A little thing called love: Condom use among high-risk primary heterosexual couples

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The publisher's final edited version of this article is available at Perspect Sex Reprod Health See other articles in PMC that cite the published article. Abstract Introduction Research shows that condoms are least likely to be used in primary relationships. Methodology Qualitative in-depth interviews were conducted with 25 high-risk heterosexual couples, including HIV sero-discordant couples, in Hartford, CT. Qualitative data were coded and analyzed in an iterative inductive and deductive process using Atlas. Results Participants employed non-use of condoms as a strategy to find and maintain a primary relationship, establish trust and increase intimacy. Discussion Findings suggest that men and women may choose not to use condoms as they pursue and attempt to maintain a primary relationship. HIV prevention approaches must recognize the importance of love and the needs primary relationships satisfy if they are to be considered relevant by those at greatest risk. Negotiated safety may be an important risk reduction tool for heterosexuals, particularly those in HIV-affected relationships. A variety of factors have been shown to influence whether condoms are used including gender inequity and differential power relations,[ 4 — 6 ] exposure to intimate partner violence,[ 78 ] level of perceived risk,[ 910 ] and self-efficacy.

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