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A scoping review and thematic analysis of social and behavioural research among HIV-serodiscordant couples in high-income settings
BACKGROUND: While HIV incidence has stabilized in many settings, increases in health and wellbeing among many people living with HIV/AIDS suggest that the number of HIV-serodiscordant relationships is growing. Given the deficit of reviews addressing social and behavioural characteristics of HIV-sero...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4365541/ https://www.ncbi.nlm.nih.gov/pubmed/25885027 http://dx.doi.org/10.1186/s12889-015-1488-9 |
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author | Mendelsohn, Joshua B Calzavara, Liviana Daftary, Amrita Mitra, Sanjana Pidutti, Joel Allman, Dan Bourne, Adam Loutfy, Mona Myers, Ted |
author_facet | Mendelsohn, Joshua B Calzavara, Liviana Daftary, Amrita Mitra, Sanjana Pidutti, Joel Allman, Dan Bourne, Adam Loutfy, Mona Myers, Ted |
author_sort | Mendelsohn, Joshua B |
collection | PubMed |
description | BACKGROUND: While HIV incidence has stabilized in many settings, increases in health and wellbeing among many people living with HIV/AIDS suggest that the number of HIV-serodiscordant relationships is growing. Given the deficit of reviews addressing social and behavioural characteristics of HIV-serodiscordant couples within high-income settings, our objective was to understand the scope of the published literature, identify evidence gaps, and suggest future research needs. METHODS: Ten electronic databases were searched. Studies were included if they were reported in English, used primary data, were from the combination antiretroviral (cART) era (>1996), reported on social or behavioural aspects, included any fraction of primary (i.e., stable) relationships, and were conducted in high-income settings. Studies that identified their unit of analysis as either the dyad or individual member of the couple were included. Studies were coded according to a thematic framework. RESULTS: Included studies (n = 154) clustered into eight themes: risk behaviours (29%), risk management (26%), reproductive issues (12%), relationship quality (9%), serostatus disclosure (7%), adherence to antiretroviral therapy (7%), vulnerability (5%), and social support (3%). The proportion of studies conducted among heterosexual couples, same-sex male couples, and mixed cohorts were 42%, 34%, and 24%, respectively. Most studies (70%) were conducted in the United States, 70% of all studies were quantitative (including interventions), but only one-third were focused on couples (dyads) where both partners are recruited to a study. Over 25% of studies focused on sexual risk among same-sex male couples. CONCLUSIONS: Future research efforts should focus on the interrelationship of risk management strategies and relationship quality, social determinants of health and wellbeing, HIV testing, vulnerable populations, reproductive issues among same-sex couples, disclosure of serodiscordant status to social networks, dyadic studies, population-based studies, and interventions to support risk management within couples. Additional population-based studies and studies among marginalized groups would be helpful for targeting research and interventions to couples that are most in need. As HIV-positive partners are typically the link to services and research, innovative ways are needed for reaching out to HIV-negative partners. Our review suggests that significantly more research is needed to understand the social and behavioural contexts of HIV-serodiscordant relationships. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-015-1488-9) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4365541 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-43655412015-03-20 A scoping review and thematic analysis of social and behavioural research among HIV-serodiscordant couples in high-income settings Mendelsohn, Joshua B Calzavara, Liviana Daftary, Amrita Mitra, Sanjana Pidutti, Joel Allman, Dan Bourne, Adam Loutfy, Mona Myers, Ted BMC Public Health Research Article BACKGROUND: While HIV incidence has stabilized in many settings, increases in health and wellbeing among many people living with HIV/AIDS suggest that the number of HIV-serodiscordant relationships is growing. Given the deficit of reviews addressing social and behavioural characteristics of HIV-serodiscordant couples within high-income settings, our objective was to understand the scope of the published literature, identify evidence gaps, and suggest future research needs. METHODS: Ten electronic databases were searched. Studies were included if they were reported in English, used primary data, were from the combination antiretroviral (cART) era (>1996), reported on social or behavioural aspects, included any fraction of primary (i.e., stable) relationships, and were conducted in high-income settings. Studies that identified their unit of analysis as either the dyad or individual member of the couple were included. Studies were coded according to a thematic framework. RESULTS: Included studies (n = 154) clustered into eight themes: risk behaviours (29%), risk management (26%), reproductive issues (12%), relationship quality (9%), serostatus disclosure (7%), adherence to antiretroviral therapy (7%), vulnerability (5%), and social support (3%). The proportion of studies conducted among heterosexual couples, same-sex male couples, and mixed cohorts were 42%, 34%, and 24%, respectively. Most studies (70%) were conducted in the United States, 70% of all studies were quantitative (including interventions), but only one-third were focused on couples (dyads) where both partners are recruited to a study. Over 25% of studies focused on sexual risk among same-sex male couples. CONCLUSIONS: Future research efforts should focus on the interrelationship of risk management strategies and relationship quality, social determinants of health and wellbeing, HIV testing, vulnerable populations, reproductive issues among same-sex couples, disclosure of serodiscordant status to social networks, dyadic studies, population-based studies, and interventions to support risk management within couples. Additional population-based studies and studies among marginalized groups would be helpful for targeting research and interventions to couples that are most in need. As HIV-positive partners are typically the link to services and research, innovative ways are needed for reaching out to HIV-negative partners. Our review suggests that significantly more research is needed to understand the social and behavioural contexts of HIV-serodiscordant relationships. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-015-1488-9) contains supplementary material, which is available to authorized users. BioMed Central 2015-03-13 /pmc/articles/PMC4365541/ /pubmed/25885027 http://dx.doi.org/10.1186/s12889-015-1488-9 Text en © Mendelsohn et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Mendelsohn, Joshua B Calzavara, Liviana Daftary, Amrita Mitra, Sanjana Pidutti, Joel Allman, Dan Bourne, Adam Loutfy, Mona Myers, Ted A scoping review and thematic analysis of social and behavioural research among HIV-serodiscordant couples in high-income settings |
title | A scoping review and thematic analysis of social and behavioural research among HIV-serodiscordant couples in high-income settings |
title_full | A scoping review and thematic analysis of social and behavioural research among HIV-serodiscordant couples in high-income settings |
title_fullStr | A scoping review and thematic analysis of social and behavioural research among HIV-serodiscordant couples in high-income settings |
title_full_unstemmed | A scoping review and thematic analysis of social and behavioural research among HIV-serodiscordant couples in high-income settings |
title_short | A scoping review and thematic analysis of social and behavioural research among HIV-serodiscordant couples in high-income settings |
title_sort | scoping review and thematic analysis of social and behavioural research among hiv-serodiscordant couples in high-income settings |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4365541/ https://www.ncbi.nlm.nih.gov/pubmed/25885027 http://dx.doi.org/10.1186/s12889-015-1488-9 |
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