Community-level gender equity and extramarital sexual risk-taking among married men in eight African countries.
Identifieur interne : 000541 ( PubMed/Checkpoint ); précédent : 000540; suivant : 000542Community-level gender equity and extramarital sexual risk-taking among married men in eight African countries.
Auteurs : Rob Stephenson [États-Unis]Source :
- International perspectives on sexual and reproductive health [ 1944-0405 ] ; 2010.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- geographic : Africa.
- transmission : HIV Infections.
- Adolescent, Attitude, Data Collection, Extramarital Relations, Female, Humans, Male, Risk Assessment, Risk-Taking, Sex Factors, Unsafe Sex, Young Adult.
Abstract
In many parts of Africa, women are most likely to become infected with HIV by having unprotected sex with their husbands, who may have acquired the virus through extramarital sex. However, the ways in which aspects of community environments-particularly those related to gender equity-shape men's extramarital sexual risk-taking are not well understood.
DOI: 10.1363/3617810
PubMed: 21245024
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Community-level gender equity and extramarital sexual risk-taking among married men in eight African countries.</title><author><name sortKey="Stephenson, Rob" sort="Stephenson, Rob" uniqKey="Stephenson R" first="Rob" last="Stephenson">Rob Stephenson</name><affiliation wicri:level="2"><nlm:affiliation>Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. rbsteph@sph.emory.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:21245024</idno><idno type="pmid">21245024</idno><idno type="doi">10.1363/3617810</idno><idno type="wicri:Area/PubMed/Corpus">000825</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000825</idno><idno type="wicri:Area/PubMed/Curation">000825</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000825</idno><idno type="wicri:Area/PubMed/Checkpoint">000825</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000825</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Community-level gender equity and extramarital sexual risk-taking among married men in eight African countries.</title><author><name sortKey="Stephenson, Rob" sort="Stephenson, Rob" uniqKey="Stephenson R" first="Rob" last="Stephenson">Rob Stephenson</name><affiliation wicri:level="2"><nlm:affiliation>Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. rbsteph@sph.emory.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></analytic><series><title level="j">International perspectives on sexual and reproductive health</title><idno type="eISSN">1944-0405</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Africa</term><term>Attitude</term><term>Data Collection</term><term>Extramarital Relations</term><term>Female</term><term>HIV Infections (transmission)</term><term>Humans</term><term>Male</term><term>Risk Assessment</term><term>Risk-Taking</term><term>Sex Factors</term><term>Unsafe Sex</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Afrique</term><term>Attitude</term><term>Collecte de données</term><term>Comportement sexuel à risque</term><term>Facteurs sexuels</term><term>Femelle</term><term>Humains</term><term>Infections à VIH (transmission)</term><term>Jeune adulte</term><term>Mâle</term><term>Prise de risque</term><term>Relations extraconjugales</term><term>Évaluation des risques</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Africa</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Attitude</term><term>Data Collection</term><term>Extramarital Relations</term><term>Female</term><term>Humans</term><term>Male</term><term>Risk Assessment</term><term>Risk-Taking</term><term>Sex Factors</term><term>Unsafe Sex</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Afrique</term><term>Attitude</term><term>Collecte de données</term><term>Comportement sexuel à risque</term><term>Facteurs sexuels</term><term>Femelle</term><term>Humains</term><term>Infections à VIH</term><term>Jeune adulte</term><term>Mâle</term><term>Prise de risque</term><term>Relations extraconjugales</term><term>Évaluation des risques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In many parts of Africa, women are most likely to become infected with HIV by having unprotected sex with their husbands, who may have acquired the virus through extramarital sex. However, the ways in which aspects of community environments-particularly those related to gender equity-shape men's extramarital sexual risk-taking are not well understood.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21245024</PMID><DateCreated><Year>2011</Year><Month>01</Month><Day>19</Day></DateCreated><DateCompleted><Year>2011</Year><Month>06</Month><Day>13</Day></DateCompleted><DateRevised><Year>2016</Year><Month>10</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1944-0405</ISSN><JournalIssue CitedMedium="Internet"><Volume>36</Volume><Issue>4</Issue><PubDate><Year>2010</Year><Month>Dec</Month></PubDate></JournalIssue><Title>International perspectives on sexual and reproductive health</Title><ISOAbbreviation>Int Perspect Sex Reprod Health</ISOAbbreviation></Journal><ArticleTitle>Community-level gender equity and extramarital sexual risk-taking among married men in eight African countries.</ArticleTitle><Pagination><MedlinePgn>178-88</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1363/3617810</ELocationID><Abstract><AbstractText Label="CONTEXT" NlmCategory="BACKGROUND">In many parts of Africa, women are most likely to become infected with HIV by having unprotected sex with their husbands, who may have acquired the virus through extramarital sex. However, the ways in which aspects of community environments-particularly those related to gender equity-shape men's extramarital sexual risk-taking are not well understood.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Demographic and Health Survey data from eight African countries (Chad, Ghana, Malawi, Nigeria, Tanzania, Uganda, Zambia and Zimbabwe) were used to examine associations between married men's engaging in risky extramarital sex (i.e., having had both unprotected sex and extramarital sex) and indicators of gender equity and other community characteristics. Separate multilevel logistic regression models that incorporated individual, household and community measures were created for each country.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In five countries, men who lived in communities with more equal ratios of women to men with at least a primary education were less likely to report risky extramarital sexual activity (odds ratios, 0.4-0.6). A similar relationship was found in four countries for the ratio of women to men who were employed (0.4-0.5). In three countries, men who lived in communities with more conservative attitudes toward wife-beating or male decision making had elevated odds of extramarital sexual risk-taking (1.1-1.5).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">While HIV prevention programs should focus on reducing gender inequities, they also need to recognize the conservative cultural factors that influence the formation of men's masculine identities and, in turn, affect their sexual behavior.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Stephenson</LastName><ForeName>Rob</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. rbsteph@sph.emory.edu</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>R03 HD053226</GrantID><Acronym>HD</Acronym><Agency>NICHD NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Int Perspect Sex Reprod Health</MedlineTA><NlmUniqueID>101504990</NlmUniqueID><ISSNLinking>1944-0391</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Reprod Health Matters. 2001 May;9(17):63-71</RefSource><PMID Version="1">11468848</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS. 2001 May 4;15(7):877-84</RefSource><PMID Version="1">11399960</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Stud Fam Plann. 2001 Sep;32(3):214-9</RefSource><PMID Version="1">11677693</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS. 2001 Aug;15 Suppl 4:S51-60</RefSource><PMID Version="1">11686466</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Adolesc Res. 1988;3(3-4):285-303</RefSource><PMID Version="1">12342679</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Afr J Reprod Health. 2001 Dec;5(3):175-95</RefSource><PMID Version="1">12471940</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am Psychol. 1995 Jun;50(6):437-47</RefSource><PMID Version="1">7598292</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Stud Fam Plann. 1991 Mar-Apr;22(2):61-73</RefSource><PMID Version="1">1858106</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Bull World Health Organ. 2004 May;82(5):330-7</RefSource><PMID Version="1">15298223</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Health Transit Rev. 1994 Oct;4(2):111-25</RefSource><PMID Version="1">10150513</PMID></CommentsCorrections><CommentsCorrections 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