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莫桑比克德尔加杜角地区塑造性别角色、艾滋病毒/艾滋病风险及风险降低策略的婚姻规范与习俗。

Norms and practices within marriage which shape gender roles, HIV/AIDS risk and risk reduction strategies in Cabo Delgado, Mozambique.

作者信息

Bandali S

机构信息

Department of Population Studies, London School of Hygiene and Tropical Medicine, UK.

出版信息

AIDS Care. 2011 Sep;23(9):1171-6. doi: 10.1080/09540121.2011.554529. Epub 2011 Jun 1.

Abstract

Despite increasing HIV/AIDS rates among married individuals, minimal research has been conducted on how men and women respond to risk in a marriage. This paper examines strategies used by married individuals to combat HIV/AIDS risk against prevailing gender norms. Qualitative data were gathered in four villages of Cabo Delgado province, Mozambique. Group discussions were held with 160 men and women to explore gender norms, HIV/AIDS knowledge and risk determinants. From the group discussions, 29 individuals were selected for further in-depth interviews to explore relationships between gender norms and risk reduction efforts within marriages. Findings illustrate how infidelity and social limitations placed on condom use not only increase HIV/AIDS risk but also entrench gender disparities. Although power differences between genders can make it difficult to negotiate safe sex, men and women are taking measures to reduce perceived HIV/AIDS risk in their marriage. Married men are reconstructing norms and taking responsibility to protect their family from HIV/AIDS by remaining faithful. For women, responses to HIV/AIDS risk in a marriage are more closely related to their ability to generate an income. Financially dependent women tend to leave a risky marriage altogether in contrast to financially autonomous women who will negotiate condom use with their husband. Factors such as experience with a risky partner, the desire to maintain a good social standing, fear of HIV/AIDS acquisition and parental guidance and support influence men and women to reduce perceived HIV/AIDS risk, despite constraining gender norms and power imbalances in a marriage. Nuanced understandings of the ways in which men and women are already taking measures to decrease noted HIV/AIDS risk, despite gender norms that make this a challenge, should be incorporated into localised responses.

摘要

尽管已婚人群中感染艾滋病毒/艾滋病的比例不断上升,但针对男性和女性在婚姻中如何应对风险的研究却极少。本文探讨了已婚人士为应对艾滋病毒/艾滋病风险而采取的策略,以对抗普遍存在的性别规范。在莫桑比克德尔加杜角省的四个村庄收集了定性数据。与160名男性和女性进行了小组讨论,以探讨性别规范、艾滋病毒/艾滋病知识和风险决定因素。从小组讨论中,挑选了29人进行进一步的深入访谈,以探讨性别规范与婚姻中降低风险努力之间的关系。研究结果表明,不忠行为以及对使用避孕套的社会限制不仅增加了感染艾滋病毒/艾滋病的风险,还加剧了性别不平等。尽管性别之间的权力差异可能使安全性行为的协商变得困难,但男性和女性都在采取措施降低他们在婚姻中感知到的艾滋病毒/艾滋病风险。已婚男性正在重塑规范,并通过保持忠诚来承担起保护家人免受艾滋病毒/艾滋病侵害的责任。对于女性来说,她们在婚姻中对艾滋病毒/艾滋病风险的应对方式与其创收能力更为密切相关。经济上依赖他人的女性往往会完全离开有风险的婚姻,而经济自主的女性则会与丈夫协商使用避孕套。诸如与有风险的伴侣的经历、保持良好社会地位的愿望、对感染艾滋病毒/艾滋病的恐惧以及父母的指导和支持等因素,尽管婚姻中存在限制性别规范和权力不平衡的情况,但仍会影响男性和女性降低他们感知到的艾滋病毒/艾滋病风险。尽管性别规范给降低艾滋病毒/艾滋病风险带来了挑战,但对于男性和女性已经在采取措施降低上述风险的方式进行细致入微的理解,应纳入本地化应对措施中。

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