University of California, San Diego, La Jolla, USA.
National Institute for Research in Reproductive Health, Mumbai, India.
J Interpers Violence. 2020 Jun;35(11-12):2316-2334. doi: 10.1177/0886260517700619. Epub 2017 Apr 11.
Masculine gender ideologies are thought to underlie alcohol use, intimate partner violence (IPV) perpetration, and sexual risk of HIV and other sexually transmitted infections (STIs). We extend on studies in the Indian context by examining the roles of masculine gender ideologies, alcohol use, and IPV on three outcomes of HIV risk (condom use, genital tract infection [GTI] symptoms, and GTI diagnosis). We applied logistic regression models to cross-sectional data of men and their wives in rural Maharashtra, India ( = 1,080 couples). We found that men with less masculine gender ideologies demonstrated greater odds of condom use (i.e., lower odds no condom use, odds ratio [OR] = 0.96, 95% confidence interval [CI] = [0.93, 0.98]). IPV perpetration was associated with increased odds of reporting ≥1 GTI symptom (adjusted OR [AOR] = 1.56, 95% CI = [1.07, 2.26]) and decreased GTI diagnosis (AOR = 0.28, 95% CI = [0.08, 0.97]). Moderate alcohol consumption was associated with increased odds of reporting ≥1 GTI symptom (AOR = 1.51, 95% CI = [1.01, 2.25]). Our findings have direct implications for men's and women's health in rural India, including targeted GTI diagnosis and treatment, integrated violence prevention in STI clinics, and targeted intervention on masculine gender ideologies.
男性性别意识形态被认为是导致酗酒、亲密伴侣暴力（IPV）和性传播感染（STIs）包括艾滋病毒的风险因素。我们通过检验男性性别意识形态、酗酒和 IPV 在艾滋病毒风险的三个结果（ condom use、genital tract infection [GTI] symptoms 和 GTI diagnosis）中的作用，扩展了印度背景下的研究。我们应用逻辑回归模型对印度马哈拉施特拉邦农村地区的男性及其妻子（n=1080 对夫妇）的横断面数据进行了分析。我们发现，具有较少男性性别意识形态的男性使用 condom 的可能性更高（即， condom 使用的可能性较低，比值比 [OR] = 0.96，95%置信区间 [CI] = [0.93, 0.98]）。IPV 的发生与报告≥1 个 GTI 症状的可能性增加有关（调整后的比值比 [AOR] = 1.56，95%置信区间 [CI] = [1.07, 2.26]），而 GTI 诊断的可能性降低（AOR = 0.28，95%置信区间 [CI] = [0.08, 0.97]）。中度饮酒与报告≥1 个 GTI 症状的可能性增加有关（AOR = 1.51，95%置信区间 [CI] = [1.01, 2.25]）。我们的研究结果对印度农村地区男性和女性的健康有直接影响，包括针对 GTI 的诊断和治疗、在 STI 诊所综合预防暴力行为以及针对男性性别意识形态的干预。
