Community environments shaping transactional sex among sexually active men in Malawi, Nigeria, and Tanzania

Rob Stephenson, Amy Winter, Miriam Elfstrom AIDS Care, 2013; Vol. 25 No. 6 Download publication (not open access)

Little is known about how community environments shape men's participation in risky transactional sex. This analysis examines the impact of community characteristics including economic, gender norms, HIV behaviour and knowledge, and demographic factors. The research found that:

  • Tanzanian men with any education and Nigerian men with primary education were more likely to engage in risky transactional sex
  • In Nigeria, fewer never-married men reported risky transactional sex than married, cohabitating, or divorced men
  • Gender equity affected risky transactional sex: in communities where a greater proportion of women had at least some education or were employed, men were less likely to report risky transactional sex.

The authors argue that while programmatic interventions should continue to improve women's status individually and relative to men, such efforts should be extended to recognize that many community and cultural influences also affect men's sexual behaviour.

 

 

 

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