Humanitarian and Conflict Response Institute, University of Manchester, UK.
Department of Criminology and Sociology, University of Hull, UK.
Afr J Reprod Health. 2020 Dec;24(4):198-212. doi: 10.29063/ajrh2020/v24i4.20.
Using a systematic literature review approach, this paper focused on the role of polygyny in the spread of HIV/AIDS in sub-Saharan Africa (SSA) countries. The widespread practice of polygyny is one feature of many SSA contexts that may be relevant to understanding patterns of HIV prevalence. Building on the conflicting studies on the importance of polygyny, this study investigated whether or not polygyny is a conduit for elevating HIV transmission in SSA countries. Findings showed that polygyny as an institution is perhaps less of a concern; rather the implication that men and women who are in polygamous relationships are also more likely to engage in extra-marital sex - raises secondary questions about their patterns of sexual networking and concurrent sexual partnerships. The findings however show that polygyny amplifies risky sexual behaviours such as sexual networking and concurrent sexual partnerships, all of which were found to be significantly associated with the risk of HIV transmission. This demonstrates that targeting risky sexual behaviours in a broader marital context may be more important for HIV risk reduction than targeting polygyny as an institution.
本文采用系统文献综述的方法，重点研究了多配偶制在撒哈拉以南非洲（SSA）国家艾滋病传播中的作用。多配偶制的广泛存在是许多 SSA 背景的一个特征，可能与理解艾滋病流行模式有关。基于对多配偶制重要性的相互矛盾的研究，本研究探讨了多配偶制是否是 SSA 国家艾滋病传播的一个渠道。研究结果表明，多配偶制作为一种制度可能不太令人担忧；相反，多配偶制关系中的男性和女性更有可能发生婚外性行为的暗示——这引发了关于他们的性网络和同时性伴侣模式的次要问题。然而，研究结果表明，多配偶制加剧了危险的性行为，如性网络和同时性伴侣关系，这些都与艾滋病传播的风险显著相关。这表明，在更广泛的婚姻背景下针对危险性行为进行干预，可能比对多配偶制制度进行干预更有助于降低艾滋病风险。
