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Title Sexual Attitudes, Beliefs, Practices, and HIV Risk During Pregnancy and Post-delivery: A Qualitative Study in Malawi, South Africa, Uganda, and Zimbabwe.
Full text https://escholarship.org/uc/item/2pm854nx
Date 2022
Author(s) Ryan, Julia H; Young, Alinda; Musara, Petina; Reddy, Krishnaveni; Macagna, Nicole; Guma, Victor; Seyama, Linly; Piper, Jeanna; van der Straten, Ariane; MTN- 041/MAMMA Study Team
Abstract Women who acquire HIV during the pregnancy and breastfeeding periods have a higher risk of transmitting the virus to their child than women who become infected with HIV before pregnancy. We explore the context of sexual beliefs and practices that may shape both HIV risk and willingness to use HIV prevention products during pregnancy and postpartum in Malawi, South Africa, Uganda and Zimbabwe. Twenty-three single sex focus group discussions and 36 in-depth interviews took place between May and November 2018 with recently pregnant or breastfeeding women, men, mothers and mothers-in-law of pregnant or breastfeeding women, and key informants. Participants across study groups and sites (N = 232) reported various perceived benefits and harms of sex during pregnancy and postpartum. Participants discussed reasons why men might seek sex outside of the relationship. There is a critical need for alternative prevention options to protect pregnant and breastfeeding women from HIV.
Subject(s) MTN- 041/MAMMA Study Team; Humans; HIV Infections; Attitude; Health Knowledge; Attitudes; Practice; Mothers; Pregnancy; Uganda; Malawi; South Africa; Zimbabwe; Female; Male; HIV prevention; Postpartum; Sexual behavior; Sub-Saharan Africa; Clinical Research; Prevention; HIV/AIDS; Behavioral and Social Science; Infectious Diseases; Adolescent Sexual Activity; Pediatric AIDS; Pediatric; 3.1 Primary prevention interventions to modify behaviours or promote wellbeing; Prevention of disease and conditions; and promotion of well-being; Infection; Reproductive health and childbirth; Good Health and Well Being; Public Health and Health Services; Social Work; Public Health
Coverage 996 - 1005
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source AIDS and behavior, vol 26, iss 3
Rights public
Identifier qt2pm854nx
Repository Berkeley - University of California
Added to C-A: 2022-10-12;10:08:09