapy among South African couples

Show simple item record

dc.date.accessioned 2018-04-06 en
dc.date.accessioned 2020-02-19T12:27:02Z
dc.date.available 2020-02-19T12:27:02Z
dc.date.issued 2018-04-06 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/12055
dc.description.abstract Despite the important role of social relationships for health and wellbeing, little is known about how primary partners affect adherence to HIV care and treatment. We qualitatively explored how relationship dynamics and partner support influence adherence among couples from KwaZulu-Natal, South Africa. Twenty-four heterosexual couples with at least one HIV-positive partner completed semi-structured interviews on topics including relationship dynamics (intimacy or emotional closeness, communication, violence), experiences with HIV care and treatment and HIV-related social support. The majority of couples were seroconcordant HIV-positive (92%) and both on antiretroviral therapy (ART) (63%). Participants described how primary partners both interfered with and supported adherence. Negative forms of influence included relationship conflict, which resulted in forgetfulness to take pills, and men's attempt to control use of ART. However, participants were more likely to highlight positive forms of influence on adherence, which included social support (instrumental, informational and emotional), intimacy and commitment. The findings also suggest a reciprocal relationship between ART and relationships such that couple ART use may enhance relationship quality. Primary partners are important pillars of support for ART adherence, especially in contexts of high unemployment and poverty. Future interventions that encourage and leverage these supportive relationships could improve ART adherence among heterosexual couples in similar settings. en
dc.format.medium Print en
dc.subject HIV/AIDS en
dc.subject ANTIRETROVIRAL THERAPY en
dc.subject PARTNER INVOLVEMENT en
dc.subject RELATIONSHIPS en
dc.title 'I told her this is your life': relationship dynamics, partner support and adherence to antiretroviral therapy among South African couples en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume April en
dc.BudgetYear 2017/18 en
dc.ResearchGroup Human and Social Development en
dc.SourceTitle Culture, Health & Sexuality en
dc.ArchiveNumber 10321 en
dc.PageNumber Online en
dc.outputnumber 9285 en
dc.bibliographictitle Conroy, A., Leddy, A., Johnson, M., Ngubane, T., Van Rooyen, H. & Darbes, L. (2017) 'I told her this is your life': relationship dynamics, partner support and adherence to antiretroviral therapy among South African couples. <i>Culture, Health & Sexuality</i>. April:Online. en
dc.publicationyear 2017 en
dc.contributor.author1 Conroy, A. en
dc.contributor.author2 Leddy, A. en
dc.contributor.author3 Johnson, M. en
dc.contributor.author4 Ngubane, T. en
dc.contributor.author5 Van Rooyen, H. en
dc.contributor.author6 Darbes, L. en


Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

Search HSRC IR


Browse

My Account