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HIV Testing and Tolerance to Gender Based Violence: A Cross-Sectional Study in Zambia
- Source :
- PLoS ONE, Vol 8, Iss 8, p e71922 (2013), PLoS ONE
- Publication Year :
- 2013
- Publisher :
- Public Library of Science (PLoS), 2013.
-
Abstract
- This paper explores the effect of social relations and gender-based conflicts on the uptake of HIV testing in the South and Central provinces of Zambia. We conducted a community-based cross-sectional study of 1716 randomly selected individuals. Associations were examined using mixed-effect multivariable logistic regression. A total of 264 men (64%) and 268 women (56%) had never tested for HIV. The strongest determinants for not being tested were disruptive couple relationships (OR = 2.48 95% CI = 1.00–6.19); tolerance to gender-based violence (OR = 2.10 95% CI = 1.05–4.32) and fear of social rejection (OR = 1.48 95% CI = 1.23–1.80). In the Zambian context, unequal power relationships within the couple and the community seem to play a pivotal role in the decision to test which until now have been largely underestimated. Policies, programs and interventions to rapidly increase HIV testing need to urgently address gender-power inequity in relationships and prevent gender-based violence to reduce the negative impact on the lives of couples and families.
- Subjects :
- Male
Epidemiology
lcsh:Medicine
Poison control
HIV Infections
Social Policy
Social and Behavioral Sciences
0302 clinical medicine
Sociology
5. Gender equality
Surveys and Questionnaires
Human Relations
Odds Ratio
Mass Screening
Psychology
030212 general & internal medicine
Human Families
lcsh:Science
10. No inequality
Social rejection
Family Characteristics
education.field_of_study
Multidisciplinary
Social Discrimination
Middle Aged
Socioeconomic Aspects of Health
3. Good health
Infectious Diseases
Social Networks
Medicine
Female
Public Health
Behavioral and Social Aspects of Health
0305 other medical science
Research Article
Adult
medicine.medical_specialty
Adolescent
Psychometrics
Social Psychology
Gender Discrimination
Decision Making
Population
Zambia
Context (language use)
Violence
Social issues
Infectious Disease Epidemiology
Sexual and Gender Issues
Young Adult
03 medical and health sciences
Sex Factors
Acquired immunodeficiency syndrome (AIDS)
Social Prejudice
medicine
Humans
Interpersonal Relations
Psychiatry
education
Mass screening
Behavior
030505 public health
business.industry
lcsh:R
medicine.disease
Social Epidemiology
Cross-Sectional Studies
Logistic Models
Survey Methods
Socioeconomic Factors
Multivariate Analysis
Domestic violence
lcsh:Q
Preventive Medicine
business
Demography
Subjects
Details
- ISSN :
- 19326203
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....e6ea635cc8ad5faacc623a38b772bf34