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

被引：0
作者：
J. Pulerwitz
A. Gottert
K. Kahn
N. Haberland
A. Julien
A. Selin
R. Twine
D. Peacock
X. Gómez-Olivé
S. A. Lippman
A. Pettifor
机构：
[1] Population Council,HIV and AIDS Program
[2] University of the Witwatersrand,MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences
[3] Population Council,Poverty, Gender, and Youth Program
[4] University of North Carolina at Chapel Hill,Department of Epidemiology
[5] Promundo-US,Division of Prevention Science, Department of Medicine
[6] University of California San Francisco,undefined
[7] Population Council,undefined
来源：
AIDS and Behavior | 2019年 / 23卷
关键词：
Gender norms; HIV testing; Antiretroviral treatment;
D O I：
暂无
中图分类号：
学科分类号：
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
收藏
页码：162 / 171
页数：9
相关论文
共 146 条
[1]  
Fleming P(2015)Risk factors for men’s lifetime perpetration of physical violence against intimate partners: results from the International Men and gender equality survey (IMAGES) in eight countries PLoS ONE 10 e0118639-1887
[2]  
McCleary-Sills J(2013)Gender-equitable attitudes, bystander behavior, and recent abuse perpetration against heterosexual dating partners of male high school athletes Am J Public Health 103 1882-137
[3]  
Morton M(2008)Measuring attitudes toward gender norms among young men in Brazil Men Masc. 10 322-559
[4]  
Levtov R(2010)Addressing gender dynamics and engaging men in HIV programs: lessons learned from Horizons research Public Health Rep 125 282-634
[5]  
Heilman B(2015)Changing gender norms and reducing intimate partner violence: results from a quasi-experimental intervention study with young men in Ethiopia Am J Public Health 105 132-342
[6]  
Barker G(2012)Gender inequity norms are associated with increased male-perpetrated rape and sexual risks for HIV infection in Botswana and Swaziland PLoS ONE 7 e28739-S21
[7]  
McCauley H(2013)Using the inequitable gender norms scale and associated HIV risk behaviors among men at high risk for HIV in Ghana and Tanzania Men Masc 16 540-1869
[8]  
Tancredi D(2012)Constructs of power and equity and their association with contraceptive use among men and women in rural Ethiopia and Kenya Glob Public Health 7 618-2863
[9]  
Silverman J(2001)Gender-related psychosocial and cultural factors associated with condom use among Chinese married women AIDS Educ Prev 13 329-2479
[10]  
Pulerwitz J(2017)Inequitable gender norms from early adolescence to young adulthood in Uganda: tool validation and differences across age groups J Adolesc Health 60 S15-807
12345678910