title: "I have it just like you do": voices of HIV-negative partners in serodifferent relationships receiving primary care at a public clinic in San Francisco.
abstract: HIV transmission among serodifferent couples has a significant impact on incidence of HIV worldwide. Antiretroviral interventions (i.e., preexposure prophylaxis, post-exposure prophylaxis, and treatment as prevention) are important aspects of comprehensive prevention and care for serodifferent couples. In this study, HIV-negative members of serodifferent couples were interviewed using open-ended questions to explore their health-care needs, perceptions of clinic-based prevention services, and experience of having an HIV-infected partner. Analysis of interviews with 10 HIV-negative partners revealed the following themes: (1) health needs during joint medical visits; (2) sexual risk reduction strategies; (3) relationship dynamics; and (4) strategies for coping. This study elucidated relationship, health and health care factors that might affect development and implementation of clinic-based prevention interventions for HIV serodifferent couples. The findings point to possible relationship-centered recommendations for health-care providers who serve HIV-affected couples in clinical settings.
authors.affiliation: a Department of Medicine, General Medical Disciplines , Stanford University , Palo Alto , CA , USA.
authors.forename: Megan
authors.initials: M
authors.lastname: Mahoney
authors.forename: Shannon
authors.initials: S
authors.lastname: Weber
authors.forename: Melanie
authors.initials: M
authors.lastname: Bien
authors.forename: George
authors.initials: G
authors.lastname: Saba
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000554:Ambulatory Care Facilities; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission; D018023:HIV Seronegativity; D006679:HIV Seropositivity / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D056990:Post-Exposure Prophylaxis / Q000379:methods; D011320:Primary Health Care / Q000706:statistics & numerical data; D012189:Retrospective Studies; D040242:Risk Reduction Behavior; D012495:San Francisco / Q000453:epidemiology; D012725:Sexual Behavior; D012747:Sexual Partners; D011795:Surveys and Questionnaires
chemical_list: D019380:Anti-HIV Agents
keywords: HIV infection prevention and control; HIV serodiscordant; HIV seronegativity; sexual partners