Power and the association with relationship quality in South African couples: Implications for HIV/AIDS interventions.
Power and the association with relationship quality in South African couples: Implications for HIV/AIDS interventions.
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DOI：
10.1016/j.socscimed.2016.01.035
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发表时间：
2016-03
期刊：
影响因子：
--
通讯作者：
Darbes LA
中科院分区：
文献类型：
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作者：
Conroy AA;McGrath N;van Rooyen H;Hosegood V;Johnson MO;Fritz K;Marr A;Ngubane T;Darbes LA
性关系中的权力不平衡对撒哈拉以南非洲的艾滋病毒预防工作具有重大影响。关于权力如何影响关系的质量，人们知之甚少，这可能是导致艾滋病毒/艾滋病健康行为的重要途径。本文使用了来自南非农村夸祖鲁-纳塔尔的448对异性恋夫妇（896人）的数据，他们完成了2012-2014年的基线调查，作为基于夫妇的艾滋病干预试验的一部分。使用行动者-伙伴相互依存的观点，我们评估了：（1）双方对权力的看法如何影响他们自己的看法（即，演员效应）和他们的伴侣对关系质量的报告（即，伴侣效应）;（2）这些关联是否因性别而异。我们研究了与权力相关的三个结构（女性权力，男性公平的性别规范和共享权力）和关系质量的四个领域（亲密，信任，相互建设性的沟通和冲突）。对于行为者效应，共享权力与所有四个领域的更高关系质量密切且一致相关。分享权力对信任、相互建设性沟通和冲突的影响，男性比女性更强。女性权力和男性平等性别规范的调查结果更为复杂。女性权力与女性报告的信任和相互建设性的沟通呈正相关，但与亲密关系呈负相关。男性公平的性别规范与男性的相互建设性沟通的报告呈正相关。对于合作伙伴的影响，男性公平的性别规范与妇女的亲密关系的报告，与妇女的冲突报告呈负相关。旨在改善与艾滋病毒有关的行为的研究和保健干预措施应考虑到夫妇之间分享权力的来源以及在夫妇一级增强权能的潜在杠杆点。仅侧重于增强妇女权能的努力还应考虑到二元环境和男子的观点，以确保积极的关系成果。
Power imbalances within sexual relationships have significant implications for HIV prevention in sub-Saharan Africa. Little is known about how power influences the quality of a relationship, which could be an important pathway leading to healthy behavior around HIV/AIDS. This paper uses data from 448 heterosexual couples (896 individuals) in rural KwaZulu-Natal, South Africa who completed baseline surveys from 2012–2014 as part of a couples-based HIV intervention trial. Using an actor-partner interdependence perspective, we assessed: (1) how both partners’ perceptions of power influences their own (i.e., actor effect) and their partner’s reports of relationship quality (i.e., partner effect); and (2) whether these associations differed by gender. We examined three constructs related to power (female power, male equitable gender norms, and shared power) and four domains of relationship quality (intimacy, trust, mutually constructive communication, and conflict). For actor effects, shared power was strongly and consistently associated with higher relationship quality across all four domains. The effect of shared power on trust, mutually constructive communication, and conflict were stronger for men than women. The findings for female power and male equitable gender norms were more mixed. Female power was positively associated with women’s reports of trust and mutually constructive communication, but negatively associated with intimacy. Male equitable gender norms were positively associated with men’s reports of mutually constructive communication. For partner effects, male equitable gender norms were positively associated with women’s reports of intimacy and negatively associated with women’s reports of conflict. Research and health interventions aiming to improving HIV-related behaviors should consider sources of shared power within couples and potential leverage points for empowerment at the couple level. Efforts solely focused on empowering women should also take the dyadic environment and men’s perspectives into account to ensure positive relationship outcomes.