Gender Norms, Gender Role Conflict/Stress and HIV Risk Behaviors Among Men in Mpumalanga, South Africa.

Gender Norms, Gender Role Conflict/Stress and HIV Risk Behaviors Among Men in Mpumalanga, South Africa.
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DOI:
10.1007/s10461-017-1706-9
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发表时间:
2018-06
期刊:
影响因子:
4.4
通讯作者:
Pettifor A
Pettifor A
中科院分区:
医学2区
文献类型:
--
作者:
Gottert A;Barrington C;McNaughton-Reyes HL;Maman S;MacPhail C;Lippman SA;Kahn K;Twine R;Pettifor A

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男性的性别角色冲突和压力(GRC/S),即他们在满足自己作为男性的期望时所经历的心理压力,在艾滋病毒预防研究中基本上尚未得到探索。我们使用对南非东北部农村地区 579 名 18-35 岁男性进行的人口调查数据,研究了男性性别规范与 GRC/S 和三种艾滋病毒危险行为之间的关联。过去 12 个月内同时性伴侣和亲密伴侣暴力 (IPV) 的发生率分别为 38.0% 和 13.4%; 19.9% 滥用酒精。在控制人口特征的情况下,更不平等的性别规范和更高的 GRC/S 均与并发几率增加(分别为 p = 0.01;p < 0.01)、IPV 实施(p = 0.03;p < 0.01)和酗酒(p = 0.02;p < 0.001)显着相关。辅助分析表明,以下因素之间存在显着的正相关关系:并发性与 GRC/S 子维度对女性的从属关系; IPV 实施和限制性情绪;酗酒与成功、权力、竞争。改变性别规范的计划应与预防和减少男性 GRC/S 的有效战略相结合。
Men’s gender role conflict and stress (GRC/S), the psychological strain they experience around fulfilling expectations of themselves as men, has been largely unexplored in HIV prevention research. We examined associations between both men’s gender norms and GRC/S and three HIV risk behaviors using data from a population-based survey of 579 18–35 year-old men in rural northeast South Africa. Prevalence of sexual partner concurrency and intimate partner violence (IPV) perpetration in the last 12 months were 38.0 and 13.4%, respectively; 19.9% abused alcohol. More inequitable gender norms and higher GRC/S were each significantly associated with an increased odds of concurrency (p = 0.01; p < 0.01, respectively), IPV perpetration (p = 0.03; p < 0.01), and alcohol abuse (p = 0.02; p < 0.001), controlling for demographic characteristics. Ancillary analyses demonstrated significant positive associations between: concurrency and the GRC/S sub-dimension subordination to women; IPV perpetration and restrictive emotionality; and alcohol abuse and success, power, competition. Programs to transform gender norms should be coupled with effective strategies to prevent and reduce men’s GRC/S.
DOI: 10.1097/01.aids.0000300534.97601.d6
发表时间: 2007-11-01
期刊: AIDS
影响因子: 3.8
作者:
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发表时间: 2008-08-07
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