Community environments shaping transactional sex among sexually active men in Malawi, Nigeria, and Tanzania.
Community environments shaping transactional sex among sexually active men in Malawi, Nigeria, and Tanzania.
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DOI：
10.1080/09540121.2012.748161
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发表时间：
2013
期刊：
影响因子：
1.7
通讯作者：
Elfstrom M
中科院分区：
文献类型：
--
作者：
Stephenson R;Winter A;Elfstrom M
变性，或以性换取物质或金钱，是一种危险的性行为，与艾滋病毒/艾滋病和基于性别的暴力有关。在整个撒哈拉以南非洲，性交易仍然是一种常见的做法，使男子和妇女面临感染艾滋病毒的风险。然而，很少有人知道社区环境如何塑造男子参与危险的性交易。本分析探讨了社区层面的影响，参与危险的性交易性行为之间的性活跃的男子在三个非洲国家（马拉维，坦桑尼亚和尼日利亚）。该分析使用人口与健康调查（DHS）数据来研究男性报告的风险交易性行为与社区特征（包括经济，性别规范，艾滋病毒行为和知识以及人口因素）之间的关联。结果表明，居住在女性受教育程度较高和初次生育年龄较晚的社区的男性不太可能报告风险交易性行为，而居住在男性报告性伴侣数量较多的社区的男性更有可能报告风险交易性行为。虽然方案干预措施应继续改善妇女的个人地位和相对于男子的地位，但应扩大这种努力，以认识到许多社区和文化影响也影响男子的性行为。了解、讨论和挑战影响男性性行为的社区因素的方案可能能够提供更有效的干预，从而为社区提供改变行为的机会。
Transactional sex, or the exchange of sex for material goods or money, is a risky sexual behavior that has been linked to HIV/AIDS and gender-based violence. Throughout sub-Saharan Africa, transactional sex remains a common practice, putting men and women at risk of HIV. However, little is known of how community environments shape men’s participation in risky transactional sex. This analysis examines community-level influences on participation in risky transactional sex among sexually active men in three African countries (Malawi, Tanzania, and Nigeria). The analysis uses Demographic and Health Survey (DHS) data to examine the association between men’s report of risky transactional sex and community characteristics including economic, gender norms, HIV behavior and knowledge, and demographic factors. The results show that men residing in communities with more female education and later age of first birth are less likely to report risky transactional sex, while men who live in communities where men report higher number of sexual partners are more likely to report risky transactional sex. While programmatic interventions should continue to improve women’s status individually and relative to men, such efforts should be extended to recognize that many community and cultural influences also affect men’s sexual behavior. Programs that understand, discuss, and challenge community factors that influence men’s sexual behavior may be able to provide a more effective intervention resulting in opportunities for communities to initiate behavioral change.
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影响因子：
5.4
作者：
Jewkes, R;Vundule, C;Jordaan, E
通讯作者：
Jordaan, E
DOI：
10.1080/09540120020018206
发表时间：
2001-02-01
影响因子：
1.7
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2.2
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通讯作者：
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影响因子：
5.4
作者：
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通讯作者：
Harlow, SD