Property rights violations as a structural driver of women's HIV risks: a qualitative study in Nyanza and Western Provinces, Kenya.
Property rights violations as a structural driver of women's HIV risks: a qualitative study in Nyanza and Western Provinces, Kenya.
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DOI：
10.1007/s10508-012-0024-6
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发表时间：
2013-07
影响因子：
3.8
通讯作者：
Mwaura-Muiru, Esther
中科院分区：
文献类型：
--
作者：
Dworkin, Shari L.;Grabe, Shelly;Lu, Tiffany;Hatcher, Abbey;Kwena, Zachary;Bukusi, Elizabeth;Mwaura-Muiru, Esther
虽然获得和控制资产可以最大限度地减少妇女感染艾滋病毒的风险，但人们对侵犯财产权增加艾滋病毒性传播的过程知之甚少。目前的研究集中在肯尼亚尼扬扎和西部省的两个农村地区，那里的艾滋病毒流行率很高（23. 8 - 33%），侵犯财产权现象很普遍。目前的工作借鉴了从参与制定和实施社区主导的土地和财产权计划的50名个人收集的深入访谈数据。该方案旨在应对侵犯财产权的行为，防止剥夺继承权和剥夺资产，并减少妇女感染艾滋病毒的风险。在我们的调查结果中，我们详细介绍了社会和经济机制，通过这些机制，财产权的丧失被认为会影响艾滋病毒的初级和二级预防。其中包括：失去收入，失去生计和住所，以及迁移到贫民窟、市场或海滩，在那里以性换取食物、金钱、住所、衣服或其他物品是常见的。我们还研究了文化习俗，如妻子继承，对艾滋病毒风险的影响。在结论中，我们提出了建议，为未来的研究在科学基础上重点发展的财产所有权作为一种结构性的艾滋病预防和治疗干预。
While access to and control over assets can minimize women’s HIV risk, little is known about the processes through which property rights violations increase the sexual transmission of HIV. The current study focused on two rural areas in Nyanza and Western Province, Kenya where HIV prevalence was high (23.8–33 %) and property rights violations were common. The current work drew on in-depth interview data collected from 50 individuals involved in the development and implementation of a community-led land and property rights program. The program was designed to respond to property rights violations, prevent disinheritance and asset stripping, and reduce HIV risk among women. In our findings, we detailed the social and economic mechanisms through which a loss of property rights was perceived to influence primary and secondary prevention of HIV. These included: loss of income, loss of livelihood and shelter, and migration to slums, markets, or beaches where the exchange of sex for food, money, shelter, clothing, or other goods was common. We also examined the perceived influence of cultural practices, such as wife inheritance, on HIV risk. In the conclusions, we made recommendations for future research in the science-base focused on the development of property ownership as a structural HIV prevention and treatment intervention.
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DOI：
10.1097/qai.0b013e3181aafd78
发表时间：
2009-07-01
影响因子：
3.6
作者：
Dworkin, Shari L.;Kambou, Sarah Degnan;Kapoor, Archana
通讯作者：
Kapoor, Archana
影响因子：
16.4
作者：
Coates, TJ;Szekeres, G
通讯作者：
Szekeres, G
影响因子：
6.9
作者：
Garikipati, Supriya
通讯作者：
Garikipati, Supriya
影响因子：
3.8
作者：
Antelman, G;Fawzi, MCS;Fawzi, WW
通讯作者：
Fawzi, WW
影响因子：
3.7
作者：
Agot, Kawango E.;Stoep, Ann Vander;Weiss, Noel S.
通讯作者：
Weiss, Noel S.