Spousal Communication about HIV Prevention in Kenya

Chiao, Chi; Mishra, Vinod; Ksobiech, Kate

doi:10.1080/10810730.2011.571335

Cited by 10 publications

(8 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The overall finding is consistent with studies on marital subordination, interpersonal power, female monogamy, male multiple sexual partners, and HIV risk across SSA. 28,[57][58][59] This study finding also suggests an acceptance of social and cultural norms for masculinity, namely, ''acquiesced femininity'' (e.g., acceptance of men's dominance, control of economic resources, and multiple partners), regardless of a woman's empowerment status. 12,[60][61][62][63] Our findings differed from those of a multicountry DHS study in Gabon, Mozambique, Sierra Leone, and Zambia, a study in Cameroon, and DHS research in Eastern Africa reporting associations between women's empowerment and an increased likelihood of multiple sexual partnerships and HIV risk.…”

Section: Discussionsupporting

confidence: 57%

Empowerment and HIV Risk Behaviors in Couples: Modeling the Theory of Gender and Power in an African Context

Woolfork

Fox

Swartzendruber

et al. 2020

Women's Health Reports

View full text Add to dashboard Cite

Background: Young women and girls in Eastern and Southern Africa are at elevated risk of acquiring human immunodeficiency virus (HIV) compared with men, largely due to power dynamics within heterosexual relationships that contribute to HIV risk behaviors. Few studies employ a comprehensive framework to examine divisions between men and women and HIV risk behaviors in an African context. Thus, we examined associations between levels of women's empowerment and HIV risk behaviors applying the Theory of Gender and Power. Methods: We used logistic regression (adjusted odds ratios or AORs) to assess associations between women's empowerment indicators and HIV risk behaviors (multiple sexual partners) and self-efficacy (ability to negotiate sex/sex refusal) with couples data (n = 12,670) from Malawi, Namibia, Zambia, and Zimbabwe. Results: Specifically, key drivers of high levels of empowerment among women were household decision-making involvement, female economic independence, and rejecting all reasons for wife-beating. Furthermore, higher levels of women's empowerment in coupled relationships was associated with safer sex negotiation in Malawi (AOR = 1.57, p < 0.05) and Zambia (AOR = 1.60, p < 0.0001) and sex refusal in Malawi (AOR = 1.62, p < 0.0001) and Zimbabwe (AOR = 1.29, p < 0.05). However, empowerment was not associated with the likelihood of the male partner having multiple sexual partners across all countries studied. Conclusions: These findings provide evidence that high levels of women's empowerment were associated with safer sex practices, although this varied by country. Policymakers should incorporate empowerment indicators to address women's empowerment and HIV prevention within African couples.

show abstract

Section: Discussionsupporting

confidence: 57%

Empowerment and HIV Risk Behaviors in Couples: Modeling the Theory of Gender and Power in an African Context

Woolfork

Fox

Swartzendruber

et al. 2020

Women's Health Reports

View full text Add to dashboard Cite

show abstract

“…The varying social contexts within which women and their partners live, work and love create unique challenges for HIV prevention efforts ( Table 2). The number and type of partners, in large part influenced by structural factors and gender inequality [15], affect women's HIV risk perception and their ability to respond to that risk [16]. For example, the ability to use condoms consistently and correctly often varies by partner type [9,17,18].…”

Section: Literature Reviewmentioning

confidence: 99%

Communicating about microbicides with women in mind: tailoring messages for specific audiences

Sidibe

Pack

Tolley

et al. 2014

Journal of the International AIDS Society

View full text Add to dashboard Cite

IntroductionCurrent HIV prevention options are unrealistic for most women; however, HIV prevention research has made important strides, including on-going development of antiretroviral-based vaginal microbicide gels. Nevertheless, social-behavioural research suggests that women's ability to access and use new HIV prevention technologies will be strongly influenced by a range of socio-cultural, gender and structural factors which should be addressed by communications and marketing strategies, so that these products can be positioned in ways that women can use them.MethodsBased on an extensive literature review and in-country policy consultation, consisting of approximately 43 stakeholders, we describe barriers and facilitators to HIV prevention, including potential microbicide use, for four priority audiences of Kenyan women (female sex workers [FSWs], women in stable and discordant relationships, and sexually active single young women). We then describe how messages that position microbicides might be tailored for each audience of women.ResultsWe reviewed 103 peer-reviewed articles and reports. In Kenya, structural factors and gender inequality greatly influence HIV prevention for women. HIV risk perception and the ability to consistently use condoms and other prevention products often vary by partner type. Women in stable relationships find condom use challenging because they connote a lack of trust. However, women in other contexts are often able to negotiate condom use, though they may face challenges with consistent use. These women include FSWs who regularly use condoms with their casual clients, young women in the initial stages of a sexual relationship and discordant couples. Thus, we consider two approaches to framing messages aimed at increasing general awareness of microbicides – messages that focus strictly on HIV prevention and ones that focus on other benefits of microbicides such as increased pleasure, intimacy or sexual empowerment, in addition to HIV prevention.ConclusionsIf carefully tailored, microbicide communication materials may facilitate product use by women who do not currently use any HIV prevention method. Conversely, message tailoring for women with high-risk perception will help ensure that microbicides are used as additional protection, together with condoms.

show abstract

“…Among an ethnically diverse sample of young couples in the United States, it was found that if the woman has sexual partners outside of their relationship this negatively affects SSC (Albritton et al, 2014). With regards to male partners, as opposed to facilitating SSC as it was recorded among Latino couples in this review (Ashburn et al, 2008), among cohabitating couples in Kenya, if the male had other sexual partners, the couple was less likely to have discussed HIV prevention (Chiao et al, 2011). …”

Section: Discussionmentioning

confidence: 96%

“…As in this review (Alvarez & Villarruel, 2015; Davila, 2002), past research with a sample of Latina women of mixed relationships status also found relationship power in general to be related to SSC (Davila, 1999). Similarly, among Kenyan women who are cohabitating with their male partners, participation in decision-making has been found to be positively associated with spousal communication about HIV prevention (Chiao, Mishra, & Ksobiech, 2011). Like the Latina women in studies included in this review (Davila, 2002), past research with African-American women who have stable partners has also found interpersonal violence to be related to various forms of SSC (Morales-Alemán et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Psychosocial correlates of safe sex communication between Latina women and their stable male partners: an integrative review

Luft

Larson

2016

AIDS Care

View full text Add to dashboard Cite

Latina women in stable relationships have risks for human immunodeficiency virus and other sexually transmitted infections. Improving safe sexual communication (SSC) could enable women to accurately assess and mitigate their risk of infection within their relationship. Literature to identify psychosocial correlates that facilitate or inhibit SSC between Latina women and their partners has not yet been synthesized. The purpose of this study was to conduct an integrative review and synthesis of empirical and theoretical research that examines psychosocial correlates of SSC among adult Latina women from the United States, Latina America, and the Caribbean with stable male partners. A systematic search of LILACS, EBSCO, and PsychInfo databases was conducted to identify qualitative and quantitative studies that investigated psychosocial correlates of SSC among adult Latina women with a stable male partner. Pertinent data were abstracted and quality of individual studies was appraised. A qualitative synthesis was conducted following Miles and Huberman's method. Five qualitative and three quantitative studies meet eligibility criteria. Factors related to SSC related to three main themes: (1) relationship factors such as length, quality, and power/control, (2) individual factors including attitudes, beliefs, background, behaviors, and intrapersonal characteristics, and (3) partner factors related to partner beliefs and behaviors. The interplay of relationship, individual, and partner factors should be considered in the assessment of SSC for Latina women with their stable partners. To inform future interventions and clinical guidelines, additional research is needed to identify which factors are most related to SSC for this population, and how comparable experiences are for Latina women of different subcultures and living in different countries.

show abstract

Spousal Communication about HIV Prevention in Kenya

Cited by 10 publications

References 33 publications

Empowerment and HIV Risk Behaviors in Couples: Modeling the Theory of Gender and Power in an African Context

Empowerment and HIV Risk Behaviors in Couples: Modeling the Theory of Gender and Power in an African Context

Communicating about microbicides with women in mind: tailoring messages for specific audiences

Psychosocial correlates of safe sex communication between Latina women and their stable male partners: an integrative review

Contact Info

Product

Resources

About