Title

The Ethics of Sin Taxes: Results from the Positive Jeevan Saathi Study

Department

Elementary & Early Childhood Education

Document Type

Article

Publication Date

9-1-2016

Abstract

This study examined factors that mitigate or heighten HIV risk among HIV-negative wives in serodiscordant relationships in Gujarat, India. Grounded theory was used to analyze 46 interviews (23 couples) where husbands were HIV-positive and wives were HIV-negative. A conceptual framework emerged from analysis from which we identified five pathways and four key behaviors: (a) safer sex, (b) no sex, (c) coercive sex, and (d) unprotected sex. Most couples either practiced safe sex or abstained from sex. Factors such as wives’ assertiveness, a wife’s fear of acquiring HIV, mutual understanding, positive sex communication, and a husband’s desire to protect wife influenced safe sex/sexual abstinence. Factors such as desire for children, a husband’s alcohol use, and intimate partner violence influenced coercive and unprotected sex. Counseling topics on sex communication, verbal and non-verbal safer sex strategies, as well as addressing intimate partner violence and alcohol use may be important in preventing risk to HIV-negative wives.

Journal

Qualitative Health Research

Journal ISSN

1552-7557

Volume

26

Issue

11

First Page

1531

Last Page

1542

Digital Object Identifier (DOI)

10.1177/1049732315626694