DATING AND SEXUAL CHALLENGES FACED BY HIV-POSITIVE PEOPLE IN KWAZULU-NATAL, SOUTH AFRICA

Delarise Mulqueeny, Madhu Kasiram

Abstract


According to the 2010 UNAIDS Report, an estimated 320 000 (or 20%) fewer people died of AIDS-related causes in 2009 when compared to figures in 2004 in sub-Saharan Africa, when antiretroviral therapy was markedly expanded (UNAIDS, 2010). This decreased mortality rate offers hope for HIV-infected people to plan a future, part of which will include dating and sexual relationships. The Report cites KwaZulu-Natal in South Africa as being at the heart of the HIV/AIDS epidemic; this article is based on research on dating and sexuality among HIV-positive people in KwaZulu-Natal.
Dating and sexuality are an integral part of living. Yet HIV-positive persons are denied intimacy at a time when this is most needed (Kasiram in Kasiram, Partab & Dano, 2006). Little is known about the full range of sexual adaptations that HIV-infected individuals choose (Schiltz & Sandfort, 2000). Kasiram, Partab, Dano and Van Greunen (2003:9) cite interaction and intimacy among HIV-positive persons as a neglected research focus, while Painter (2001) adds that insufficient attention is afforded to couple relationships for infected people.
An important reason that motivated this study on dating and sexual challenges faced by HIV-positive people was the first author’s (the main researcher’s) personal experience of being HIV positive and counselling and life coaching HIV-positive people. She is confronted regularly with variations of the question “Will I be normal?”, which often translates to: “Will I be able to date and have sex

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References


ARNOLD, E.M., RICE, E., FLANNERY, D. & ROTHERAM-JONES, J. 2008. HIV disclosure among adults living with HIV. AIDS Care, 20:80-92.

AVERT 2007. HIV and AIDS in South Africa. [Online] Available: http:// www.avert.org/aidssouthafrica.html. [Accessed: 20/11/2011].

BABBIE, E. & MOUTON, J. 2005. The practice of social research. Southern Africa: Oxford University Press South Africa.

BABBIE, E. 2005. The practice of social research. London: Thomson Wadsworth.

BALFE, M. & BRUGHA, R. 2010. Disclosure of STI testing activities by young adults: the influence of emotions and social networks. Sociology of Health & Illness, 32(7):1041-1058.

BERK, L.E. 2001. Development through the lifespan (2nd ed). USA: Allyn and Bacon.

DANO, B. 2007. An exploratory study of the psychosocial implications of HIV serodiscordance in married heterosexual couples. Durban: UKZN. (Unpublished MA Dissertation)

GREEN, J. 2003. Family theory and therapy: exploring an evolving field. Victoria: Thompson Learning.

HEYER, A. & OGUNBANJO, G.A. 2006. Adherence to HIV antiretroviral therapy. Part 1: a review of factors that influence adherence. SA Fam Prac, 48(8):5-9. JALIBERT, Y. 2001. What are the needs of people living with AIDS (PLWAIDS) in Quebec in the new millennium? Presented at AIDS Impact, Brighton Beach, England. July 8-11, 2001.

KALICHMAN, S.C., DIMARCO, M., AUSTIN, J., LUKE, W. & DIFONZO, K. 2003. Stress, social support and HIV-status disclosure to family and friends among HIV positive men and women. Journal of Behavioural Medicine, 26(4):315-332.

KASIRAM, M. 2006. Chapter 11. Towards spiritual competence in HIV?AIDS care. In: KASIRAM, M., PARTAB, R. & DANO, B. 2006. HIV/AIDS in Africa: the not so silent presence. Durban: Print Connection. http://socialwork.journals.ac.za/

KASIRAM, M. 2011. HIV/AIDS in sub Saharan Africa: theories and practice. The Social Work Practitioner-Researcher, 23(2):171-189.

KASIRAM, M., PARTAB, R., DANO, B. & VAN GREUNEN, J. 2003. Managing HIV/AIDS: guidelines for counsellors, caregivers & faith based practitioners. Durban: Print Connection.

KEEGAN, A., LAMBERT, S. & PETRAK, J. 2001. Sex and relationships for HIV + women in the era of HAART. Presented at AIDS Impact, Brighton Beach, England. July 8-11, 2001.

KEIKELAME, M.J., MURPHY, C.K., RINGHEIM, K.E. & WOLDEHANNA, S. 2010. Perceptions of HIV/AIDS leaders about faith based organisations’ influence on HIV/AIDS stigma in South Africa. African Journal of AIDS Research, 9(1):63-70.

KLITZMAN, R., EXNER, T., CORREALE, J., KIRSHENBAUM, B., REMIEN, R., EHRHARDT, A.A., LIGHTFOOT, M., CATZ, S.L., WEINHARDT, L.S., JOHNSON, M.O, MORIN, S.F., ROTHERAM, M.J., KELLY, J.A. & CHARLEBOIS, E. 2007. It’s not just what you say: Relationship of HIV disclosure and risk reduction among MSM in the post-HAART era. AIDS Care, 19(6):749-756.

KRAKAUER & NEWBERY. 2007. Churches’ response to HIV/AIDS in two South African communities. Journal of the International Association of Physicians in AIDS Care, 6(27):27-35.

LIU, C., HU, H., GOPARAJU, L., BACCHETTI, P., WEBER, K., CORREA, N., NOWICKI, M. & WILSON, T.E. 2011. Sexual Serosorting among women with or at risk of HIV infection. AIDS Behav, 15(1):9-15.

LOUW, D.A., VAN EDE, D.M. & LOUW, A.E. 2003. Human Development. Cape Town: Lagiso Tertiary.

MAMAN, S., MBWAMBO, J., HOGAN, N., KILINZO, G. & SWEAT, M. 2001. Women’s barriers to HIV-1 testing and disclosure: challenges for HIV-1 voluntary counselling and testing, AIDS Care, 13(5):595-603.

MATICKA-TYNDALE, E., ADAM, B.D. & COHEN, J.J. 2002. Sexual desire and practice among people living with HIV and using combination anti-retroviral therapies. Canadian Journal of Human Sexuality, 11(1):33-40.

NATIONAL AIDS HELPLINE 0800-012-322. [Online] Available: http://www. aidshelpline.org.za [Accessed: 11/03/2013].

PAINTER, T.M. 2001. Voluntary Counselling and Testing for couples: a high-leverage intervention for HIV/AIDS prevention in sub-Saharan Africa. Social Science and Medicine, 53:1397-1411.

PALMER, T.M. & BOR, B. 2001. The challenge to intimacy and sexual relationships for gay men in HIV serodiscordant relationships: A pilot study. Journal of Marital and Family Therapy, 27(4):419-431.

http://socialwork.journals.ac.za/

PARKER, R. & AGGLETON, P. 2003. HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action. Social Science and Medicine, 57(1):13-24.

PLUS NEWS. 2008. Uganda, ARVs bring sex back into marriages. [Online] Available: http://www.plusnews.org. [Accessed: 12/03/2013].

RAMACHANDRAN, S., YONAS, M.A., SILVESTRE, A.J. & BURKE J.G. 2010. Intimate partner violence among HIV-positive persons in an urban clinic. AIDS Care, 22(12):1536-1543.

SCHILTZ, M.A. & SANDFORT, T.G. 2000. HIV positive people, risk and sexual behaviour. Social Science and Medicine, 50:1571-1588.

SHORTER, A. & ONYACHA, E. 1998. The Church and AIDS in Africa: a case study of Nairobi. Nairobi: Pauline Publications. SMITH, M.K. 2002. Gender, poverty and intergenerational vulnerability to HIV/AIDS. Gender and Development, 10(3):63-70. SOWELL, R.L., LOWENSTEIN, A., MONEYHAM, L., DEMI, A., MIZUNO, Y. & SEALS, B.F. 1997. Resources, stigma and patterns of disclosure in rural women with HIV infection. Public Health Nursing, 14(5):302-312. TERRE BLANCHE, M., DURRHEIM, K. & PAINTER, D. (eds). 2006. Research in practice. Applied methods for the social sciences (2nd ed). Cape Town: University of Cape Town Press. THORNTON, R. 2008. The demand for and impact of learning HIV status: evidence from a field experiment. American Economic Review, 98:1829-1863. UNAIDS. 2010. Global Report. UNAIDS report on the global epidemic. [Online] Available: http://www.unaids.org/documents/20101122_GlobalReport_em-pdf. [Accessed: 02/03/2011].

VYAVAHARKAR, M., MONEYHAM, L., TAVAKOLI, A., PHILLIPS, K., JACKSON, K. & MENDING, G. 2010. Relationships between stigma, social support, and depression in HIV-infected African American women living in rural areas of the South-eastern United States. Journal of the Association of Nurses in AIDS Care, 21:144-152. WELLINGS, K. & MACDOWALL, W. 2000. Evaluating mass media approaches to health promotion: a review of method. Health Education, 100(1):23-32.

ZWANG, J. & GARENNE, M. 2008. Social context of premarital fertility in rural South-Africa. African Journal of Reproductive Health, 12(2):98-110




DOI: https://doi.org/10.15270/49-3-51

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