The political economy of marriage and HIV: The ABC approach, "safe" infidelity, and managing moral risk in Uganda
The political economy of marriage and HIV: The ABC approach, "safe" infidelity, and managing moral risk in Uganda
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DOI：
10.2105/ajph.2006.088682
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发表时间：
2007-07-01
影响因子：
12.7
通讯作者：
Parikh, Shanti A.
中科院分区：
文献类型：
--
作者：
Parikh, Shanti A.
研究表明，已婚妇女感染艾滋病毒的最大风险是其丈夫的婚外性活动。我在乌干达东南部进行了为期6个月的人种学研究，研究了围绕男性婚外性行为的社会和经济背景以及婚姻的动态如何使男性和女性面临感染艾滋病毒的风险。我发现，乌干达的艾滋病毒预防信息可能无意中增加了承认艾滋病毒风险的难度，并导致了新形式的性秘密，而结构性决定因素，包括持续的贫困，与性别不平等交织在一起形成婚姻风险。在研究了社区努力规范男性的性行为后，我建议艾滋病毒预防战略应更多地关注内源性形式的风险降低，同时解决结构性因素，促进男性的婚外性行为的机会。
Research has shown that married women's greatest risk for HIV infection is their husbands' extramarital sexual activities. Using 6 months of ethnographic research in southeastern Uganda, I examined how the social and economic contexts surrounding men's extramarital sexuality and the dynamics of marriage put men and women at risk for HIV infection.I found that Uganda's HIV prevention messages may be inadvertently contributing to increased difficulty in acknowledging HIV risk and to newer forms of sexual secrecy and that structural determinants, including persistent poverty, intersect with gender inequalities to shape marital risk. After examining a community effort to regulate men's sexuality, I suggest that HIV prevention strategies should focus more on endogenous forms of risk reduction while simultaneously addressing structural factors that facilitate opportunities for men's extramarital sex.