Measuring Relationship Functioning in South African Couples: A Strategy for Improving HIV Prevention Efforts.

Journal: Sexual and relationship therapy : journal of the British Association for Sexual and Relationship Therapy

Volume: 35

Issue: 1

Year of Publication: 

Affiliated Institutions:  Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Davie Hall CB # , Chapel Hill, NC, , USA. Statistics and Epidemiology, RTI International, Cornwallis Rd., Research Triangle Park, NC, , USA. Alcohol Tobacco and Other Drug Research Unit, South African Medical Research Council, Francie van Zijl Drive, Cape Town, South Africa. Substance Use, Gender and Applied Research, RTI International, Cornwallis Rd., Research Triangle Park, NC, , USA.

Abstract summary 

Over the past decade there has been increased focus on targeting couples in HIV prevention efforts, particularly in sub-Saharan Africa where HIV transmission primarily occurs through heterosexual contact, in the context of intersecting alcohol use and intimate partner violence (IPV). However, little is known about couples' general relationship functioning. This understanding is needed to augment couple-based HIV prevention programs and address risk for IPV. This paper presents data on domains of relationship functioning with 300 South African couples who were recruited for an HIV prevention study. Exploratory and confirmatory factor analyses were conducted to determine the relevance of 17 individual items, as well as the overall factor structure of the questions. Results revealed three independent factors of relationship functioning: relationship satisfaction, arguing, and open communication; an overarching construct of relationship functioning for these three domains was not observed in the data. Results provide insight into the structure of relationship functioning questions and subscales that can be used to assess South African adult romantic relationships. This may allow for a greater focus on aspects of relationships within couple-based HIV prevention programs going forward.

Authors & Co-authors:  Belus Jennifer M JM Kline Tracy T Carney Tara T Myers Bronwyn B Wechsberg Wendee M WM

Study Outcome 

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Statistics
Citations :  Burton J, Darbes LA, & Operario D (2010). Couples-focused behavioral interventions for prevention of HIV: Systematic review of the state of evidence. AIDS and Behavior 14(1), 1–10. doi:10.1007/s10461-008-9471-4
Authors :  5
Identifiers
Doi : 10.1080/14681994.2017.1419559
SSN : 1468-1994
Study Population
Male,Female
Mesh Terms
Other Terms
HIV prevention;South Africa;communication;couples;relationship functioning
Study Design
Exploratory Study,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
England