Exploring Intimate Partner Relationships before and after HIV Diagnosis among Minority Older Women

Abstract

Objectives: Literature shows that sexual activity remains important at older age and is a valued part of life. However, little is known about the intimate partner relationships (IPR) among minority older women living with Human Immunodeficiency Virus (HIV). The purpose of this study is to explore the effect HIV diagnosis had on the intimate partner relationships (IPR) among minority older women living with HIV (MOWH). Methods: Qualitative descriptive study. A total of 28 MOWH (Black and Latinas) aged 50 years and older participated in face to face semi-structured in-depth interviews. Interviews were analyzed using content analysis. Results: Three themes emerged from the analysis: (a)“Intimate partner relationships before HIV diagnosis” that revealed sexual practices increasing the risk for HIV in their intimate relationships; (b)“Facing relationship consequences of HIV disclosure after diagnosis” explored the consequences of HIV disclosure, and how disclosure determined the future of their intimate relationships; and (c) “Intimate partner relationships after HIV diagnosis” described the quality of intimate partner relationships and changes after HIV diagnosis. Conclusions: Results from this study contribute to understanding and increasing awareness of the effect of HIV on the intimacy of MOWH. Clinical Implications: Education provided by health care workers and interventions targeting MOWH should address the effect of HIV in IPR, address MOWH’s concerns about it, and help them to improve their overall health.