“Because We’re So in Love”: The Experiences of HIV-Negative and HIV-Positive Partners in Serodiscordant Relationships in Vietnam

Abstract

HIV remains highly stigmatized in Vietnam, however HIV serodiscordant relationships are not uncommon. Until recently, little was known about the ways those involved in such relationships negotiate relationships and family life. This chapter draws on a 2009 study, which included people living with HIV, as well as HIV-negative partners in serodiscordant relationships. The study found that the majority of HIV-negative respondents had not been informed of their partner’s HIV status before committing to the relationship, yet the importance of marital ties and/or romantic attachment frequently outweighed HIV-related concerns when deciding to continue in the relationship. Many respondents struggled to manage their HIV infection risk and their desire for children, issues which were compounded by social and cultural pressures in the local context. Fear of HIV transmission was a common experience. Limited knowledge of HIV risk reduction methods and contraception prompted use of a range of HIV prevention and family planning strategies, including home remedies. They also described the difficulty of maintaining a satisfying sexual relationship and concern that the pressures of the relationship could cause one (HIV-positive or HIV-negative) partner to leave. The study findings contributed to significant programmatic and policy reform within a brief period.