The Virus Stops With Me: HIV-Infected Ugandans' Motivations in Preventing HIV Transmission
King R., Lifshay J., Nakayiwa S., et al. Social Science & Medicine (2009), 68(4), pp. 749-757.
In-depth interviews with 47 HIV-infected men and women in Uganda revealed that participants feel a sense of responsibility for preventing transmission of HIV. They believe that conscious transmission of HIV equals murder and could leave children orphaned. Respondents said their sense of responsibility led them to encourage partner testing and disclosure of the test results; and to be an HIV educator to others. Obstacles to safer sex practices included sexual desire; inconsistent condom use; fear of disclosure of one’s HIV status; gender-related power dynamics; and social and financial pressures. The authors state that altruism plays an important role in motivating preventive behaviors among HIV-infected persons in Uganda.