The inevitability of infidelity: Sexual reputation, social geographies, and marital HIV risk in rural Mexico
The inevitability of infidelity: Sexual reputation, social geographies, and marital HIV risk in rural Mexico
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DOI：
10.2105/ajph.2006.088492
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发表时间：
2007-06-01
影响因子：
12.7
通讯作者：
del Rio, Carlos
中科院分区：
文献类型：
--
作者：
Hirsch, Jennifer S.;Meneses, Sergio;del Rio, Carlos
婚姻是墨西哥农村妇女感染艾滋病毒的最大风险。我们利用6个月的参与者观察、20个婚姻案例研究、37个关键线人访谈和档案研究，来探索在该国一个农村社区的已婚妇女中影响艾滋病毒风险的因素。我们发现，在这个社区，文化上构建的声誉概念会导致旨在将男性的社会风险(对个人社会地位或关系的威胁)降至最低的性行为，而不是病毒风险，而且男性对伴侣亲密关系的渴望实际上可能会增加女性感染艾滋病毒的风险。我们还描述了基于声誉的性身份与结构模式的性地理(即塑造性行为的社会空间)的相互交织。我们建议，由于男性婚外性行为的结构性，干预发展应该集中在性地理位置和危险空间，而不是危险行为或身份。
Marriage presents the single greatest risk for HIV infection among women in rural Mexico. We drew on 6 months of participant observation, 20 marital case studies, 37 key informant interviews, and archival research to explore the factors that shape HIV risk among married women in one of the country's rural communities. We found that culturally constructed notions of reputation in this community lead to sexual behavior designed to minimize men's social risk (threats to one's social status or relationships), rather than viral risk and that men's desire for companionate intimacy may actually increase women's risk for HIV infection. We also describe the intertwining of reputation-based sexual identities with structurally patterned sexual geographies (i.e. the social spaces that shape sexual behavior). We propose that, because of the structural nature of men's extramarital sexual behavior, intervention development should concentrate on sexual geographies and risky spaces rather than risky behaviors or identities.