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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Perceived control over condom use among sex workers in Madagascar: a cohort study
Audrey Pettifor,Abigail Norris Turner,Teresa Swezey,Maria R. Khan,Mbolatiana S. M. Raharinivo,Bodo Randrianasolo,Ana Penman-Aguilar,Kathleen Van Damme,Denise J. Jamieson,Frieda Behets +9 more
TL;DR: Perceived control over condom use was an important determinant of condom use with main partners, but not clients, among sex workers in Madagascar, and programs working with sex workers should reach out to main and commercial partners of sex workers to increase male condom use.
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Sexual risk behaviour of the first cohort undergoing screening for enrolment into Phase I/II HIV vaccine trials in South Africa
Kyeen M. Andersson,Kyeen M. Andersson,R M Van Niekerk,Linda M. Niccolai,O N Mlungwana,I M Holdsworth,M Bogoshi,James McIntyre,Glenda Gray,Eftyhia Vardas +9 more
TL;DR: In this article, the authors developed a survey and collected self-reported data from HIV-negative potential volunteers and assessed risk behaviour in a heterosexual cohort undergoing prescreening for the first Phase I/II HIV vaccine trials in Soweto.
Journal ArticleDOI
Executive function associated with sexual risk in young South African women: Findings from the HPTN 068 cohort.
Molly Rosenberg,Audrey Pettifor,Mihaela Duta,Nele Demeyere,Ryan G. Wagner,Amanda Selin,Catherine MacPhail,Catherine MacPhail,Oliver Laeyendecker,James P. Hughes,Alan Stein,Alan Stein,Stephen Tollman,Stephen Tollman,Kathleen Kahn,Kathleen Kahn +15 more
TL;DR: An association between low executive function and sexual risk in South African young women is demonstrated and future work should seek to understand the nature of this association and whether there is promise in developing interventions to enhance executive function to reduce sexual risk.
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Experiences and conceptualizations of sexual debut from the narratives of South African men and women in the context of HIV/AIDS
Erin Stern,Diane Cooper +1 more
TL;DR: The study demonstrates the value of a narrative approach for generating insights on young people's sexual debut experiences and SRH practices, and the underlying gendered norms and expectations that shape these.
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HIV risk assessment and risk reduction strategies in the context of prevailing gender norms in rural areas of Cabo Delgado, Mozambique.
TL;DR: Men and women who actively take measures to decrease their risk of HIV infection associate a partner’s acceptance of condom use and an HIV test as confirmation of emotional intimacy in the relationship.
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
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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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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.