The influence of HIV concordance and discordance on marital life
Abstract
Studies on the implications of HIV concordance and discordance
focus largely on the sexual aspect (Bennetts et al., 1999; Campbell,
1999; Moatti and Souteyrand, 2000; White et al., 1997), that is,
they examine how sexual relations between couples are affected by
the virus. Only a few published works examine marital and family
experiences within the context of discordance (Tangmunkongvorakul
et al., 1999; Vandevanter et al., 1999; White et al., 1997).
For example, Vandevanter et al. (1999) reported breaches of trust
in the marital relationship with adverse implications for communication.
Complications in decisions about reproduction included the
pain of not having children as well as of accepting the risk of
having an HIV-positive child. Anxiety about the future of the family
led to discussions and planning ahead. Participants in Tangmunkongvorakul
et al.’s (1999) study in Thailand stated that while disclosure
of HIV status could lead to marital dissolution, the duration of the
partnership was a major influence. Women’s decision-making was
heavily influenced by their natal homes and played a role in whether
they stayed on with their spouses or returned to their families of
origin. Perceived stigma affected the extent of emotional and financial
support families received, with negative effects for coping.
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