Male Partner Influence on Women’s HIV Prevention Trial Participation and Use of Pre-exposure Prophylaxis: the Importance of “Understanding” View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2014-11-22

AUTHORS

Elizabeth T. Montgomery, Ariane van der Straten, Jonathan Stadler, Miriam Hartmann, Busisiwe Magazi, Florence Mathebula, Nicole Laborde, Lydia Soto-Torres

ABSTRACT

There is widespread evidence that male partners influence women’s ability and willingness to join HIV prevention trials and to use female-controlled prevention strategies such as microbicide gels. VOICE-C was an ancillary study to the Microbicide Trials Network’s VOICE trial at the Johannesburg site that explored social and structural factors influencing women’s use of study tablets and vaginal gel. Qualitative data were analyzed from 102 randomly-selected VOICE participants interviewed through in-depth interviews (IDI, n = 41); ethnographic interviews (n = 21) or focus group discussions (FGD, n = 40) and 22 male partners interviewed in 14 IDI and 2 FGD. Male partners’ “understanding” pervaded as a central explanation for how male partners directly and indirectly influenced their female partners’ trial participation and product use, irrespective of assignment to the gel or tablet study groups. The meaning behind “understanding” in this context was described by both men and women in two important and complementary ways: (1) “comprehension” of the study purpose including biological properties or effects of the products, and (2) “support/agreeability” for female partners being study participants or using products. During analysis a third dimension of “understanding” emerged as men’s acceptance of larger shifts in gender roles and relationship power, and the potential implications of women’s increased access to biomedical knowledge, services and prevention methods. Despite displays of some female agency to negotiate and use HIV prevention methods, male partners still have a critical influence on women’s ability and willingness to do so. Efforts to increase their understanding of research goals, study design and products’ mechanisms of action could ameliorate distrust, empower men to serve as product advocates, adherence buddies, and foster greater adherence support for women in situations where it is needed. Strategies to address gender norms and the broader implications these have for female-initiated HIV prevention should likewise be integrated into future research and program activities. More... »

PAGES

784-793

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10461-014-0950-5

DOI

http://dx.doi.org/10.1007/s10461-014-0950-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1002367881

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25416076


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96 knowledge
97 large shifts
98 male partner influence
99 male partners
100 meaning
101 mechanism
102 mechanism of action
103 men
104 men's acceptance
105 method
106 microbicide gel
107 norms
108 participants
109 participation
110 partner influence
111 partners
112 potential implications
113 power
114 pre-exposure prophylaxis
115 prevention
116 prevention methods
117 prevention strategies
118 prevention trials
119 product advocates
120 product use
121 products
122 program activities
123 properties
124 prophylaxis
125 purpose
126 qualitative data
127 relationship power
128 research
129 research goal
130 role
131 services
132 shift
133 sites
134 situation
135 strategies
136 structural factors
137 study
138 study design
139 study group
140 study participants
141 study purpose
142 study tablets
143 support
144 support/agreeability
145 tablet study groups
146 tablets
147 third dimension
148 trial participation
149 trials
150 understanding
151 use
152 vaginal gel
153 voice
154 way
155 widespread evidence
156 willingness
157 women
158 women's ability
159 women's use
160 ’s HIV Prevention Trial Participation
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