Skip to main content
Erschienen in: AIDS and Behavior 3/2006

01.05.2006

The Influence of Power on HIV Risk Among Pregnant Women in Rural Haiti

verfasst von: Trace S. Kershaw, Maria Small, Gabriel Joseph, Melanie Theodore, Reginald Bateau, Rikerdy Frederic

Erschienen in: AIDS and Behavior | Ausgabe 3/2006

Einloggen, um Zugang zu erhalten

Abstract

Given that condom use is not directly under a woman's control, the sexual division of power may play an important role in sexual behavior among pregnant women. We assessed the influence of factors related to the theory of gender and power (e.g., relationship power, abuse history, and sexual communication) on sexual behavior (e.g., two or more partners in the year prior to pregnancy, condom use, condom-use intentions, and STI diagnosis) among 196 pregnant women recruited from five community dispensaries in rural Haiti. Results showed that gender and power factors significantly related to sexual behavior. Gender and power factors were most significant for condom use and intention to use condoms, accounting for 18 and 25% of the variance above and beyond HIV knowledge and demographic covariates, respectively. These results suggest the need to create prevention interventions that restore power imbalances, provide support for women suffering abuse, and strengthen communication skills.
Literatur
Zurück zum Zitat Adrien, A., Cayemittes, M., and Bergevin, Y. (1993). AIDS-related knowledge, attitudes, beliefs, and practices in Haiti. Bulletin of the Pan American Health Organization, 27, 234–243.PubMed Adrien, A., Cayemittes, M., and Bergevin, Y. (1993). AIDS-related knowledge, attitudes, beliefs, and practices in Haiti. Bulletin of the Pan American Health Organization, 27, 234–243.PubMed
Zurück zum Zitat Behets, F. M., Genece, E., Narcisse, M., Liautaud, B., Cohen, M., and Dallabetta, G. A. (1998). Approaches to control sexually transmitted diseases in Haiti, 1992–95. Bulletin of the Pan American Health Organization, 76, 189–194. Behets, F. M., Genece, E., Narcisse, M., Liautaud, B., Cohen, M., and Dallabetta, G. A. (1998). Approaches to control sexually transmitted diseases in Haiti, 1992–95. Bulletin of the Pan American Health Organization, 76, 189–194.
Zurück zum Zitat Brewer, T. H., Hasbun, J., Ryan, C. A., Hawes, S. E., Martinez, S., Sanchez, J., et al. (1998). Migration, ethnicity and environment: HIV risk factors for women on the sugar cane plantations of the Dominican Republic. AIDS, 12, 1879–1887.PubMedCrossRef Brewer, T. H., Hasbun, J., Ryan, C. A., Hawes, S. E., Martinez, S., Sanchez, J., et al. (1998). Migration, ethnicity and environment: HIV risk factors for women on the sugar cane plantations of the Dominican Republic. AIDS, 12, 1879–1887.PubMedCrossRef
Zurück zum Zitat CDC (2005). Global AIDS Program: About our work behavior change communications. CDC. CDC (2005). Global AIDS Program: About our work behavior change communications. CDC.
Zurück zum Zitat Connell, R. W. (1987). Gender and power. Stanford, CA: Stanford University Press. Connell, R. W. (1987). Gender and power. Stanford, CA: Stanford University Press.
Zurück zum Zitat de Bruyn, M. (1992). Women and AIDS in developing countries. Social Science and Medicine, 34, 249–262.CrossRefPubMed de Bruyn, M. (1992). Women and AIDS in developing countries. Social Science and Medicine, 34, 249–262.CrossRefPubMed
Zurück zum Zitat DiClemente, R. J., Wingood, G. M., Crosby, R., Sionean, C., Brown, L., Rothbaum, B., et al. (2001). A prospective study of psychosocial distress and sexual risk behavior among black adolescent females. Pediatrics, 108(5), E85.CrossRefPubMed DiClemente, R. J., Wingood, G. M., Crosby, R., Sionean, C., Brown, L., Rothbaum, B., et al. (2001). A prospective study of psychosocial distress and sexual risk behavior among black adolescent females. Pediatrics, 108(5), E85.CrossRefPubMed
Zurück zum Zitat Dunkle, K. L., Jewkes, R. K., Brown, H. C., Gray, G. E., McIntryre, J. A., Harlow, S. D. (2004). Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa. Lancet, 363, 1415–1421.CrossRefPubMed Dunkle, K. L., Jewkes, R. K., Brown, H. C., Gray, G. E., McIntryre, J. A., Harlow, S. D. (2004). Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa. Lancet, 363, 1415–1421.CrossRefPubMed
Zurück zum Zitat Family Health International (1997). Family health international AIDS control and prevention project: Final report. FHI. Family Health International (1997). Family health international AIDS control and prevention project: Final report. FHI.
Zurück zum Zitat Farmer, P. E. (1995). Culture, poverty, and the dynamics of HIV transmission in rural Haiti. In H. T. Brummelhuis and G. Herdt (Eds.), Culture and sexual risk: Anthropological perspectives on AIDS (pp. 3–28). Newark, NJ: Gordon and Breach. Farmer, P. E. (1995). Culture, poverty, and the dynamics of HIV transmission in rural Haiti. In H. T. Brummelhuis and G. Herdt (Eds.), Culture and sexual risk: Anthropological perspectives on AIDS (pp. 3–28). Newark, NJ: Gordon and Breach.
Zurück zum Zitat Fitzgerald, D. W., Behets, F., Caliendo, A., Roberfroid, D., Lucet, C., Fitzgerald, J. W., et al. (2000). Economic hardship and sexually transmitted diseases in Haiti's rural Artibonite Valley. American Journal of Tropical Medical Hygiene, 62, 496–501. Fitzgerald, D. W., Behets, F., Caliendo, A., Roberfroid, D., Lucet, C., Fitzgerald, J. W., et al. (2000). Economic hardship and sexually transmitted diseases in Haiti's rural Artibonite Valley. American Journal of Tropical Medical Hygiene, 62, 496–501.
Zurück zum Zitat Garcia-Moreno, C., and Watts, C. (2000). Violence against women: Its importance for HIV/AIDS. AIDS, 14, S253–S265PubMedCrossRef Garcia-Moreno, C., and Watts, C. (2000). Violence against women: Its importance for HIV/AIDS. AIDS, 14, S253–S265PubMedCrossRef
Zurück zum Zitat Gay, J., and Underwood, U. (1991). Women in danger: A call for action. Paper presented at the World's Women 1970–1990. Trends and Statistics. Gay, J., and Underwood, U. (1991). Women in danger: A call for action. Paper presented at the World's Women 1970–1990. Trends and Statistics.
Zurück zum Zitat Harvey, S. M., Bird, S. T., Galavotti, C., Duncan, E. A., and Greenberg, D. (2002). Relationship power, sexual decision making and condom use among women at risk for HIV/STDs. Women and Health, 36, 69–84.CrossRef Harvey, S. M., Bird, S. T., Galavotti, C., Duncan, E. A., and Greenberg, D. (2002). Relationship power, sexual decision making and condom use among women at risk for HIV/STDs. Women and Health, 36, 69–84.CrossRef
Zurück zum Zitat HIV/AIDS Surveillance Data Base (2000). International Programs Center, US Census Bureau. HIV/AIDS Surveillance Data Base (2000). International Programs Center, US Census Bureau.
Zurück zum Zitat Ickovics, J., Morrill, A., Beren, S., Walsh, U., and Rodin, J. (1994). Limited effects of HIV testing for women: A prospective study of behavioral and psychological consequences. JAMA, 272, 443–448.CrossRefPubMed Ickovics, J., Morrill, A., Beren, S., Walsh, U., and Rodin, J. (1994). Limited effects of HIV testing for women: A prospective study of behavioral and psychological consequences. JAMA, 272, 443–448.CrossRefPubMed
Zurück zum Zitat Ickovics, J. R., Niccolai, L. M., Lewis, J. B., Kershaw, T. S., and Ethier, K. A. (2003). High post-partum rates of STDs among teens: Pregnancy as a window of opportunity for prevention. Sexually Transmitted Infections, 79, 469–473.CrossRefPubMed Ickovics, J. R., Niccolai, L. M., Lewis, J. B., Kershaw, T. S., and Ethier, K. A. (2003). High post-partum rates of STDs among teens: Pregnancy as a window of opportunity for prevention. Sexually Transmitted Infections, 79, 469–473.CrossRefPubMed
Zurück zum Zitat Ickovics, J. R., and Rodin, J. (1992). Women and AIDS in the United States: Epidemiology, natural history, and mediating mechanisms. Health Psychology, 11, 1–16.CrossRefPubMed Ickovics, J. R., and Rodin, J. (1992). Women and AIDS in the United States: Epidemiology, natural history, and mediating mechanisms. Health Psychology, 11, 1–16.CrossRefPubMed
Zurück zum Zitat Jack, N. (2001). HIV/AIDS in Caribbean children and adolescents. In B. Dicks (Ed.), HIV/AIDS and children in the English speaking Caribbean. New York: Haworth. Jack, N. (2001). HIV/AIDS in Caribbean children and adolescents. In B. Dicks (Ed.), HIV/AIDS and children in the English speaking Caribbean. New York: Haworth.
Zurück zum Zitat James, S., Reddy, S. P., Taylor, M., and Jinabhai, C. C. (2004). Young people, HIV/AIDS/STIs and sexuality in South Africa: The gap between awareness and behavior. Acta Paediatrica, 93, 264–269.CrossRefPubMed James, S., Reddy, S. P., Taylor, M., and Jinabhai, C. C. (2004). Young people, HIV/AIDS/STIs and sexuality in South Africa: The gap between awareness and behavior. Acta Paediatrica, 93, 264–269.CrossRefPubMed
Zurück zum Zitat Kalichman, S. C., and Simbayi, L. C. (2004). Sexual assault history and risks for sexually transmitted infections among women in an African township in Cape Town, South Africa. AIDS Care, 16, 681–689.CrossRefPubMed Kalichman, S. C., and Simbayi, L. C. (2004). Sexual assault history and risks for sexually transmitted infections among women in an African township in Cape Town, South Africa. AIDS Care, 16, 681–689.CrossRefPubMed
Zurück zum Zitat Kalichman, S. C., Williams, E. A., Cherry, C., Belcher, L., and Nachimson, D. (1998). Sexual coercion, domestic violence, and negotiating condom use among low-income African American women. Journal of Women's Health, 7, 371–378.PubMedCrossRef Kalichman, S. C., Williams, E. A., Cherry, C., Belcher, L., and Nachimson, D. (1998). Sexual coercion, domestic violence, and negotiating condom use among low-income African American women. Journal of Women's Health, 7, 371–378.PubMedCrossRef
Zurück zum Zitat Kershaw, T. S., Ickovics, J. R., Lewis, J. B., Niccolai, L. M., Milan, S., and Ethier, K. A. (2004). Sexual risk following a sexually transmitted disease diagnosis: The more things change the more they stay the same. Journal of Behavioral Medicine, 24, 445–461.CrossRef Kershaw, T. S., Ickovics, J. R., Lewis, J. B., Niccolai, L. M., Milan, S., and Ethier, K. A. (2004). Sexual risk following a sexually transmitted disease diagnosis: The more things change the more they stay the same. Journal of Behavioral Medicine, 24, 445–461.CrossRef
Zurück zum Zitat Kershaw, T. S., Niccolai, L. M., Ickovics, J. R., Lewis, J. B., Meade, C., and Ethier, K. A. (2003). Short and long-term impact of adolescent pregnancy on postpartum contraceptive use: Implications for prevention of repeat pregnancy. Journal of Adolescent Health, 33, 359–365.CrossRefPubMed Kershaw, T. S., Niccolai, L. M., Ickovics, J. R., Lewis, J. B., Meade, C., and Ethier, K. A. (2003). Short and long-term impact of adolescent pregnancy on postpartum contraceptive use: Implications for prevention of repeat pregnancy. Journal of Adolescent Health, 33, 359–365.CrossRefPubMed
Zurück zum Zitat Malow, R. M., Cassagnol, T., McMahon, R., Jennings, T. E., and Roatta, V. G. (2000). Relationship of psychosocial factors to HIV risk among Haitian women. AIDS Education and Prevention, 12, 79–92.PubMed Malow, R. M., Cassagnol, T., McMahon, R., Jennings, T. E., and Roatta, V. G. (2000). Relationship of psychosocial factors to HIV risk among Haitian women. AIDS Education and Prevention, 12, 79–92.PubMed
Zurück zum Zitat Mbizvo, E. M., Msuya, S. E., Hussain, A., Chirenje, M. Z., and Stray-Pederson, B. (2003). HIV prevalance in Zimbabwean women: 54–67% knowledge and perceived risk. International Journal of STD and AIDS, 14, 202–207.CrossRef Mbizvo, E. M., Msuya, S. E., Hussain, A., Chirenje, M. Z., and Stray-Pederson, B. (2003). HIV prevalance in Zimbabwean women: 54–67% knowledge and perceived risk. International Journal of STD and AIDS, 14, 202–207.CrossRef
Zurück zum Zitat Morrill, A., Ickovics, J., Golubchikov, V., Beren, S., and Rodin, J. (1996). Safer sex: Social and psychological predictors of behavioral maintenance and change among heterosexual women. Journal of Clinical and Consulting Psychology, 64, 819–828.CrossRef Morrill, A., Ickovics, J., Golubchikov, V., Beren, S., and Rodin, J. (1996). Safer sex: Social and psychological predictors of behavioral maintenance and change among heterosexual women. Journal of Clinical and Consulting Psychology, 64, 819–828.CrossRef
Zurück zum Zitat Nagelkerke, N. (1991). A note on the general definition of the coefficient of determination. Biometrika, 78, 691–692.CrossRef Nagelkerke, N. (1991). A note on the general definition of the coefficient of determination. Biometrika, 78, 691–692.CrossRef
Zurück zum Zitat Niccolai, L. M., Ethier, K. A., Kershaw, T. S., Lewis, J. B., and Ickovics, J. R. (2003). Pregnant adolescents at risk: Sexual behaviors and sexually transmitted disease prevalence. American Journal of Obstetrics and Gynecology, 188, 63–70.CrossRefPubMed Niccolai, L. M., Ethier, K. A., Kershaw, T. S., Lewis, J. B., and Ickovics, J. R. (2003). Pregnant adolescents at risk: Sexual behaviors and sexually transmitted disease prevalence. American Journal of Obstetrics and Gynecology, 188, 63–70.CrossRefPubMed
Zurück zum Zitat Njeru, E., Eldridge, G., Ngugi, E., Plummer, F., and Moses, S. (1995). STD partner notification and referral in primary level health centers in Nairobi, Kenya. Sexually Transmitted Diseases, 22, 231–235.PubMedCrossRef Njeru, E., Eldridge, G., Ngugi, E., Plummer, F., and Moses, S. (1995). STD partner notification and referral in primary level health centers in Nairobi, Kenya. Sexually Transmitted Diseases, 22, 231–235.PubMedCrossRef
Zurück zum Zitat Park, I. U., Sneed, C. D., Morisky, D. E., Alvear, S., and Hearst, N. (2002). Correlates of HIV risk among Ecuadorian adolescents. AIDS Education and Prevention, 14, 73–83.CrossRefPubMed Park, I. U., Sneed, C. D., Morisky, D. E., Alvear, S., and Hearst, N. (2002). Correlates of HIV risk among Ecuadorian adolescents. AIDS Education and Prevention, 14, 73–83.CrossRefPubMed
Zurück zum Zitat Peltzer, K. (2003). HIV/AIDS knowledge, attitudes, beliefs, and behaviors in a rural South African adult population. South African Journal of Psychology, 33, 250. Peltzer, K. (2003). HIV/AIDS knowledge, attitudes, beliefs, and behaviors in a rural South African adult population. South African Journal of Psychology, 33, 250.
Zurück zum Zitat Pierre, J. A., and Fournier, A. M. (1999). Human immunodeficiency virus infection in Haiti. JAMA, 91, 165–170. Pierre, J. A., and Fournier, A. M. (1999). Human immunodeficiency virus infection in Haiti. JAMA, 91, 165–170.
Zurück zum Zitat Pulerwitz, J., Gortmaker, S. L., and DeJong, W. (2000). Measuring sexual relationship power in HIV/STD research. Sex Roles, 42, 637–660.CrossRef Pulerwitz, J., Gortmaker, S. L., and DeJong, W. (2000). Measuring sexual relationship power in HIV/STD research. Sex Roles, 42, 637–660.CrossRef
Zurück zum Zitat Raj, A., Silverman, J. G., and Amaro, H. (2004). Abused women report greater male partner risk and gender-based risk for HIV: Findings from a community-based study with Hispanic women. AIDS Care, 16, 519–529.CrossRefPubMed Raj, A., Silverman, J. G., and Amaro, H. (2004). Abused women report greater male partner risk and gender-based risk for HIV: Findings from a community-based study with Hispanic women. AIDS Care, 16, 519–529.CrossRefPubMed
Zurück zum Zitat Robinson, T., Thompson, T., and Bain, B. (2001). Sexual risk-taking behavior and HIV knowledge of Kingston's street boys. Journal of HIV/AIDS Prevention and Education for Adolescents and Children, 4, 127–147.CrossRef Robinson, T., Thompson, T., and Bain, B. (2001). Sexual risk-taking behavior and HIV knowledge of Kingston's street boys. Journal of HIV/AIDS Prevention and Education for Adolescents and Children, 4, 127–147.CrossRef
Zurück zum Zitat Shrier, L. A., Goodman, E., and Emans, S. (1999). Partner condom use among adolescent girls with sexually transmitted diseases. Journal of Adolescent Health, 24, 357–361.CrossRefPubMed Shrier, L. A., Goodman, E., and Emans, S. (1999). Partner condom use among adolescent girls with sexually transmitted diseases. Journal of Adolescent Health, 24, 357–361.CrossRefPubMed
Zurück zum Zitat Smith Fawzi, M. C., Lambert, W., Singler, J. M., Koenig, S. P., Leandre, F., Nevil, P., et al. (2003). Prevalence and risk factors of STDs in rural Haiti: Implications for policy and programming in resource-poor settings. International Journal of STD and AIDS, 14, 848–853.CrossRefPubMed Smith Fawzi, M. C., Lambert, W., Singler, J. M., Koenig, S. P., Leandre, F., Nevil, P., et al. (2003). Prevalence and risk factors of STDs in rural Haiti: Implications for policy and programming in resource-poor settings. International Journal of STD and AIDS, 14, 848–853.CrossRefPubMed
Zurück zum Zitat Smith Fawzi, M. C., Lambert, W., Singler, J. M., Tanagho, Y., Leandre, F., Nevil, P., et al. (2005). Factors associated with forced sex among women accessing health services in rural Haiti: Implications for the prevention of HIV infection and other sexually transmitted diseases. Social Science and Medicine, 60, 679–689.CrossRefPubMed Smith Fawzi, M. C., Lambert, W., Singler, J. M., Tanagho, Y., Leandre, F., Nevil, P., et al. (2005). Factors associated with forced sex among women accessing health services in rural Haiti: Implications for the prevention of HIV infection and other sexually transmitted diseases. Social Science and Medicine, 60, 679–689.CrossRefPubMed
Zurück zum Zitat Susser, I., and Stein, Z. (2000). Culture, sexuality, and women's agency in the prevention of HIV/AIDS in Southern Africa. Amercian Journal of Public Health, 90, 1042– 1048.CrossRef Susser, I., and Stein, Z. (2000). Culture, sexuality, and women's agency in the prevention of HIV/AIDS in Southern Africa. Amercian Journal of Public Health, 90, 1042– 1048.CrossRef
Zurück zum Zitat UNAIDS (2000). Fighting AIDS: A new global resolve. UNAIDS. UNAIDS (2000). Fighting AIDS: A new global resolve. UNAIDS.
Zurück zum Zitat UNAIDS (2004). Report on the global AIDS epidemic. UNAIDS. UNAIDS (2004). Report on the global AIDS epidemic. UNAIDS.
Zurück zum Zitat Wingood, G., and DiClemente, R. J. (2002). Application of the theory of gender and power to examine HIV-related exposures, risk factors, and effective interventions for women. Health Education and Behavior, 27, 539–565.CrossRef Wingood, G., and DiClemente, R. J. (2002). Application of the theory of gender and power to examine HIV-related exposures, risk factors, and effective interventions for women. Health Education and Behavior, 27, 539–565.CrossRef
Zurück zum Zitat Worth, D. (1990). Minority women and AIDS: Culture, race, and gender. In D. Feldman (Ed.), Culture and AIDS. New York: Praeger. Worth, D. (1990). Minority women and AIDS: Culture, race, and gender. In D. Feldman (Ed.), Culture and AIDS. New York: Praeger.
Metadaten
Titel
The Influence of Power on HIV Risk Among Pregnant Women in Rural Haiti
verfasst von
Trace S. Kershaw
Maria Small
Gabriel Joseph
Melanie Theodore
Reginald Bateau
Rikerdy Frederic
Publikationsdatum
01.05.2006
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 3/2006
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-006-9072-z

Weitere Artikel der Ausgabe 3/2006

AIDS and Behavior 3/2006 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

„Überwältigende“ Evidenz für Tripeltherapie beim metastasierten Prostata-Ca.

22.05.2024 Prostatakarzinom Nachrichten

Patienten mit metastasiertem hormonsensitivem Prostatakarzinom sollten nicht mehr mit einer alleinigen Androgendeprivationstherapie (ADT) behandelt werden, mahnt ein US-Team nach Sichtung der aktuellen Datenlage. Mit einer Tripeltherapie haben die Betroffenen offenbar die besten Überlebenschancen.

So sicher sind Tattoos: Neue Daten zur Risikobewertung

22.05.2024 Melanom Nachrichten

Das größte medizinische Problem bei Tattoos bleiben allergische Reaktionen. Melanome werden dadurch offensichtlich nicht gefördert, die Farbpigmente könnten aber andere Tumoren begünstigen.

CAR-M-Zellen: Warten auf das große Fressen

22.05.2024 Onkologische Immuntherapie Nachrichten

Auch myeloide Immunzellen lassen sich mit chimären Antigenrezeptoren gegen Tumoren ausstatten. Solche CAR-Fresszell-Therapien werden jetzt für solide Tumoren entwickelt. Künftig soll dieser Prozess nicht mehr ex vivo, sondern per mRNA im Körper der Betroffenen erfolgen.

Frühzeitige HbA1c-Kontrolle macht sich lebenslang bemerkbar

22.05.2024 Typ-2-Diabetes Nachrichten

Menschen mit Typ-2-Diabetes von Anfang an intensiv BZ-senkend zu behandeln, wirkt sich positiv auf Komplikationen und Mortalität aus – und das offenbar lebenslang, wie eine weitere Nachfolgeuntersuchung der UKPD-Studie nahelegt.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.