Sexual Power and HIV Risk, South Africa1

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Pettifor, Audrey E. ; Measham, Diana M. ; Rees, Helen V. ; Padian, Nancy S.
• Description:
  Gender power inequities are believed to play a key role in the HIV epidemic through their effects on women's power in sexual relationships. We hypothesized that lack of sexual power, measured with a four-point relationship control scale and by a woman's experience of forced sex with her most recent partner, would decrease the likelihood of consistent condom use and increase the risk for HIV infection among sexually experienced, 15- to 24-year-old women in South Africa. While limited sexual power was not directly associated with HIV, it was associated with inconsistent condom use: women with low relationship control were 2.10 times more likely to use condoms inconsistently (95% confidence interval [CI] 1.17-3.78), and women experiencing forced sex were 5.77 times more likely to use condoms inconsistently (95% CI 1.86-17.91). Inconsistent condom use was, in turn, significantly associated with HIV infection (adjusted odds ratio 1.58, 95% CI 1.10-2.27).
• Subjects:
  Adult Female HIV Infections Humans Multivariate Analysis News And Notes Odds Ratio Power (Psychology) Prevalence Risk Factors Sexual Partners

  More +
• Source:
  Emerg Infect Dis. 10(11):1996-2004.
• Document Type:
  Journal Article
• Place as Subject:
  South Africa
• Location:
  Africa
• Volume:
  10
• Issue:
  11
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:686269d40442abf6dbb7cc5491f7f5bea05225db9f6cb1bd96a54953cf9675f7
• Download URL:
  https://stacks.cdc.gov/view/cdc/14636/cdc_14636_DS1.pdf
• File Type:
  [PDF - 278.59 KB ]