The condom is an 'intruder' in marriage: Evidence from rural Malawi
The condom is an 'intruder' in marriage: Evidence from rural Malawi
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DOI：
10.1016/j.socscimed.2006.10.012
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发表时间：
2007-03-01
影响因子：
5.4
通讯作者：
Chimbiri, Agnes M.
中科院分区：
文献类型：
--
作者：
Chimbiri, Agnes M.
本文通过分析1992年和2000年马拉维人口与健康调查，并通过对马拉维农村三个地区已婚男女的半结构化访谈，评估了马拉维婚姻中的避孕套情况，特别关注人们对避孕套与婚姻相容性的看法。有四个惊人的发现。首先，在婚姻中使用避孕套是微不足道的。其次，关于避孕套的讨论相当多，尤其是在男性社交网络伙伴之间。第三，几乎所有关于避孕套的讨论，无论是男性还是女性，都是在防止性传播疾病/艾滋病毒/艾滋病在婚外伴侣关系中的感染的背景下进行的。最后，也是对本文至关重要的一点是，开始讨论在婚姻中使用避孕套来预防感染，就像把一个入侵者带进了家庭空间。因此，有证据表明，人们对使用避孕套的态度可能正在发生变化，但只是在婚姻之外。这一证据与马拉维政府的政策一致，即只有当配偶一方有不止一个性伴侣时，才提倡在婚姻中使用避孕套。因此，艾滋病的流行改变了婚姻之外的性行为，而不是婚姻内部的性行为。(c) 2006 Elsevier Ltd.版权所有。
This paper assesses the condom situation within marriage in Malawi with particular attention to people's perceptions about the compatibility of condoms and marriage by analyzing the Malawi Demographic and Health Surveys 1992 and 2000, and via semi-structured interviews with married men and women from three districts in rural Malawi. There are four striking findings. First, condom use is negligible inside marriage. Second, there is considerable talk about condoms, especially among male social network partners. Third, virtually all the discussion of condoms, by both men and women, is in the context of preventing STI/HIV-AIDS infection in extramarital partnerships. Lastly, and critical for this paper, is that initiating a discussion of condom use for preventing infection in marriage is like bringing an intruder into the domestic space. Thus, there is evidence that change in attitudes about condom use may be occurring, but only outside marriage. This evidence concurs with Malawian government policy that advocates for condom use in marriage only if either spouse has more than one sexual partner. The AIDS epidemic is therefore bringing sexual behavior change outside marriage and not within. (c) 2006 Elsevier Ltd. All rights reserved.