Reniers Georges
Institute of Behavioral Science, Population Program, University of Colorado-Boulder, 484 UCB, Boulder, CO 80309, USA.
Demography. 2008 May;45(2):417-38. doi: 10.1353/dem.0.0002.
In a setting where the transmission of HIV occurs primarily through heterosexual contact and where no cure or vaccine is available, behavioral change is imperative for containing the epidemic. Abstinence, faithfulness, and condom use most often receive attention in this regard. In contrast, this article treats marriage as a resource for HIV risk management via mechanisms of positive selection (partner choice) and negative selection (divorce of an adulterous spouse). Retrospective marriage histories and panel data provide the evidence for this study and results indicate that men and women in Malawi increasingly turned to union-based risk-avoidance strategies during the period that the threat of HIV/AIDS materialized. Although both sexes strategize in a similar fashion, men are better equipped than women to deploy these strategies to their advantage. The article concludes with reflections on the long-term and population-level implications of these coping mechanisms.
在一个艾滋病病毒主要通过异性接触传播且尚无治愈方法或疫苗的环境中,行为改变对于控制疫情至关重要。在这方面,禁欲、忠诚和使用避孕套最常受到关注。相比之下,本文将婚姻视为通过正向选择(伴侣选择)和负向选择(与出轨配偶离婚)机制进行艾滋病病毒风险管理的一种资源。回顾性婚姻史和面板数据为这项研究提供了证据,结果表明,在艾滋病病毒/艾滋病威胁显现的时期,马拉维的男性和女性越来越多地转向基于结合的风险规避策略。尽管两性采取策略的方式相似,但男性比女性更有能力利用这些策略为自己谋利。文章最后对这些应对机制的长期和人口层面影响进行了思考。