PhD Candidate, Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, SUNY, 330 Kimball Tower, Buffalo, NY 14212, USA.
Assistant Professor, London School of Hygiene and Tropical Medicine, London, UK.
Sex Reprod Health Matters. 2023 Dec;31(1):2260169. doi: 10.1080/26410397.2023.2260169. Epub 2023 Oct 18.
Gender norms that centre men and disadvantage women create gender inequality, which can lead to risky sexual behaviour. This study examined how both community and individual attitudes toward gender norms influenced risky sexual behaviour in adolescents, and whether that influence was different between males and females. We found that higher gender-equitable attitudes were linked to increased odds of HIV testing in the last 12 months, and decreased odds of engaging in a sexual relationship with a much older partner. Individual high gender-equitable attitudes among girls were also linked to higher odds of them using condoms and contraceptives. Gender-equitable attitudes did not seem to influence early sexual debut, engagement in transactional sex, having multiple sexual partners at the same time, or the number of sexual partners a participant had in the last 12 months. Based on these findings, programming designed to increase gender-equitable attitudes might be helpful in increasing HIV testing and condom and contraceptive use, but it needs to involve the entire community, not just individual boys and girls.
性别规范以男性为中心，使女性处于不利地位，从而造成性别不平等，导致危险的性行为。本研究考察了社区和个人对性别规范的态度如何影响青少年的危险性行为，以及这种影响在男性和女性之间是否存在差异。我们发现，更平等的性别态度与过去 12 个月内进行 HIV 检测的几率增加有关，与与年龄大得多的伴侣发生性关系的几率降低有关。女孩个人的高性别平等态度也与她们使用避孕套和避孕药具的几率增加有关。性别平等态度似乎并没有影响性初体验的年龄、从事性交易、同时与多个性伴侣发生性关系，或参与者在过去 12 个月内的性伴侣数量。基于这些发现，旨在提高性别平等态度的方案可能有助于增加 HIV 检测以及避孕套和避孕药具的使用，但需要涉及整个社区，而不仅仅是个别男孩和女孩。
Sex Reprod Health Matters. 2023-12
Trauma Violence Abuse. 2023-7
Child Abuse Negl. 2021-7
Biol Psychiatry. 2021-1-15
BMC Health Serv Res. 2020-9-17
Glob Public Health. 2021-7
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