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Rethinking Gender, Heterosexual Men, and Women's Vulnerability to HIV/AIDS

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TLDR
This work reviews the etiology and successes of the women's vulnerability paradigm, and calls for an expanded model that acknowledges biology, gender inequality, and gendered power relations but also directly examines social structure, gender, and HIV risk for heterosexual women and men.
Abstract
Most HIV prevention literature portrays women as especially vulnerable to HIV infection because of biological susceptibility and men's sexual power and privilege. Conversely, heterosexual men are perceived as active transmitters of HIV but not active agents in prevention. Although the women's vulnerability paradigm was a radical revision of earlier views of women in the epidemic, mounting challenges undermine its current usefulness. We review the etiology and successes of the paradigm as well as its accruing limitations. We also call for an expanded model that acknowledges biology, gender inequality, and gendered power relations but also directly examines social structure, gender, and HIV risk for heterosexual women and men.

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Revisiting the understanding of "transactional sex" in sub-Saharan Africa: A review and synthesis of the literature.

TL;DR: A historically-grounded, comprehensive literature review on the nature and motivations for women's participation in transactional sex in sub-Saharan Africa is contributed and it is suggested that there are three continua stretching across these paradigms: deprivation, agency, and instrumentality.
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Women and HIV in Sub-Saharan Africa

TL;DR: There is no magic bullet and behavior alone is unlikely to change the course of the epidemic, but substantial progress has been made in biomedical, behavioral and structural strategies for HIV prevention with attendant challenges of developing appropriate HIV prevention packages which take into consideration the socioeconomic and cultural context of women in society at large.
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Gender-Transformative Interventions to Reduce HIV Risks and Violence with Heterosexually-Active Men: A Review of the Global Evidence

TL;DR: The evidence suggests that gender-transformative interventions can increase protective sexual behaviors, prevent partner violence, modify inequitable attitudes, and reduce STI/HIV, though further trials are warranted, particularly in establishing STI-HIV impacts.
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'What does it take to be a man? What is a real man?': ideologies of masculinity and HIV sexual risk among Black heterosexual men.

TL;DR: This exploratory study addressed the gap between traditional ideologies of masculinity and sexual risk among multi-ethnic male adolescents and White male college students through six focus groups with 41 Black, low- to middle-income heterosexual men in Philadelphia, PA.
References
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Journal ArticleDOI

1993 Revised Classification System for HIV Infection and Expanded Surveillance Case Definition for AIDS Among Adolescents and Adults

TL;DR: The classification system for HIV infection is revised to emphasize the clinical importance of the CD4+ T-lymphocyte count in the categorization of HIV-related clinical conditions and the AIDS surveillance case definition is expanded.
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Constructions of masculinity and their influence on men's well-being: a theory of gender and health.

TL;DR: How factors such as ethnicity, economic status, educational level, sexual orientation and social context influence the kind of masculinity that men construct and contribute to differential health risks among men in the United States is explored.
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Rural credit programs and women's empowerment in Bangladesh

TL;DR: In this article, the authors used a combination of sample survey and case study data to argue that the success of Grameen Bank, is particular, in empowering women is due both to its strong, central focus on credit and its skillful use of rules and rituals to make the loan program function.
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Epidemiological synergy. Interrelationships between human immunodeficiency virus infection and other sexually transmitted diseases.

TL;DR: Preliminary data from 83 reports on the impact of HIV infection on STDs suggest that, at a community level, HIV infection may increase the prevalence of some STDs (e.g., genital ulcerative and nonulcerative STDs), and if the same STDs facilitate transmission of HIV, these infections may greatly amplify one another.
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Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa

TL;DR: Women with violent or controlling male partners are at increased risk of HIV infection and it is postulate that abusive men are more likely to have HIV and impose risky sexual practices on partners.
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