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Negotiating safer sex among married women has been identified as an important determinant of vulnerability or resilience to new HIV infections. Using the Cambodia Demographic and Health Survey data of 2010, this paper examined negotiation for safer sex among 11,218 married women in the context of Cambodia's highly touted reduction in HIV/AIDS prevalence. The results from a complementary log-log regression model indicate that wealthier and highly educated married women were more likely to report that they can refuse sexual intercourse and ask their husbands to use a condom. Interestingly, while women who were fully involved in decision-making on their own health care were 19% more likely to refuse sex, they were 14% less likely to be able to ask their husbands to use a condom, compared with their counterparts who were not involved in this decision-making. Women who were partially involved in decision-making on family visits were 17% less likely to be able to ask their husbands to use a condom compared with those who were not involved. In this context, involvement in decision-making may have translated into trust and risk compensation. Those who believed in HIV transmission myths were less likely to negotiate safer sex relative to their counterparts who did not hold such myths to be true. Women's ability to negotiate for safer sex is, therefore, a function of their autonomy in terms of their full participation in decision-making in health care, household expenditure and mobility. Policy implications of the capacity of women to negotiate for safer sex are delineated.

Abstract:In response to climate change at different spatial scales, adaptation has become one of the focal points of current research and policy developments. In the context of coastal Cambodia, there is little research on local level adaptation to climate change. Using ordinal logistic and logistic regression analyses, this study examines the relationship between perceived self-efficacy and anticipatory and reactive adaptation to climate change among 1823 households in coastal communities in Cambodia. Findings indicate that individuals who reported higher categories of self-efficacy were more likely to report both anticipatory (OR = 1.74, p < 0.001) and reactive adaptation (OR = 3.61, p < 0.001) measures. Similary, tndividuals who had higher education had higher odds of reporting anticipatory adaptation (OR = 1.71, p < 0.001) and reactive adaptation (OR = 1.63, p < 0.05) when compared with those without formal education. Participants who have been living in their current residence for six years or more were more likely to report anticipatory adaptation (OR = 1.09, p < 0.05) and reactive adapation (OR = 1.22, p < 0.001) compared with those who had lived there for a shorter duration of time. Region of residence was positively associated with both anticipatory and reactive adaptation. In this context, it is important to note that individuals in the most agriculture-dependent and climate sensitive province reported the least anticipatory and reactive adaptation measures. Policy makers should target empowerment of the most vulnerable population to facilitate better adaptation behavior, and mainstreaming of knowledge on climate change adaptation through both formal and informal education at the community level.

Recent research suggests that Zambian women face an increasing risk of contracting human immunodeficiency virus (HIV) within marital relationships. Married women's perceived ability to negotiate safer sex or adopt self-efficacy practices is recognized as critical in preventing new infections within marriage. Yet women's self-efficacy practices, such as requesting condom use or refusing sex within marriage, are influenced by individual and context-specific factors. Using the 2007 Zambia Demographic and Health Survey data from 4,306 married women, this article examines the association between married women's perceived ability to negotiate safer sex and a range of attitudinal, knowledge, and sociodemographic variables. Results from complementary log-log regression models reveal that married women who have factual knowledge about HIV transmission and prevention, as well as those who have been tested for their HIV serostatus, were more likely to report they can request that their husbands use a condom. Rural married women were more likely to report they can refuse their husbands sex compared to woman in urban areas. Likewise, married women who agree that a wife is justified in refusing her husband sex if he sleeps with other women were more likely to report they can negotiate safer sex compared to women who disagree. These findings suggest that married women are able to negotiate safer sex if they have correct factual knowledge about HIV transmission and are aware of their rights within marital relations.