Male partners of young women in Uganda: Understanding their relationships and use of HIV testing (doi:10.7910/DVN/EOHQDA)

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Document Description

Citation

Title:

Male partners of young women in Uganda: Understanding their relationships and use of HIV testing

Identification Number:

doi:10.7910/DVN/EOHQDA

Distributor:

Harvard Dataverse

Date of Distribution:

2018-07-24

Version:

1

Bibliographic Citation:

Ann Gottert; Julie Pulerwitz; Anne Katahoire; Jerry Okal; Florence Ayebare; Nrupa Jani; Pamela Keilig; Sanyukta Mathur, 2018, "Male partners of young women in Uganda: Understanding their relationships and use of HIV testing", https://doi.org/10.7910/DVN/EOHQDA, Harvard Dataverse, V1

Study Description

Citation

Title:

Male partners of young women in Uganda: Understanding their relationships and use of HIV testing

Identification Number:

doi:10.7910/DVN/EOHQDA

Authoring Entity:

Ann Gottert (Population Council)

Julie Pulerwitz (Population Council)

Anne Katahoire (Makerere University Child Health and Development Centre)

Jerry Okal (Population Council)

Florence Ayebare (Makerere University Child Health and Development Centre)

Nrupa Jani (Population Council)

Pamela Keilig (Population Council)

Sanyukta Mathur (Population Council)

Producer:

Population Council

Distributor:

Harvard Dataverse

Access Authority:

Ann Gottert

Depositor:

Ann Gottert

Date of Deposit:

2018-07-23

Holdings Information:

https://doi.org/10.7910/DVN/EOHQDA

Study Scope

Keywords:

Social Sciences, HIV, partner concurrency, age-disparate relationships, HIV testing, men's relationship

Abstract:

<p><b>Background:</b> Substantial concern exists about the high risk of sexually transmitted HIV to adolescent girls and young women (AGYW, ages 15-24) in Eastern and Southern Africa. Yet limited research has been conducted with AGYW’s male sexual partners regarding their perspectives on relationships and strategies for mitigating HIV risk. We sought to fill this gap in order to inform the DREAMS Partnership and similar HIV prevention programs in Uganda.</p> <p><b>Methods:</b> We conducted 94 in-depth interviews, from April-June 2017, with male partners of AGYW in three districts: Gulu, Mukono, and Sembabule. Men were recruited at community venues identified as potential transmission areas, and via female partners enrolled in DREAMS. Analyses focused on men’s current and recent partnerships and HIV service use. </p> <p><b>Results:</b> Most respondents (80%) were married and 28 years old on average. Men saw partner concurrency as pervasive, and half described their own current multiple partners. Having married in their early 20s, over time most men continued to seek out AGYW as new partners, regardless of their own age. Relationships were highly fluid, with casual short-term partnerships becoming more formalized, and more formalized partnerships characterized by periods of separation and outside partnerships. Nearly all men reported recent HIV testing and described testing at distinct relationship points (e.g., when deciding to continue a relationship/get married, or when reuniting with a partner after a separation). Testing often stemmed from distrust of partner behavior, and an HIV-negative status served to validate respondents’ current relationship practices. </p> <p><b>Conclusions:</b> Across the three regions in Uganda, findings with partners of AGYW confirm earlier reports in Uganda of multiple concurrent partnerships, and demonstrate substantial HIV testing. Yet they also unearth the degree to which these partnerships are fluid (switching between casual and/or more long-term partnerships), which complicates potential HIV prevention strategies. Context-specific findings around these partnerships and risk are critical to further tailor HIV prevention programs.</p>

Date of Collection:

2017-04-01-2017-06-30

Country:

Uganda, Uganda, Uganda

Geographic Coverage:

Gulu, Mukono, Sembabule

Unit of Analysis:

Individual

Kind of Data:

qualitative

Methodology and Processing

Sampling Procedure:

Sampling at hot spot venues and via adolescent girls and young women enrolled in DREAMS Program

Type of Research Instrument:

Semi-structured in-depth interview guide

Sources Statement

Data Access

Notes:

<a href="http://creativecommons.org/publicdomain/zero/1.0">CC0 1.0</a>

Other Study Description Materials

Other Study-Related Materials

Label:

DREAMS_IS Male Partners of AGYW_Uganda_IDIguide_3-1-17.docx

Notes:

application/vnd.openxmlformats-officedocument.wordprocessingml.document

Other Study-Related Materials

Label:

Final_Uganda Male Partner IDI Codebook_5July2017.docx

Notes:

application/vnd.openxmlformats-officedocument.wordprocessingml.document

Other Study-Related Materials

Label:

This_readme_Gottert_PLOS-Uganda.txt

Notes:

text/plain

Other Study-Related Materials

Label:

Uganda DREAMS male partner study in-depth interviews 2017.7z

Notes:

application/x-7z-compressed