Gender Norms, Gender Role Conflict/Stress and HIV Risk Behaviors Among Men in Mpumalanga, South Africa

被引：49

作者：

Gottert, Ann ^{[1
,2
]}

Barrington, Clare ^{[1
]}

McNaughton-Reyes, Heath Luz ^{[1
]}

Maman, Suzanne ^{[1
]}

MacPhail, Catherine ^{[3
,4
]}

Lippman, Sheri A. ^{[3
,5
]}

Kahn, Kathleen ^{[3
,6
,7
]}

Twine, Rhian ^{[3
,6
]}

Pettifor, Audrey ^{[3
,8
]}

机构：

[1] Univ North Carolina Chapel Hill, Gillings Sch Global Publ Hlth, Dept Hlth Behav, Chapel Hill, NC 27599 USA

[2] HIV & AIDS Program, Populat Council, 4301 Connecticut Ave NW 280, Washington, DC 20008 USA

[3] Univ Witwatersrand, Sch Publ Hlth, MRC Wits Rural Publ Hlth & Hlth Transit Res Unit, Fac Hlth Sci, Johannesburg, South Africa

[4] Univ New England, Sch Hlth, Armidale, NSW, Australia

[5] Univ Calif San Francisco, Dept Med, Ctr AIDS Prevent Studies, San Francisco, CA USA

[6] Univ Witwatersrand, Wits Reprod Hlth & HIV Inst WRHI, Johannesburg, South Africa

[7] Umea Univ, Umea Ctr Global Hlth Res, Div Epidemiol & Global Hlth, Dept Publ Hlth & Clin Med, Umea, Sweden

[8] Univ North Carolina Chapel Hill, Gillings Sch Global Publ Hlth, Dept Epidemiol, Chapel Hill, NC USA

来源：

AIDS AND BEHAVIOR | 2018年 / 22卷 / 06期

基金：

美国国家卫生研究院;

关键词：

Gender role; HIV; Sexual behavior; Violence; Alcohol; South Africa; RURAL EASTERN-CAPE; SEXUAL-BEHAVIOR; ALCOHOL-USE; ROLE STRESS; PARTNER VIOLENCE; YOUNG MEN; SCALE; PREVALENCE; ATTITUDES; HEALTH;

D O I：

10.1007/s10461-017-1706-9

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Men's gender role conflict and stress (GRC/S), the psychological strain they experience around fulfilling expectations of themselves as men, has been largely unexplored in HIV prevention research. We examined associations between both men's gender norms and GRC/S and three HIV risk behaviors using data from a population-based survey of 579 18-35 year-old men in rural northeast South Africa. Prevalence of sexual partner concurrency and intimate partner violence (IPV) perpetration in the last 12 months were 38.0 and 13.4%, respectively; 19.9% abused alcohol. More inequitable gender norms and higher GRC/S were each significantly associated with an increased odds of concurrency (p = 0.01; p < 0.01, respectively), IPV perpetration (p = 0.03; p < 0.01), and alcohol abuse (p = 0.02; p < 0.001), controlling for demographic characteristics. Ancillary analyses demonstrated significant positive associations between: concurrency and the GRC/S sub-dimension subordination to women; IPV perpetration and restrictive emotionality; and alcohol abuse and success, power, competition. Programs to transform gender norms should be coupled with effective strategies to prevent and reduce men's GRC/S.

引用

页码：1858 / 1869

页数：12

共 74 条

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