Men’s Extramarital Sexuality in Rural Papua New Guinea

Abstract

Married women in rural Papua New Guinea are at risk for HIV primarily because of their husbands' extramarital relationships. Labor migration puts these men in social contexts that encourage infidelity. Moreover, many men do not view sexual fidelity as necessary for achieving a happy marriage, but they view drinking and "looking for women" as important for male friendships. Although fear of HIV infection is increasing, the concern that men most often articulated about the consequences of extramarital infidelity was possible violent retaliation for "stealing" another man's wife. Therefore, divorced or separated women who exchange sex for money are considered to be "safe" partners. Interventions that promote fidelity will fail in the absence of a social and economic infrastructure that supports fidelity.

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Complete Protection from Repeated Vaginal Simian-Human Immunodeficiency Virus Exposures in Macaques by a Topical Gel Containing Tenofovir Alone or with Emtricitabine

“…The proportion is as high as 90% in South Africa (41). Behavioral messages that encourage faithfulness in partnerships and condom use have had limited success in many countries throughout the world where marriage presents the greatest risk for HIV acquisition for women (7,9,15,18,34,37,46). In the absence of a preventive HIV vaccine, alternative biomedical interventions are urgently needed.…”

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