Emotional and relationship dynamics between HIV sero discordance and concordance couples: a narrative literature review and theoretical framework

Mwakalapuka, Amani; Mwampagatwa, Ipyana; Bali, Theodora; Mwashambwa, Masumbuko; Kibusi, Stephen

dc.creator	Mwakalapuka, Amani
dc.creator	Mwampagatwa, Ipyana
dc.creator	Bali, Theodora
dc.creator	Mwashambwa, Masumbuko
dc.creator	Kibusi, Stephen
dc.date	2021-05-13T09:23:57Z
dc.date	2021-05-13T09:23:57Z
dc.date	2017
dc.date.accessioned	2022-10-20T14:01:41Z
dc.date.available	2022-10-20T14:01:41Z
dc.identifier	Mwakalapuka, A., Mwampagatwa, I, Bali, T., Mwashambwa, M., Kibusi, S., & Mwansisya, T. (2017). Emotional and relationship dynamics between HIV serodiscordance and concordance couples: a narrative literature review and theoretical framework. ARC Journal of public health and community medicine, 2(2), 1.
dc.identifier	DOI: http://dx.doi.org/10.20431/2456-0596.0202001
dc.identifier	http://hdl.handle.net/20.500.12661/3070
dc.identifier.uri	http://hdl.handle.net/20.500.12661/3070
dc.description	Full text Article. Also available at http://dx.doi.org/10.20431/2456-0596.0202001
dc.description	Tanzania is among the countries with high prevalence of HIV prevalence in the World. Despite the fact that the epidemic has been, and still is a threat to persons of all ages, recent studies have suggested that most new infections occur among couples in stable relationships. Infected couples are categorised into two: the positive concordant, where both the partners are HIV positive; and sero-discordant couples, where one partner is HIV positive while the other is negative. Recently, researchers and many other stake-holders working on the HIV/AIDS epidemic have given a remarkable attention to this astonishing reality. For instance one study in East and Southern Africa indicates that there are great variations of discordancy varying from 36% to 85%, with an overall rate of 49%. HIV couple sero-discordancy is responsible for varied levels of psychological distress including heightened levels of anxiety, poor emotional adaptation and increased or excessive substance use, most often coupled with exclusion and social isolation within family and in the neighbourhood. However, to date the influence of sero-discordancy on family and couple relationship functioning and how it differs from that among concordant couples remains elusive. Discordancy have been associated with more difficulties as compared to the seroconverted couples, these include relationship and emotional disturbances, sexual contact distancing, marital separation and disruptions. The Lazarus and Folkmans (1984)s Transactional Model can be helpful in understanding individuals with HIV discordancy on their emotional response, coping strategies and the ultimate decisions towards their marital relationships fate. Couple sero-discordancy, HIV/AIDS, Theory, Emotional problems, psychosocial problems, Literature review.
dc.language	en
dc.publisher	ARC Publications Private Limited
dc.subject	HIV
dc.subject	Tanzania
dc.subject	AIDS
dc.subject	Public health
dc.subject	HIV positive
dc.subject	HIV infections
dc.subject	Marital life
dc.subject	Acquired immunodeficiency syndrome
dc.subject	Human immunodeficiency virus
dc.subject	HIV serodiscordance
dc.title	Emotional and relationship dynamics between HIV sero discordance and concordance couples: a narrative literature review and theoretical framework
dc.type	Article