The Ethics of Sin Taxes: Results from the Positive Jeevan Saathi Study
Elementary & Early Childhood Education
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.
Qualitative Health Research
Digital Object Identifier (DOI)
Patel, Shilpa N.; Hennink, Monique M.; Hynes, Michelle E.; and Yount, Kathryn M., "The Ethics of Sin Taxes: Results from the Positive Jeevan Saathi Study" (2016). Faculty Publications. 3967.