Ranjan Alok, Kumar Pragya, Ahmad Shamshad, Pandey Sanjay, Detel Roger
Department of Community and Family Medicine, AIIMS Patna, Phulwarisharif, Bihar, India.
Department of Epidemiology, Fielding School of Public Health, University of California, UCLA, USA.
J Family Med Prim Care. 2019 May;8(5):1637-1641. doi: 10.4103/jfmpc.jfmpc_180_19.
Population mobility and migration are important processes of human life. It affects broad range of sociocultural parameters. Mobility increases personal interaction and exposure to sexual partners from high-risk group. Although traditional Indian value prohibits premarital or extramarital sexual activities, but this aspect has not been explored in migrant workers.
It was a qualitative study based on indepth interview of participants. The participants were wives of migrant workers. Indepth interviews were conducted by two female field interviewers recruited for the study. A total of 24 study subjects were recruited for the study. An indepth interview guide was prepared which mainly focused on sexual behavior, including premarital, marital, and extramarital, quality of marital relationship, gender roles, peer networks, substance abuse, work-related activities, etc., The transcripts were analyzed in NVIVO and themes were generated.
The premarital sex was more common in boys than girls. It is more common in the same age group and has increased in the recent years. Various reasons were cited in relation to premarital sex in rural areas like love affair, delayed marriage, watching bad movies, bad company, allurement for gifts money, etc., Some women had opinion that males belonging to affluent and powerful families had tendency to enjoy sex with other women within and outside village. The major themes which emerged from the study were the sexual activity, type of sexual partners, reasons for multiple sexual partner, and risky and nonrisky sexual activity.
The findings of the study provided insights to design and conduct a larger and more representative quantitative study among the wives of migrant workers to understand the dynamic combination of biomedical, behavioral, and sociocultural factors that may influence transmission of infection within marriage.
人口流动和迁移是人类生活中的重要过程。它影响着广泛的社会文化参数。流动增加了个人互动以及与高危群体性伴侣的接触。尽管传统的印度价值观禁止婚前或婚外性行为,但这方面在农民工中尚未得到探讨。
这是一项基于对参与者深入访谈的定性研究。参与者为农民工的妻子。由为该研究招募的两名女性现场访谈员进行深入访谈。共招募了24名研究对象。编制了一份深入访谈指南,主要关注性行为,包括婚前、婚内和婚外性行为、婚姻关系质量、性别角色、同伴网络、药物滥用、与工作相关的活动等,转录本在NVIVO中进行分析并生成主题。
婚前性行为在男孩中比在女孩中更常见。在同一年龄组中更普遍,且近年来有所增加。农村地区婚前性行为有各种原因,如恋爱、晚婚、看不良电影、结交不良朋友、贪图礼金等。一些女性认为,富裕和有权势家庭的男性有在村内和村外与其他女性发生性行为的倾向。该研究中出现的主要主题包括性活动、性伴侣类型、多个性伴侣的原因以及有风险和无风险的性活动。
该研究结果为在农民工妻子中设计和开展更大规模、更具代表性的定量研究提供了见解,以了解可能影响婚姻内感染传播的生物医学、行为和社会文化因素的动态组合。