Gender Norms and HIV Testing/Treatment Uptake: Evidence from a Large Population-Based Sample in South Africa

被引：33

作者：

Pulerwitz, J. ^{[1
,7
]}

Gottert, A. ^{[1
]}

Kahn, K. ^{[2
]}

Haberland, N. ^{[3
]}

Julien, A. ^{[4
]}

Selin, A. ^{[4
]}

Twine, R. ^{[2
]}

Peacock, D. ^{[5
]}

Gomez-Olive, X. ^{[2
]}

Lippman, S. A. ^{[2
,6
]}

Pettifor, A. ^{[2
,4
]}

机构：

[1] Populat Council, HIV & AIDS Program, Washington, DC 20008 USA

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

[3] Populat Council, Poverty Gender & Youth Program, 1230 York Ave, New York, NY 10021 USA

[4] Univ N Carolina, Dept Epidemiol, Chapel Hill, NC 27515 USA

[5] Promundo US, Washington, DC USA

[6] Univ Calif San Francisco, Div Prevent Sci, Dept Med, San Francisco, CA 94143 USA

[7] Populat Council, 4301 Connecticut Ave,NW,Suite 280, Washington, DC 20008 USA

来源：

AIDS AND BEHAVIOR | 2019年 / 23卷 / Suppl 2期

基金：

英国医学研究理事会;

关键词：

Gender norms; HIV testing; Antiretroviral treatment; INTIMATE PARTNER VIOLENCE; ANTIRETROVIRAL THERAPY; YOUNG MEN; ATTITUDES; WOMEN; CARE; HEALTH; INTERVENTION; ENGAGEMENT; PREVENTION;

D O I：

10.1007/s10461-019-02603-8

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

How does the endorsement of different dimensions of gender norms by men and/or women influence their use of HIV testing and antiretroviral treatment? This question was examined using data from a 2014 population-based survey of 1053 women and 1004 men, ages 18-49, in rural South Africa. We used a global measure for views toward gender norms (the GEM Scale), plus four subsets of scale items (all reliabilities >= 0.7). In multivariate analyses using the global measure, endorsement of inequitable gender norms was associated with more testing (AOR 2.47, p < 0.01) and less treatment use (AOR 0.15, p < 0.01) among women but not men. When examining specific subsets of inequitable norms (e.g., endorsing men as the primary decision-maker), decreased odds of treatment use was found for men as well (AOR 0.18, p < 0.01). Careful attention to the role specific gender norms play in HIV service uptake can yield useful programmatic recommendations.

引用

页码：S162 / S171

页数：10

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