HIV Risk Perceptions, the Transition to Marriage, and Divorce in Southern Malawi

HIV Risk Perceptions, the Transition to Marriage, and Divorce in Southern Malawi
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DOI:
10.1111/j.1728-4465.2014.00394.x
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发表时间:
2014-09-01
影响因子:
2.1
通讯作者:
Soler-Hampejsek, Erica
Soler-Hampejsek, Erica
中科院分区:
医学2区
文献类型:
--
作者:
Grant, Monica J.;Soler-Hampejsek, Erica

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在撒哈拉以南非洲,人们对结婚时机是否被用作避免年轻人感染艾滋病毒的一种策略知之甚少。通过分析马拉维学校和青少年调查的五轮纵向数据,我们没有发现对年轻妇女认为未来感染艾滋病毒的机会与向婚姻过渡有关这一假设的支持,但我们确实发现有证据表明,认为自己有未来感染风险的年轻已婚妇女比认为没有未来感染机会的妇女离婚的可能性更大。我们还使用个人水平的固定效应回归来研究向婚姻的过渡如何影响受访者对未来艾滋病毒感染的预期。受访者一贯更有可能感知到任何未来的艾滋病毒感染的机会,在几年后的婚姻比在几年前it.Our研究结果表明,年轻女性修改他们的风险认知的基础上,他们的婚姻经历和离婚可能作为一种保护性的策略,年轻已婚妇女关心他们未来的艾滋病毒感染的机会。
Little is known about whether the timing of marriage is used as a strategy to avoid HIV infection among young people in sub-Saharan Africa. Analyzing five rounds of longitudinal data from the Malawi Schooling and Adolescent Survey, we do not find support for the hypothesis that young women's perceived chances of future HIV infection are associated with the transition to marriage, but we do find evidence that young married women who see themselves as at risk of future infection have a greater likelihood of divorcing than do women who perceive no chance of future infection. We also use individual-level fixed-effects regressions to examine how the transition to marriage affects respondents' expectations of future HIV infection. Respondents are consistently more likely to perceive any chance of future HIV infection in the years following marriage than in the years preceding it. Our findings suggest that young women revise their risk perceptions based on their marital experiences and that divorce may serve as a protective strategy for young married women concerned about their chance of future HIV infection.