AIDS and Behavior

, Volume 18, Issue 1, pp 189–193

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
Brief Report

DOI: 10.1007/s10461-013-0529-6

Cite this article as:
Mackelprang, R.D., Bosire, R., Guthrie, B.L. et al. AIDS Behav (2014) 18: 189. doi:10.1007/s10461-013-0529-6

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 (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.

Keywords

HIV-1 serodiscordant couplesRelationship dissolutionSeparationHIV-1 transmissionPovertyWomen

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Romel D. Mackelprang
    • 1
    • 2
  • Rose Bosire
    • 4
  • Brandon L. Guthrie
    • 1
  • Robert Y. Choi
    • 3
  • Amy Liu
    • 1
  • Anne Gatuguta
    • 5
  • Anne F. Rositch
    • 6
  • James N. Kiarie
    • 7
  • Carey Farquhar
    • 1
    • 2
    • 3
  1. 1.Department of EpidemiologyUniversity of WashingtonSeattleUSA
  2. 2.Department of Global HealthUniversity of WashingtonSeattleUSA
  3. 3.Department of MedicineUniversity of WashingtonSeattleUSA
  4. 4.Centre for Public Health ResearchKenya Medical Research InstituteNairobiKenya
  5. 5.Department of Community HealthUniversity of NairobiNairobiKenya
  6. 6.Department of EpidemiologyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  7. 7.Department of Obstetrics and GynaecologyUniversity of NairobiNairobiKenya