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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Couples' communication on sexual and relational issues among the Akamba in Kenya
Author:Miller, Ann Neville
Year:2009
Periodical:African Journal of AIDS Research
Volume:8
Issue:1
Pages:51-60
Language:English
Geographic term:Kenya
Subjects:AIDS
communication
spouses
sexuality
interpersonal relations
Kamba
Link:https://www.tandfonline.com/doi/pdf/10.2989/AJAR.2009.8.1.6.719
Abstract:A large portion of HIV transmission in sub-Saharan Africa occurs among married couples, yet the majority of research on safer-sex communication has focused on communication between couples in casual relationships. This paper explores how committed Kamba couples in Machakos District, Kenya, communicate about sensitive relational issues. The findings from focus group discussions with five groups of males and five groups of females are presented. The couples freely shared their thoughts about daily and economic issues and certain aspects of family planning and sexuality. Methods for raising sensitive issues with partners included monitoring the spouse's mood, gradual or indirect revelation, mentioning topics during sex, and use of third-party intermediaries. Interference by extended family members, especially husbands' mothers, and male authoritarian roles emerged as hindrances to effective communication between couples. The implications for HIV prevention regarding gender differences and the role of families in couples' communication are discussed. Bibliogr., sum. [Journal abstract]
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