A little thing called love: condom use in high-risk primary heterosexual relationships
Short Title: 
A little thing called love

CONTEXT: Condoms are less likely to be used in primary relationships than in other relationship types. An understanding of what women and men expect when entering into these relationships, as well as how they make decisions about condom use and other prevention behaviors, is essential to efforts to curb the spread of HIV. METHODS: Qualitative in-depth interviews were conducted with 25 high-risk heterosexual couples, including HIV-serodiscordant couples, participating in a trial of the female condom in Hartford in 2004-2007. Data were coded and analyzed in an iterative inductive and deductive process. RESULTS: Participants described nonuse of condoms as a strategy to fi nd and maintain a primary relationship, establish trust and increase intimacy. Many had unprotected intercourse while recognizing their risk of HIV and other STDs, placing their love for their partner and other emotional needs over concerns about their health. Several couples reduced their STD risk by practicing negotiated safety (i.e., using condoms until their serostatus had been determined) or similar strategies, including sharing sexual or drug use history, disclosing HIV test results and using condoms until they decided that their relationship would be monogamous. CONCLUSIONS: HIV prevention approaches must recognize the importance of love and the needs that primary relationships satisfy if they are to be considered relevant by those at greatest risk. Negotiated safety and similar strategies may be an important risk reduction tool for heterosexuals, particularly those in HIV-affected relationships, but their potential effectiveness may vary.

Corbett, A. Michelle
Dickson-GÛmez, Julia
Hilario, Helena
Weeks, Margaret R.
Item Type: 
Journal Article
Publication Title: 
Perspectives on Sexual and Reproductive Health
Journal Abbreviation: 
Perspect Sex Reprod Health
Publication Date: 
Publication Year: 
Library Catalog: 
PMID: 20444176 PMCID: PMC2896263

Turabian/Chicago Citation

A. Michelle Corbett, Julia Dickson-GÛmez, Helena Hilario and Margaret R. Weeks. 2009-12. "A little thing called love: condom use in high-risk primary heterosexual relationships." Perspectives on Sexual and Reproductive Health 41: 4: 218-224. 10.1363/4121809.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1363/4121809 | issn = 1931-2393 | volume = 41 | pages = 218-224 | last = Corbett | first = A. Michelle | coauthors = Dickson-GÛmez, Julia, Hilario, Helena, Weeks, Margaret R. | title = A little thing called love: condom use in high-risk primary heterosexual relationships | journal = Perspectives on Sexual and Reproductive Health | date = 2009-12 | pmid = | pmc = }} </ref>