HIV risk environment for Ghanaian women: challenges to prevention
Identifieur interne : 001068 ( Main/Exploration ); précédent : 001067; suivant : 001069HIV risk environment for Ghanaian women: challenges to prevention
Auteurs : Judy E. Mill [Canada] ; John K. Anarfi [Ghana]Source :
- Social science & medicine : (1982) [ 0277-9536 ] ; 2002.
Descripteurs français
- KwdFr :
- Anecdotes comme sujet, Comportement sexuel (ethnologie), Culture (sociologie), Droits des femmes, Femelle, Ghana (épidémiologie), Humains, Identité de genre, Infections à VIH (), Infections à VIH (ethnologie), Infections à VIH (transmission), Pauvreté, Pouvoir (psychologie), Prise de décision, Prise de risque, Santé des femmes, Séropositivité VIH (ethnologie), Séropositivité VIH (psychologie).
- MESH :
- ethnologie : Comportement sexuel, Infections à VIH, Séropositivité VIH.
- psychologie : Séropositivité VIH.
- épidémiologie : Ghana, Infections à VIH.
- Pascal (Inist)
- Anecdotes comme sujet, Culture (sociologie), Droits des femmes, Femelle, Humains, Identité de genre, Infections à VIH, Pauvreté, Pouvoir (psychologie), Prise de décision, Prise de risque, SIDA, Facteur risque, Expérience personnelle, Perception sociale, Comportement, Femelle, Homme, Prévention, Milieu culturel, Condom, Education santé, Santé des femmes, Santé publique, Ghana.
- Wicri :
- geographic : Ghana.
- topic : Homme, Santé publique.
English descriptors
- KwdEn :
- AIDS, Anecdotes as Topic, Behavior, Condom, Cultural environment, Culture, Decision Making, Female, Gender Identity, Ghana, Ghana (epidemiology), HIV Infections (ethnology), HIV Infections (prevention & control), HIV Infections (transmission), HIV Seropositivity (ethnology), HIV Seropositivity (psychology), Health education, Human, Humans, Personal experience, Poverty, Power (Psychology), Prevention, Public health, Risk factor, Risk-Taking, Sexual Behavior (ethnology), Social perception, Women's Health, Women's Rights.
- MESH :
- geographic , epidemiology : Ghana.
- ethnology : HIV Infections, HIV Seropositivity, Sexual Behavior.
- prevention & control : HIV Infections.
- psychology : HIV Seropositivity.
- transmission : HIV Infections.
- Anecdotes as Topic, Culture, Decision Making, Female, Gender Identity, Humans, Poverty, Power (Psychology), Risk-Taking, Women's Health, Women's Rights.
Abstract
Ghana is experiencing high rates of HIV transmission and women have been identified as a group with increased vulnerability to infection. Women's vulnerability may be influenced by factors such as gender, unequal power relationships and poverty. Research was undertaken in Ghana from January to May 1999 to examine the experiences of HIV sero-positive women. Thirty-one women were interviewed to explore the broad context of disease transmission and to identify factors that mediated women's ability to protect themselves from infection. The poverty experienced by many of the women during their childhood years, coupled with a societal belief that favored the education of males, restricted the participants' educational and vocational opportunities. With limited education and few vocational skills, many of the women took boyfriends to assist them with the purchase of food, clothing and shelter as a strategy for survival. For most women, the use of condoms with sexual partners was restricted by the high value placed on fertility, the negative association of condoms with prostitution, and the women's limited ability to influence decision-making in this area. The women's narratives provide a compelling description of the context of HIV transmission in Ghana. Strategies to expand and intensify the response to HIV prevention are presented and critiqued.
Affiliations:
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Le document en format XML
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Mill</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Faculty of Nursing, University of Alberta, 3rd Floor, Clinical Sciences Building</s1><s2>Edmonton, Alta., T5G 2G3</s2><s3>CAN</s3><sZ>1 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Edmonton, Alta., T5G 2G3</wicri:noRegion></affiliation></author><author><name sortKey="Anarfi, John K" sort="Anarfi, John K" uniqKey="Anarfi J" first="John K." last="Anarfi">John K. Anarfi</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Institute of Statistical, Social, and Economic Research, University of Ghana, P.O. Box 74</s1><s2>Legon</s2><s3>GHA</s3><sZ>2 aut.</sZ></inist:fA14><country>Ghana</country><wicri:noRegion>Legon</wicri:noRegion><orgName type="university">Université du Ghana</orgName><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Social science & medicine : (1982)</title><title level="j" type="abbreviated">Soc. sci. med. : (1982)</title><idno type="ISSN">0277-9536</idno><imprint><date when="2002">2002</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Social science & medicine : (1982)</title><title level="j" type="abbreviated">Soc. sci. med. : (1982)</title><idno type="ISSN">0277-9536</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Anecdotes as Topic</term><term>Behavior</term><term>Condom</term><term>Cultural environment</term><term>Culture</term><term>Decision Making</term><term>Female</term><term>Gender Identity</term><term>Ghana</term><term>Ghana (epidemiology)</term><term>HIV Infections (ethnology)</term><term>HIV Infections (prevention & control)</term><term>HIV Infections (transmission)</term><term>HIV Seropositivity (ethnology)</term><term>HIV Seropositivity (psychology)</term><term>Health education</term><term>Human</term><term>Humans</term><term>Personal experience</term><term>Poverty</term><term>Power (Psychology)</term><term>Prevention</term><term>Public health</term><term>Risk factor</term><term>Risk-Taking</term><term>Sexual Behavior (ethnology)</term><term>Social perception</term><term>Women's Health</term><term>Women's Rights</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anecdotes comme sujet</term><term>Comportement sexuel (ethnologie)</term><term>Culture (sociologie)</term><term>Droits des femmes</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Humains</term><term>Identité de genre</term><term>Infections à VIH ()</term><term>Infections à VIH (ethnologie)</term><term>Infections à VIH (transmission)</term><term>Pauvreté</term><term>Pouvoir (psychologie)</term><term>Prise de décision</term><term>Prise de risque</term><term>Santé des femmes</term><term>Séropositivité VIH (ethnologie)</term><term>Séropositivité VIH (psychologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Comportement sexuel</term><term>Infections à VIH</term><term>Séropositivité VIH</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>HIV Infections</term><term>HIV Seropositivity</term><term>Sexual Behavior</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Séropositivité VIH</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Seropositivity</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Infections à VIH</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Anecdotes as Topic</term><term>Culture</term><term>Decision Making</term><term>Female</term><term>Gender Identity</term><term>Humans</term><term>Poverty</term><term>Power (Psychology)</term><term>Risk-Taking</term><term>Women's Health</term><term>Women's Rights</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Anecdotes comme sujet</term><term>Culture (sociologie)</term><term>Droits des femmes</term><term>Femelle</term><term>Humains</term><term>Identité de genre</term><term>Infections à VIH</term><term>Pauvreté</term><term>Pouvoir (psychologie)</term><term>Prise de décision</term><term>Prise de risque</term><term>SIDA</term><term>Facteur risque</term><term>Expérience personnelle</term><term>Perception sociale</term><term>Comportement</term><term>Femelle</term><term>Homme</term><term>Prévention</term><term>Milieu culturel</term><term>Condom</term><term>Education santé</term><term>Santé des femmes</term><term>Santé publique</term><term>Ghana</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Santé publique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Ghana is experiencing high rates of HIV transmission and women have been identified as a group with increased vulnerability to infection. Women's vulnerability may be influenced by factors such as gender, unequal power relationships and poverty. Research was undertaken in Ghana from January to May 1999 to examine the experiences of HIV sero-positive women. Thirty-one women were interviewed to explore the broad context of disease transmission and to identify factors that mediated women's ability to protect themselves from infection. The poverty experienced by many of the women during their childhood years, coupled with a societal belief that favored the education of males, restricted the participants' educational and vocational opportunities. With limited education and few vocational skills, many of the women took boyfriends to assist them with the purchase of food, clothing and shelter as a strategy for survival. For most women, the use of condoms with sexual partners was restricted by the high value placed on fertility, the negative association of condoms with prostitution, and the women's limited ability to influence decision-making in this area. The women's narratives provide a compelling description of the context of HIV transmission in Ghana. Strategies to expand and intensify the response to HIV prevention are presented and critiqued.</div></front></TEI><affiliations><list><country><li>Canada</li><li>Ghana</li></country><region><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Legon (Ghana)</li></settlement><orgName><li>Université du Ghana</li></orgName></list><tree><country name="Canada"><noRegion><name sortKey="Mill, Judy E" sort="Mill, Judy E" uniqKey="Mill J" first="Judy E." last="Mill">Judy E. Mill</name></noRegion></country><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Anarfi, John K" sort="Anarfi, John K" uniqKey="Anarfi J" first="John K." last="Anarfi">John K. Anarfi</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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