Orubuloye I O, Caldwell J C, Caldwell P
Faculty of the Social Sciences, Ondo State University, Ado-Ekiti, Nigeria.
Soc Sci Med. 1993 Oct;37(7):859-72. doi: 10.1016/0277-9536(93)90139-u.
Very limited knowledge is available about African women's control over their sexual relations with husbands or other stable partners in situations where there is a high risk of STDs and HIV/AIDS. Such control must be seen as encompassing women's control over their sexuality and reproduction as well as the broader areas over which they can make decisions. The paper examines other research findings in sub-Saharan Africa, and then reports a study carried out by survey and anthropological methodologies among the Yoruba people in Ado-Ekiti, a town in southwestern Nigeria. Because the AIDS epidemic is still at an early stage in Nigeria and because of the relation of STD infection to HIV-transmission, as well as the probability that the behaviour developed for limiting STD transmission will subsequently be employed to limit HIV transmission, the study focused on STDs. Yoruba women have a considerable ability to refuse sexual relations for a limited time, and they are placed at greater risk of STD infection by their ignorance of whether their partner is infected than by a lack of ability to control the situation when STDs have been identified. This ability may be more limited in the case of AIDS because of its longer duration.
在性传播疾病和艾滋病毒/艾滋病高风险的情况下,关于非洲女性对与其丈夫或其他固定伴侣的性关系的掌控,目前所知甚少。这种掌控必须被视为涵盖女性对其性行为和生殖的控制,以及她们能够做出决策的更广泛领域。本文考察了撒哈拉以南非洲的其他研究结果,然后报告了一项通过调查和人类学方法在尼日利亚西南部城镇阿多-埃基蒂的约鲁巴人中开展的研究。由于艾滋病疫情在尼日利亚仍处于早期阶段,且鉴于性传播疾病感染与艾滋病毒传播的关系,以及为限制性传播疾病传播而形成的行为随后将被用于限制艾滋病毒传播的可能性,该研究聚焦于性传播疾病。约鲁巴女性在有限时间内有相当大的能力拒绝性行为,而且与在已确诊性传播疾病时缺乏控制局面的能力相比,她们因不知伴侣是否感染而面临更高的性传播疾病感染风险。由于艾滋病病程更长,在艾滋病方面这种能力可能更有限。