{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T16:06:35Z","timestamp":1777133195596,"version":"3.51.4"},"reference-count":52,"publisher":"American Public Health Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:p> We present results from life history interviews with 60 young adults from southern Uganda. Using a novel qualitative case-control design, we compared newly HIV-positive cases with HIV-negative controls matched on age, gender, marital status, and place of residence. Relationship context was the most salient theme differentiating cases from controls. Compared with HIV-negative respondents, recent seroconverters described relationships marked by poorer communication, greater suspicion and mistrust, and larger and more transitory sexual networks. Results highlight the importance of dyadic approaches to HIV and possibly of couple-based interventions. Using HIV-matched pairs allowed additional understanding of the factors influencing transmission. This hybrid methodological approach holds promise for future studies of sexual health. <\/jats:p>","DOI":"10.2105\/ajph.2013.301670","type":"journal-article","created":{"date-parts":[[2014,2,13]],"date-time":"2014-02-13T21:01:57Z","timestamp":1392325317000},"page":"612-620","source":"Crossref","is-referenced-by-count":30,"title":["Importance of Relationship Context in HIV Transmission: Results From a Qualitative Case-Control Study in Rakai, Uganda"],"prefix":"10.2105","volume":"104","author":[{"given":"Jenny A.","family":"Higgins","sequence":"first","affiliation":[{"name":"At the time of data collection and analysis, Jenny A. Higgins, Sanyukta Mathur, Elizabeth Eckel, Laura Kelly, and John S. Santelli were with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY. At the time of article preparation, Jenny A. Higgins was with the Department of Gender and Women\u2019s Studies, University of Wisconsin\u2013Madison. Neema Nakyanjo, Richard Sekamwa, Josephine Namatovu, William Ddaaki, Rosette Nakubulwa, and Sylvia..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanyukta","family":"Mathur","sequence":"additional","affiliation":[{"name":"At the time of data collection and analysis, Jenny A. Higgins, Sanyukta Mathur, Elizabeth Eckel, Laura Kelly, and John S. Santelli were with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY. At the time of article preparation, Jenny A. Higgins was with the Department of Gender and Women\u2019s Studies, University of Wisconsin\u2013Madison. Neema Nakyanjo, Richard Sekamwa, Josephine Namatovu, William Ddaaki, Rosette Nakubulwa, and Sylvia..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Eckel","sequence":"additional","affiliation":[{"name":"At the time of data collection and analysis, Jenny A. Higgins, Sanyukta Mathur, Elizabeth Eckel, Laura Kelly, and John S. Santelli were with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY. At the time of article preparation, Jenny A. Higgins was with the Department of Gender and Women\u2019s Studies, University of Wisconsin\u2013Madison. Neema Nakyanjo, Richard Sekamwa, Josephine Namatovu, William Ddaaki, Rosette Nakubulwa, and Sylvia..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Kelly","sequence":"additional","affiliation":[{"name":"At the time of data collection and analysis, Jenny A. Higgins, Sanyukta Mathur, Elizabeth Eckel, Laura Kelly, and John S. Santelli were with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY. At the time of article preparation, Jenny A. Higgins was with the Department of Gender and Women\u2019s Studies, University of Wisconsin\u2013Madison. Neema Nakyanjo, Richard Sekamwa, Josephine Namatovu, William Ddaaki, Rosette Nakubulwa, and Sylvia..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neema","family":"Nakyanjo","sequence":"additional","affiliation":[{"name":"At the time of data collection and analysis, Jenny A. Higgins, Sanyukta Mathur, Elizabeth Eckel, Laura Kelly, and John S. Santelli were with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY. At the time of article preparation, Jenny A. Higgins was with the Department of Gender and Women\u2019s Studies, University of Wisconsin\u2013Madison. Neema Nakyanjo, Richard Sekamwa, Josephine Namatovu, William Ddaaki, Rosette Nakubulwa, and Sylvia..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Sekamwa","sequence":"additional","affiliation":[{"name":"At the time of data collection and analysis, Jenny A. Higgins, Sanyukta Mathur, Elizabeth Eckel, Laura Kelly, and John S. Santelli were with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY. At the time of article preparation, Jenny A. Higgins was with the Department of Gender and Women\u2019s Studies, University of Wisconsin\u2013Madison. Neema Nakyanjo, Richard Sekamwa, Josephine Namatovu, William Ddaaki, Rosette Nakubulwa, and Sylvia..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josephine","family":"Namatovu","sequence":"additional","affiliation":[{"name":"At the time of data collection and analysis, Jenny A. Higgins, Sanyukta Mathur, Elizabeth Eckel, Laura Kelly, and John S. Santelli were with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY. At the time of article preparation, Jenny A. Higgins was with the Department of Gender and Women\u2019s Studies, University of Wisconsin\u2013Madison. Neema Nakyanjo, Richard Sekamwa, Josephine Namatovu, William Ddaaki, Rosette Nakubulwa, and Sylvia..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Ddaaki","sequence":"additional","affiliation":[{"name":"At the time of data collection and analysis, Jenny A. Higgins, Sanyukta Mathur, Elizabeth Eckel, Laura Kelly, and John S. Santelli were with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY. At the time of article preparation, Jenny A. Higgins was with the Department of Gender and Women\u2019s Studies, University of Wisconsin\u2013Madison. Neema Nakyanjo, Richard Sekamwa, Josephine Namatovu, William Ddaaki, Rosette Nakubulwa, and Sylvia..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosette","family":"Nakubulwa","sequence":"additional","affiliation":[{"name":"At the time of data collection and analysis, Jenny A. Higgins, Sanyukta Mathur, Elizabeth Eckel, Laura Kelly, and John S. Santelli were with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY. At the time of article preparation, Jenny A. Higgins was with the Department of Gender and Women\u2019s Studies, University of Wisconsin\u2013Madison. Neema Nakyanjo, Richard Sekamwa, Josephine Namatovu, William Ddaaki, Rosette Nakubulwa, and Sylvia..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvia","family":"Namakula","sequence":"additional","affiliation":[{"name":"At the time of data collection and analysis, Jenny A. Higgins, Sanyukta Mathur, Elizabeth Eckel, Laura Kelly, and John S. Santelli were with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY. At the time of article preparation, Jenny A. Higgins was with the Department of Gender and Women\u2019s Studies, University of Wisconsin\u2013Madison. Neema Nakyanjo, Richard Sekamwa, Josephine Namatovu, William Ddaaki, Rosette Nakubulwa, and Sylvia..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fred","family":"Nalugoda","sequence":"additional","affiliation":[{"name":"At the time of data collection and analysis, Jenny A. Higgins, Sanyukta Mathur, Elizabeth Eckel, Laura Kelly, and John S. Santelli were with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY. At the time of article preparation, Jenny A. Higgins was with the Department of Gender and Women\u2019s Studies, University of Wisconsin\u2013Madison. Neema Nakyanjo, Richard Sekamwa, Josephine Namatovu, William Ddaaki, Rosette Nakubulwa, and Sylvia..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John S.","family":"Santelli","sequence":"additional","affiliation":[{"name":"At the time of data collection and analysis, Jenny A. Higgins, Sanyukta Mathur, Elizabeth Eckel, Laura Kelly, and John S. Santelli were with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY. At the time of article preparation, Jenny A. Higgins was with the Department of Gender and Women\u2019s Studies, University of Wisconsin\u2013Madison. Neema Nakyanjo, Richard Sekamwa, Josephine Namatovu, William Ddaaki, Rosette Nakubulwa, and Sylvia..."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"bib1","volume-title":"UNAIDS World AIDS Day Report","author":"Joint United Nations Programme on HIV\/AIDS","year":"2011"},{"key":"bib2","volume-title":"2008 Report on the Global AIDS Epidemic","author":"Joint United Nations Programme on HIV\/AIDS","year":"2008"},{"key":"bib3","volume-title":"AIDS Epidemic Update: 2004","author":"Joint United Nations Programme on HIV\/AIDS","year":"2004"},{"key":"bib4","volume-title":"AIDS epidemic update December 2007","author":"Joint United Nations Programme on HIV\/AIDS","year":"2007"},{"key":"bib5","volume-title":"Success in Uganda: An Overview of Uganda\u2019s Campaign to Change Sexual Behaviors and Decrease HIV Prevalence, 1986-1995","author":"Kirby D","year":"2008"},{"key":"bib6","volume-title":"Uganda AIDS Indicator Survey 2011: Preliminary Report","author":"Ministry of Health Uganda, ICF International, Centers for Disease Control and Prevention Uganda, US Agency for International Development, World Health Organization Uganda, Uganda Bureau of Statistics","year":"2012"},{"key":"bib7","volume-title":"Uganda HIV\/AIDS Sero-Behavioural Survey 2004-2005","author":"Ministry of Health Uganda","year":"2006"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3182926795"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1080\/17441690701664418"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2011.02.012"},{"issue":"2","key":"bib11","first-page":"64","volume":"9","author":"Samuelsen H","year":"2012","journal-title":"SAHARA J"},{"key":"bib12","volume-title":"The Interpretation of Cultures: Selected Essays","author":"Geertz C","year":"1973"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.2307\/1966433"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1007\/BF01379310"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.17730\/humo.54.2.g568548023132n37"},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.92.8.1227"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2007.115790"},{"key":"bib18","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.088492"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.088583"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.1080\/13691058.2012.667575"},{"key":"bib21","doi-asserted-by":"publisher","DOI":"10.1177\/0886260508327707"},{"key":"bib22","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.088682"},{"key":"bib23","doi-asserted-by":"publisher","DOI":"10.1177\/1097184X07309503"},{"key":"bib24","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(98)00249-4"},{"key":"bib25","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199810000-00014"},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)06439-3"},{"key":"bib27","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200111090-00013"},{"key":"bib30","unstructured":"Connell R. Gender and power: society, the person and sexual politics. Stanford, CA: Stanford University Press; 1987."},{"key":"bib31","doi-asserted-by":"publisher","DOI":"10.1023\/A:1007051506972"},{"key":"bib32","doi-asserted-by":"publisher","DOI":"10.1080\/0954012021000031868"},{"key":"bib33","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.50.6.437"},{"key":"bib34","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16606-3"},{"key":"bib35","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-008-9433-x"},{"key":"bib36","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199705000-00012"},{"key":"bib37","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.162.5.432"},{"key":"bib38","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-010-9687-y"},{"key":"bib39","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(00)00177-5"},{"key":"bib40","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-010-9276-6"},{"key":"bib41","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-004-3044-8"},{"key":"bib42","doi-asserted-by":"publisher","DOI":"10.1080\/13691050412331293458a"},{"key":"bib43","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2006.09.015"},{"key":"bib44","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.bjc.a014103"},{"key":"bib45","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000162339.43310.33"},{"key":"bib46","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-006-9170-y"},{"key":"bib47","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-97"},{"key":"bib48","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e32805e8711"},{"key":"bib49","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-788"},{"key":"bib50","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-009-9532-3"},{"key":"bib51","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61709-1"},{"key":"bib52","doi-asserted-by":"publisher","DOI":"10.3149\/jmh.0303.173"},{"key":"bib55","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2005.01530.x"},{"key":"bib56","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a506"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.2013.301670","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,10]],"date-time":"2022-05-10T00:46:41Z","timestamp":1652143601000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.2013.301670"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4]]},"references-count":52,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,4]]}},"alternative-id":["10.2105\/AJPH.2013.301670"],"URL":"https:\/\/doi.org\/10.2105\/ajph.2013.301670","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,4]]}}}