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This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2005.075705v1 97/6/1015    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Stevens, P. E. Articles by Galvao, L. Search for Related Content PubMed PubMed Citation Articles by Stevens, P. E. Articles by Galvao, L. Related Collections Social Science HIV/AIDS Prevention Qualitative Research Women's Health

Patricia E. Stevens, PhD, RN and Loren Galvao, MD, MPH

Patricia E. Stevens and Loren Galvao are with the College of Nursing, University of Wisconsin, Milwaukee, and also with the Center for Urban Population Health, Milwaukee.

Correspondence: Requests for reprints should be sent to Patricia E. Stevens, PO Box 413, University of Wisconsin College of Nursing, Milwaukee, WI 53201 (e-mail: pstevens{at}uwm.edu).

We investigated the sexual behaviors of 55 HIV-infected women in Wisconsin who narrated their lives in 10 interviews over 2 years during 2000 to 2003. We sought to examine the interpersonal situations in which sexual risk occurred. During the prospective period, 58% (32) were abstinent and 24% (13) practiced safe sex exclusively. The remaining 18% (10) engaged in unprotected sexual intercourse, but only in primary partnerships, almost all of which were with serodiscordant partners. We focused on experiential detail and narrative depth of 10 women who had sex without condoms. These narratives demonstrate how the women attempted to initiate condom use but engaged in unprotected sexual intercourse regularly at the insistence of their partners. Consequently, these women lived in trepidation of causing their partners’ sickness and death.

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