HIV Risk Behaviors and the Context of Sexual Coercion in Young Adults' Sexual Interactions: Results From a Diary Study in Rural South Africa
January 12, 2006
"Gender inequalities in relationship power may promote unprotected sexual intercourse," wrote the authors, who undertook the current study to acquire information on the "specific gender dynamics in the intimate relationships of rural South African young adults that contribute to risk for HIV infection."
Using diary methods, 50 secondary school students (25 male, 25 female) provided 1,000 daily reports during a three-week timeframe; these included details on 466 sexual interactions.
In analyzing the results, the authors found that inconsistent condom use was more likely in relationships in which the male partner had ever used force or threats to engage in sexual activity during this period (unadjusted odds ratio, 13.4; 95 percent confidence interval, 1.57-114.26). Males were more likely to use sexual coercion in relationships in which alcohol was ever used in conjunction with sex, and when the male's desire to engage in sex was perceived as greater than the female's.
"This study adds to the growing evidence that sexual relationships characterized by gender inequality and sexual coercion are contexts of sexual risk," the authors concluded.
Sexually Transmitted Diseases
01.2006; Vol. 33; No. 1: P. 52-58; S. Hoffman, Dr.P.H.; L.F. O'Sullivan, Ph.D.; A. Harrison, Ph.D.; C. Dolezal, Ph.D.; A. Monroe-Wise, M.P.
This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.