Department of Prevention and Community Health, School of Public Health and Health Services, George Washington University, 2175 K Street, NW, Suite 700, Washington, DC 20037, USA.
Stud Fam Plann. 2010 Mar;41(1):1-17. doi: 10.1111/j.1728-4465.2010.00220.x.
Men's multiple sexual partnerships contribute to the spread of HIV in sub-Saharan Africa, but the social determinants of these relationships remain poorly understood. Prevailing wisdom suggests that men's institutionalized authority over women and their control of economic resources are key facilitators of multiple partnerships in this region. Men's exposure to or freedom from social control mechanisms embedded in family and village life may also play a role. This article provides insight into these issues by examining sociodemographic correlates of men's multiple sexual partnerships using data from recent Demographic and Health Surveys in 15 sub-Saharan African countries. The prevalence of self-reported multiple partnerships varies widely among countries. Sociodemographic patterns of such partnerships confirm the importance of men's control of economic resources and suggest that men's freedom from social control mechanisms may be more important than their authority over their wives.
男性的多重性伴侣关系导致了 HIV 在撒哈拉以南非洲的传播，但这些关系的社会决定因素仍未得到很好的理解。普遍的观点认为，男性对女性的制度化权威和对经济资源的控制是该地区多重伴侣关系的关键促成因素。男性接触或不受家庭和村庄生活中嵌入的社会控制机制的影响也可能发挥作用。本文通过利用最近在 15 个撒哈拉以南非洲国家进行的人口与健康调查的数据，研究了男性多重性伴侣关系与社会人口学因素的相关性，从而深入探讨了这些问题。自我报告的多重伴侣关系的流行程度在各国之间差异很大。这种伴侣关系的社会人口学模式证实了男性对经济资源的控制的重要性，并表明男性不受社会控制机制的影响可能比他们对妻子的权威更为重要。
