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The aim of this study was to examine people's beliefs about the causes of marital instability in a rural population cohort in south-west Uganda. Results from a baseline survey of HFV-1 infection in the cohort of over 4,000 adults (over 12 years old) showed a twofold increase in risk of infection in divorced or separated persons when compared with those who are married. A purposive sample of 134 respondents (seventy-two males, sixty-two females) selected to represent different ages, religions and marital status were asked in semi-structured interviews to comment on the reasons for continuing marital instability in their community. The most common reasons suggested for marital instability were sexual dissatisfaction, infertility, alcoholism and mobility. Interviewees stated that men and women would be more likely to stay with someone who satisfied them sexually. It was reported that infertility, particularly of the woman, would lead a couple to separate. Alcoholism was said to lead to neglect of family responsibilities and decreased sexual inhibitions, while occupational mobility was a common cause of infidelity. HIV infection was not mentioned as a direct cause of separation, but a small independent study revealed that seven out often couples separated on learning of a positive HIV test result of one or both partners. Marital instability is not uncommon in this population; there is evidence that HFV infection is making the situation worse.
Nabaitu et al. (Fri,) studied this question.