Navigating intimate sexual partnerships in an era of HIV: dimensions of couple relationship quality and satisfaction among adults in Eswatini and linkages to HIV risk

SAHARA J. 2019 Dec;16(1):10-24. doi: 10.1080/17290376.2019.1604254.

Abstract

Couple relationship functioning impacts individual health and well-being, including HIV risk, but scant research has focused on emic understandings of relationship quality in African populations. We explored relationship quality and satisfaction in Eswatini (formerly Swaziland) using data from 148 in-depth interviews (117 life-course interviews with 28 adults and 31 interviews with 29 marriage counselors and their clients) and 4 focus group discussions. Love, respect, honesty, trust, communication, sexual satisfaction, and sexual faithfulness emerged as the most salient characteristics of good relationships, with both men and women emphasising love and respect as being most important. Participants desired relationships characterised by such qualities but reported relationship threats in the areas of trust, honesty, and sexual faithfulness. The dimensions of relationship quality identified by this study are consistent with research from other contexts, suggesting cross-cultural similarities in conceptions of a good relationship. Some relationship constructs, particularly respect, may be more salient in a Swazi context.

Keywords: Multiple sexual partnerships; concurrency; couple communication; love; respect; sexual satisfaction.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Eswatini / epidemiology
  • Female
  • Focus Groups
  • HIV Infections / epidemiology
  • HIV Infections / psychology*
  • HIV Infections / transmission*
  • Humans
  • Interpersonal Relations
  • Interviews as Topic
  • Intimate Partner Violence / psychology*
  • Love*
  • Male
  • Marriage*
  • Personal Satisfaction*
  • Sexual Behavior
  • Spouses / psychology*
  • Young Adult

Grants and funding

This work was supported by The New Paradigm Fund; Mustard Seed Foundation; National Institute on Drug Abuse: [Grant Number T32DA13911].