title: Couples' communication on sexual and relational issues among the Akamba in Kenya.
abstract: A large portion of HIV transmission in sub-Saharan Africa occurs among married couples, yet the majority of research on safer-sex communication has focused on communication between couples in casual relationships. This paper explores how committed Kamba couples in Machakos District, Kenya, communicate about sensitive relational issues. The findings from focus group discussions with five groups of males and five groups of females are presented. The couples freely shared their thoughts about daily and economic issues and certain aspects of family planning and sexuality. Methods for raising sensitive issues with partners included monitoring the spouse's mood, gradual or indirect revelation, mentioning topics during sex, and use of third-party intermediaries. Interference by extended family members, especially husbands' mothers, and male authoritarian roles emerged as hindrances to effective communication between couples. The implications for HIV prevention regarding gender differences and the role of families in couples' communication are discussed.
authors: Ann Neville
authors: AN
authors: Miller
authors: Lenette
authors: L
authors: Golding
authors: Kyalo Wa
authors: KW
authors: Ngula
authors: MaryAnne
authors: M
authors: Wambua
authors: Evans
authors: E
authors: Mutua
authors: Mary N
authors: MN
authors: Kitizo
authors: Caroline
authors: C
authors: Teti
authors: Nancy
authors: N
authors: Booker
authors: Kinya
authors: K
authors: Mwithia
authors: Donald L
authors: DL
authors: Rubin
keywords: DETERMINANTS OF HEALTH; EAST AFRICA; GENDER ISSUES; HEALTH COMMUNICATION; HIV PREVENTION; HIV/AIDS; MARRIAGE; RELATIONSHIPS; SAFER SEX