High rates of relationship dissolution among heterosexual HIV-serodiscordant couples in Kenya

Romel D. Mackelprang, Rose Bosire, Brandon L. Guthrie, Robert Y. Choi, Amy Liu, Anne Gatuguta, Anne F. Rositch, James N. Kiarie, Carey Farquhar

Research output: Contribution to journalArticlepeer-review

Abstract

HIV-1 serodiscordant couples may experience increased risks of relationship dissolution; however, longitudinal stability of these relationships is poorly understood. We determined rates and correlates of separation among 469 serodiscordant couples in Nairobi and found that 113 (24 %) separated during 2 years of follow-up. Couples with a female HIV-1 infected partner (FM-) and no income were more likely to separate than MFcouples without income (HR = 5.0; 95 % CI 1.1-25.0), and FM- and MF- couples with income (HR = 2.4; 95 % CI 1.3-4.5 and HR = 2.3; 95 % CI 1.2-4.8, respectively). High separation rates may be important for couple support services and for conducting discordant couple studies.

Original languageEnglish (US)
Pages (from-to)189-193
Number of pages5
JournalAIDS and behavior
Volume18
Issue number1
DOIs
StatePublished - Jan 1 2014

Keywords

  • HIV-1 serodiscordant couples
  • HIV-1 transmission
  • Poverty
  • Relationship dissolution
  • Separation
  • Women

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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