High rates of relationship dissolution among heterosexual HIV-serodiscordant couples in Kenya
Mackelprang, R.D.; Bosire, R.; Guthrie, B.L.; Choi, R.Y.; Liu, A.; Gatuguta, A.; Rositch, A.F.; Kiarie, J.N.; Farquhar, C.
Aids and Behavior 18(1): 189-193
2014
ISSN/ISBN: 1573-3254 PMID: 23728523 DOI: 10.1007/s10461-013-0529-6Document Number: 579077
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 (F+M-) and no income were more likely to separate than M+F- couples without income (HR = 5.0; 95 % CI 1.1-25.0), and F+M- and M+F- 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.
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