Marital strategies for regulating exposure to HIV
Marital strategies for regulating exposure to HIV
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DOI：
10.1353/dem.0.0002
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发表时间：
2008-05-01
期刊：
影响因子：
3.5
通讯作者：
Reniers, Georges
中科院分区：
文献类型：
--
作者：
Reniers, Georges
在艾滋病毒主要通过异性接触传播，而且没有治愈方法或疫苗的情况下，改变行为对遏制这一流行病至关重要。在这方面，禁欲、忠诚和使用避孕套最常受到关注。相反，本文将婚姻视为通过积极选择（伴侣选择）和消极选择（通奸配偶离婚）机制进行艾滋病毒风险管理的资源。回顾性婚姻史和小组数据为这项研究提供了证据，结果表明，在艾滋病毒/艾滋病威胁成为现实的时期，马拉维的男子和妇女越来越多地转向基于工会的风险规避战略。尽管两性的战略制定方式相似，但男性比女性更有能力利用这些战略。文章最后反思这些应对机制的长期和人口层面的影响。
In a setting where the transmission of HIV occurs primarily through heterosexual contact and where no cure or vaccine is available, behavioral change is imperative for containing the epidemic. Abstinence, faithfulness, and condom use most often receive attention in this regard. In contrast, this article treats marriage as a resource for HIV risk management via mechanisms of positive selection (partner choice) and negative selection (divorce of an adulterous spouse). Retrospective marriage histories and panel data provide the evidence for this study, and results indicate that men and women in Malawi increasingly turned to union-based risk-avoidance strategies during the period that the threat of HIV/AIDS materialized. Although both sexes strategize in a similar fashion, men are better equipped than women to deploy these strategies to their advantage. The article concludes with reflections on the long-term and population-level implications of these coping mechanisms.