The impact of socio-cultural context on young people's condom use: evidence from two Pacific Island countries

McMillan, Karen; Worth, Heather

doi:10.1080/13691058.2010.529945

Cited by 25 publications

(25 citation statements)

References 19 publications

(16 reference statements)

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“…The perception that condom use could signify a breach of trust in sexual partnerships, thereby negating condom use, has been highlighted in other studies as well (Aube-Maurice et al 2012; Dhapola et al 2007; McMillan and Worth 2011; Puri and Cleland 2006). Additionally, as reported elsewhere (Aube-Maurice et al 2012), Indian culture is characterised by complex gender-based power dynamics, which could influence condom use in such partnerships, particularly in instances where male migrants provide gifts to their sexual partners.…”

Section: Discussionmentioning

confidence: 89%

“…These factors include community norms and practices (McCreary et al 2008; Soskolne and Shtarkshall 2002), traditional gender roles and gender power inequalities (Gupta 2002; McCreary et al 2008), stigma and discrimination (Nguyen et al 2012) and low education status (Ordóñez and Marconi 2012). Research in different settings shows that social and cultural norms, including those condoning gender inequities and male dominance, shape sexual interactions such as types of sexual relationships (non-spousal/premarital/transactional), the frequency of and opportunities for sexual contact, and condom use (Halli et al 2007; Parker 2001; McCreary et al 2008; McMillan and Worth 2011). Prevailing traditional gender norms allow men greater sexual freedom, opportunity and mobility than women, and condone multiple sexual partnerships (Gupta 2000).…”

Section: Introductionmentioning

confidence: 99%

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Male migrants' non-spousal sexual partnerships in the place of origin: an in-depth investigation in two rural settings of India

Ganju

Mahapatra

Saggurti

2013

Culture, Health & Sexuality

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Male migrants in India are at disproportionately high risk for HIV, not only because of their sexual behaviours in destination areas but also due to their risk behaviours in their place of origin. While studies have documented male migrants’ risky behaviours in the home setting, few have attempted to understand the underlying socio-cultural context in which they engage in such behaviours. This paper examines the patterns and context of male migrants’ non-spousal sexual partnerships in two high-out-migration districts of India. Data, drawn from a cross-sectional behavioural mixed-methods study conducted in 2008, included a structured survey with 1272 migrants, followed by in-depth interviews with 33 male migrants. Results suggest that sexual activity was common in the place of origin: around 50% of migrants had sex with a non-spousal female partner and two-fifths had initiated sex in this setting. Migrants’ non-spousal sexual behaviours in the home village were influenced by the prevailing socio-cultural context, including migrants’ enhanced socio-economic status, attitudes to non-spousal sex and accessibility of sexual partners. Male migrants’ non-spousal sexual partnerships in source areas are influenced by socio-cultural factors, which must be considered when designing HIV programmes in India and elsewhere.

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Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Male migrants' non-spousal sexual partnerships in the place of origin: an in-depth investigation in two rural settings of India

Ganju

Mahapatra

Saggurti

2013

Culture, Health & Sexuality

View full text Add to dashboard Cite

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“…The taboos related to a married couple's sexuality (Kakar and Kakar 2007) are significant in the Indian cultural context and also appear, in our study, to lead to buying sex and asking for culturally unacceptable practices. These considerations underlie the importance of the social and cultural context when developing HIV-prevention programmes, as also suggested McMillan and Worth (2011).…”

Section: Discussionmentioning

confidence: 97%

Gender relations and risks of HIV transmission in South India: the discourse of female sex workers' clients

Aubé-Maurice

Clément

Bradley

et al. 2012

Culture, Health & Sexuality

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In South India, where the majority of the country's cases of HIV are concentrated, transmission of infection occurs mainly within networks composed of female sex workers, their clients and the other sexual partners of the latter. This study aims to determine how gender relations affect the risks of HIV transmission in this region. Semi-structured interviews were carried out with 30 clients and analysed qualitatively. Results show that clients perceive sexual relations with female sex workers as a vice involving loss of control and contact with women at the bottom of the social ladder. Paradoxically, this sometimes allows them to conform to the masculine ideal, in giving sexual satisfaction to a woman, in a context of incompatibility between the idealised and actual masculine and feminine archetypes. Attitudes to condoms, affected by various facets of the client-female sex worker relationship, are indicators of the link between this relationship and the risks of contracting HIV. The results suggest that there is a need for expanding targeted HIV prevention towards clients and female sex workers alongside more general interventions on gender issues, particularly among young people, focusing on the structural elements moulding current relations between men and women, with particular consideration of local cultural characteristics.

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“…This general attitude may be a barrier to addressing the association between intimate relationships and psychological distress. Research with young Pacific people has revealed a secretiveness around sexual relationships due to a fear of judgment from their family and wider community (McMillan and Woth, 2010;University of Auckland, 1999). Adequate sexual expression is a vital part of intimate human relationships and has the capacity to enhance quality of life by providing a sense of physical, psychological, and social well-being.…”

Section: Croftmentioning

confidence: 98%

Pacific Islands families study: intimate partner stressors and psychological distress among pacific adults

Paterson

Tautolo

Iusitini

et al. 2016

Sexual and Relationship Therapy

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Although there has been increased research about the nature and predictors of sexual problems, relatively little is known about sexual health and well-being among minority ethnic groups across the world. This study explored stressful intimate relationship events that made a significant impact on psychological distress among Pacific adults living in New Zealand. The Pacific Islands Families (PIF) study is a longitudinal investigation of Pacific children born in New Zealand, and their parents. The 12-item General Health Questionnaire (GHQ12) and intimate partner stress items were used to assess the relationship between these stressful events and psychological distress among Pacific mothers and fathers (n D 3963 interviews with 2114 individuals). For both men and women, the most significant partner stress associated with psychological distress was problems with sex. These findings show how stressful events around sexuality and intimate relationships affect Pacific psychological well-being. These intimate issues need to be considered when designing intervention and treatment programmes that are adaptive for long-term family stability and sexual well-being. The relationship between culture, sexuality, and psychological distress needs further investigation. Using a qualitative methodology would provide a more intensive exploration of the role that cultural context plays in intimate relationships and sexuality in Pacific adults.

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The impact of socio-cultural context on young people's condom use: evidence from two Pacific Island countries

Cited by 25 publications

References 19 publications

Male migrants' non-spousal sexual partnerships in the place of origin: an in-depth investigation in two rural settings of India

Male migrants' non-spousal sexual partnerships in the place of origin: an in-depth investigation in two rural settings of India

Gender relations and risks of HIV transmission in South India: the discourse of female sex workers' clients

Pacific Islands families study: intimate partner stressors and psychological distress among pacific adults

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