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
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Diagnosis and Disclosure of HIV Status: Implications for Women's Risk of Physical Partner Violence in the Postpartum Period.
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Alcohol Use and Transactional Sex among Women in South Africa: Results from a Nationally Representative Survey
TL;DR: Alcohol dependency and binge drinking are significantly associated with transactional sex in South African women and HIV prevention programmes need to target these women, and address both their alcohol use, as well as the HIV risks associated withtransactional sex.
Dissertation
Microbicides, sexuality and sexual health in KwaZulu-Natal, South Africa
TL;DR: Examining whether vaginal microbicides are compatible with socio-cultural norms regarding sexuality and sexual health in a predominantly rural area of KwaZulu-Natal, South Africa found that microbicide acceptability is evaluated from a cultural perspective, but they may be less compatible with norms relating to intravaginal cleansing and love medicines.
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Predictors of Relationship Power Among Drug-Involved Women
Aimee N.C. Campbell,Aimee N.C. Campbell,Susan Tross,Susan Tross,Mei-Chen Hu,Martina Pavlicova,Edward V. Nunes +6 more
TL;DR: An exploration of predictors of relationship power, as measured by the multidimensional and theoretically grounded sexual relationship power scale, among women in outpatient substance abuse treatment among 513 women participating in a multi-site HIV risk reduction intervention study.
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The influence of relationship power dynamics on HIV testing in rural Malawi.
TL;DR: The results indicate that young Malawians are testing for HIV at relatively high rates, repeatedly, and not just during pregnancy, and highlight that testing decisions are deeply embedded within the relationship context, which should be considered in future HIV testing interventions.
References
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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.