Sexual Power and HIV Risk, South Africa
TLDR
Among a sample of young women, limited sexual power was associated with inconsistent condom use but not directly with HIV.Abstract:
Gender power inequities are believed to play a key role in the HIV epidemic through their effects on women's power in sexual relationships. We hypothesized that lack of sexual power, measured with a four-point relationship control scale and by a woman's experience of forced sex with her most recent partner, would decrease the likelihood of consistent condom use and increase the risk for HIV infection among sexually experienced, 15- to 24-year-old women in South Africa. While limited sexual power was not directly associated with HIV, it was associated with inconsistent condom use: women with low relationship control were 2.10 times more likely to use condoms inconsistently (95% confidence interval [CI] 1.17-3.78), and women experiencing forced sex were 5.77 times more likely to use condoms inconsistently (95% CI 1.86-17.91). Inconsistent condom use was, in turn, significantly associated with HIV infection (adjusted odds ratio 1.58, 95% CI 1.10-2.27).read more
Citations
More filters
Journal ArticleDOI
Condom use among married women at risk for sexually transmitted infections and HIV in rural China.
TL;DR: To assess factors associated with condom use among married women in rural China, and provide evidence for implementing education strategies to prevent sexually transmitted infections and HIV, a study of condom use and HIV in married women is conducted.
Journal ArticleDOI
Comparing four service delivery models for adolescent girls and young women through the ‘Girl Power’ study: protocol for a multisite quasi-experimental cohort study
Nora E. Rosenberg,Audrey Pettifor,Laura Myers,Twambilile Phanga,Rebecca Marcus,Nivedita L. Bhushan,Nomtha Madlingozi,Dhrutika Vansia,Avril Masters,Bertha Maseko,Bertha Maseko,Lulu Mtwisha,Annie Kachigamba,Jennifer H. Tang,Mina C. Hosseinipour,Linda-Gail Bekker +15 more
TL;DR: The ‘Girl Power’ study compares combinations of clinical, behavioural and structural interventions for adolescent girls and young women in Malawi and South Africa to assess uptake of each package element and reduction in HIV risk behaviours.
Journal ArticleDOI
Intimate partner violence against adolescents and young women in sub-Saharan Africa: who is most vulnerable?
Yohannes Dibaba Wado,Martin K. Mutua,Abdu Mohiddin,Macellina Y. Ijadunola,Cheikh Faye,Carolina de Vargas Nunes Coll,Aluísio J D Barros,Caroline W. Kabiru +7 more
TL;DR: In this article, the authors used data from the most recent Demographic and Health Surveys (DHS) conducted in 27 countries in sub-Saharan Africa (SSA) to determine inequalities in physical or sexual intimate partner violence (IPV) against adolescents and young women and beliefs about gender based violence (GBV) in SSA.
Journal ArticleDOI
Individual, Interpersonal, and Structural Power: Associations With Condom Use in a Sample of Young Adult Latinos.
TL;DR: Condom use self-efficacy and sexual decision-making, examples of individual and interpersonal measures of power, respectively, were associated with increased odds of consistent condom use among both men and women.
References
More filters
Journal ArticleDOI
Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa
Kristin Dunkle,Rachel Jewkes,Heather C. Brown,Glenda E. Gray,James A. McIntryre,Siobán D. Harlow +5 more
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.
Journal ArticleDOI
Risk factors for domestic violence: findings from a South African cross-sectional study
TL;DR: The findings suggest that domestic violence is most strongly related to the status of women in a society and to the normative use of violence in conflict situations or as part of the exercise of power.
Journal ArticleDOI
The epidemiology of rape and sexual coercion in South Africa: an overview.
Rachel Jewkes,Naeemah Abrahams +1 more
TL;DR: The rape statistic for the country is currently elusive but levels of non-consensual and coerced sex are clearly very high, and international comparison needs to be approached with caution.
Journal ArticleDOI
'I think condoms are good but, aai, I hate those things': condom use among adolescents and young people in a Southern African township.
Journal ArticleDOI
Measuring Sexual Relationship Power in HIV/STD Research
TL;DR: In this paper, the authors introduced a theoretically based and validated measure of relationship power dynamics, the Sexual Relationship Power Scale (SRPS), which was administered to a census of women (N = 388) at a community health clinic.