Document 1060
 DOCN  M9621060
 TI    Couple communication, sexual coercion and HIV risk reduction in Kigali,
       Rwanda.
 DT    9602
 AU    van der Straten A; King R; Grinstead O; Serufilira A; Allen S; Center
       for AIDS Prevention Studies, University of California, San; Francisco,
       USA.
 SO    AIDS. 1995 Aug;9(8):935-44. Unique Identifier : AIDSLINE MED/96014969
 AB    OBJECTIVE: To describe sexual interaction and HIV-related communication
       in Rwandan couples and to examine their relationship to HIV testing and
       condom use. STUDY DESIGN: Cross-sectional survey of a longitudinal
       cohort. METHODS: In 1988, women recruited for an epidemiological study
       of HIV, and interested male partners, received confidential HIV testing
       and counseling. Two years after enrollment, 876 women reporting one
       steady partner in the past year completed a questionnaire addressing
       sexual and HIV-related communication, sexual motivation and violence in
       the partnership. RESULTS: Men control sexual decision making, and
       coercive sex and violence between partners is not uncommon. HIV-positive
       women were more likely to report coercive sex and less likely to have
       discussed their test results with their partner. Women with HIV-positive
       partners were more likely to report being physically abused. Condom use
       was more common if the man had been previously tested, and if women
       reported discussing or negotiating condom use. HIV-negative women with
       untested or seronegative partners were the least likely to use condoms
       or to discuss or attempt to negotiate condom use. CONCLUSIONS:
       Participation of the male partner is crucial for successful HIV risk
       reduction in couples. HIV testing and counseling of couples has
       beneficial long term effects on condom use and HIV-related
       communication. Couple communication is associated with condom use, but
       only when the discussion is specific (sexually transmitted disease risks
       and using condoms). Seronegative women with untested partners are at
       increased risk for HIV as they are the least likely to discuss or
       attempt to negotiate condom use.
 DE    *Coercion  Cohort Studies  *Communication  Condoms  Counseling
       Cross-Sectional Studies  Domestic Violence  Female  Human  HIV
       Infections/EPIDEMIOLOGY/*PREVENTION & CONTROL  Male  Risk Factors
       Rwanda/EPIDEMIOLOGY  *Sex Behavior  Sexual Partners  Support, U.S.
       Gov't, P.H.S.  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).