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
‘I’m in love with an older man’: reasons for intergenerational sexual relationships among young women in South Africa
TL;DR: The authors found that more than a quarter of sexually active young women engaged in age-disparate relationships and financial motivations are not the predominant reason for age- Disparate relationship; instead, other reasons including age not being important and feeling secure were more cited.
Journal ArticleDOI
A longitudinal study of the relationship between intimate partner violence and postpartum unsafe sex among newly diagnosed HIV-infected South African women.
TL;DR: The need for targeted sexual risk reduction interventions for HIV-positive pregnant women who have experienced severe patterns of IPV is supported, and victims of multiform severe controlling IPV were significantly more likely to engage in postpartum unsafe sex.
Motivated health risk denial and the market for preventative health care
TL;DR: A model of health care investments in which an individual’s belief reflects the optimal trade-o between the psychological benefits and the health costs of denial is proposed, which helps resolve the empirical puzzle of simultaneously low and priceelastic demand for prevention in developing countries.
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.