全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用：99美元
投递稿件

查看量下载量

相关文章

更多...
PLOS ONE  2014 

Predictors of Extra-Marital Partnerships among Women Married to Fishermen along Lake Victoria in Kisumu County, Kenya

DOI: 10.1371/journal.pone.0095298

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background The vulnerability of women to HIV infection makes establishing predictors of women's involvement in extra-marital partnerships critical. We investigated the predictors of extra-marital partnerships among women married to fishermen. Methods The current analyses are part of a mixed methods cross-sectional survey of 1090 gender-matched interviews with 545 couples and 12 focus group discussions (FGDs) with 59 couples. Using a proportional to size simple random sample of fishermen as our index participants, we asked them to enrol in the study with their spouses. The consenting couples were interviewed simultaneously in separate private rooms. In addition to socio-economic and demographic data, we collected information on sexual behaviour including extra-marital sexual partnerships. We analysed these data using descriptive statistics and multivariate logistic regression. For FGDs, couples willing to participate were invited, consented and separated for simultaneous FGDs by gender-matched moderators. The resultant audiofiles were transcribed verbatim and translated into English for coding and thematic content analysis using NVivo 9. Results The prevalence of extra-marital partnerships among women was 6.2% within a reference time of six months. Factors that were independently associated with increased likelihood of extra-marital partnerships were domestic violence (aOR, 1.45; 95% CI 1.09–1.92), women reporting being denied a preferred sex position (aOR, 3.34; 95% CI 1.26–8.84) and spouse longer erect penis (aOR, 1.34; 95% CI 1.00–1.78). Conversely, women's age – more than 24years (aOR, 0.33; 95% CI 0.14–0.78) and women's increased sexual satisfaction (aOR, 0.92; 95% CI 0.87–0.96) were associated with reduced likelihood of extra-marital partnerships. Conclusion Domestic violence, denial of a preferred sex positions, longer erect penis, younger age and increased sexual satisfaction were the main predictors of women's involvement in extra-marital partnerships. Integration of sex education, counselling and life skills training in couple HIV prevention programs might help in risk reduction.

 References

[1]  Nemeth JM, Bonomi AE, Lee MA, Ludwin JM (2012) Sexual infidelity as trigger for intimate partner violence. J Womens Health (Larchmt) 21: 942–949. doi: 10.1089/jwh.2011.3328
[2]  Previti D, Amato PR (2004) Is infidelity a cause or a consequence of poor marital quality? J Soc Pers Rels 21: 217–230. doi: 10.1177/0265407504041384
[3]  Stieglitz J, Gurven M, Kaplana H, Winking J (2012) Infidelity, jealousy, and wife abuse among Tsimane forager–farmers: testing evolutionary hypotheses of marital conflict. Evol Hum Behav 33: 438–448. doi: 10.1016/j.evolhumbehav.2011.12.006
[4]  Coma JC (2013) When the group encourages extramarital sex: Difficulties in HIV/AIDS prevention in rural Malawi. Demog Res 28: 849–880. doi: 10.4054/demres.2013.28.30
[5]  Smith DJ (2007) Modern marriage, men's extramarital sex, and HIV risk in southeastern Nigeria. Am J Public Health 97: 997–1005. doi: 10.2105/ajph.2006.088583
[6]  Zuma K, Gouws E, Williams B, Lurie M (2003) Risk factors for HIV infection among women in Carletonville, South Africa: migration, demography and sexually transmitted diseases. Int J STD AIDS 14: 814–817. doi: 10.1258/095646203322556147
[7]  Bellan SE, Fiorella KJ, Melesse DY, Getz WM, Williams BG, et al. (2013) Extra-couple HIV transmission in sub-Saharan Africa: a mathematical modelling study of survey data. Lancet 381: 1561–1569. doi: 10.1016/s0140-6736(12)61960-6
[8]  Fisher AD, Bandini E, Corona G, Monami M, Cameron Smith M, et al. (2012) Stable extramarital affairs are breaking the heart. Int J Androl 35: 11–17. doi: 10.1111/j.1365-2605.2011.01176.x
[9]  Gips H, Zaitsev K, Hiss J (2010) Sudden cardiac death of a woman during extramarital sex: A case report and review of the literature. J Forensic Leg Med 17: 186–187. doi: 10.1016/j.jflm.2009.12.008
[10]  Wardlow H (2007) Men's extramarital sexuality in rural Papua New Guinea. Am J Public Health 97..
[11]  Goetz AT, Shackelford TK (2009) Sexual coercion in intimate relationships: a comparative analysis of the effects of women's infidelity and men's dominance and control. Arch Sex Behav 38: 226–234. doi: 10.1007/s10508-008-9353-x
[12]  Betzig L (1989) Causes of conjugal dissolution: A cross-cultural study. Curr Anth 30: 654–676. doi: 10.1086/203798
[13]  Kelly EL, Conley JJ (1987) Personality and compatibility: A prospective analysis of marital stability and marital satisfaction. J Pers Soc Psychol 52: 27. doi: 10.1037/0022-3514.52.1.27
[14]  Buss DM, Shackelford TK (1997) Susceptibility to infidelity in the first year of marriage. J Res Pers 31: 193–221. doi: 10.1006/jrpe.1997.2175
[15]  Alexander MG, Fisher TD (2003) Truth and consequences: using the bogus pipeline to examine sex differences in self-reported sexuality. J Sex Res 40: 27–35. doi: 10.1080/00224490309552164
[16]  Wiederman MW (1997) Extramarital sex: Prevalence and correlates in a national survey. J Sex Res 34: 167–174. doi: 10.1080/00224499709551881
[17]  Stephenson R (2010) Community-level gender equity and extramarital sexual risk-taking among married men in eight African countries. Int Perspect Sex Reprod Health: 178–188.
[18]  Oyediran K, Isiugo-Abanihe UC, Feyisetan BJ, Ishola GP (2010) Prevalence of and factors associated with extramarital sex among Nigerian men. Am J Mens Health 4: 124–134. doi: 10.1177/1557988308330772
[19]  Mitsunaga TM, Powell AM, Heard NJ, Larsen UM (2005) Extramarital sex among Nigerian men: polygyny and other risk factors. J Acquir Immune Defic Syndr 39: 478–488. doi: 10.1097/01.qai.0000152396.60014.69
[20]  Kongnyuy EJ, Wiysonge CS (2007) Alcohol use and extramarital sex among men in Cameroon. BMC Int Health Hum Rights 7: 6. doi: 10.1186/1472-698x-7-6
[21]  Kimuna S, Djamba Y (2005) Wealth and extramarital sex among men in Zambia. Int Fam Plan Perspect 31: 83–89. doi: 10.1363/3108305
[22]  Pillay A, Van der Veen M, Wassenaar D (2001) Non-fatal suicidal behaviour in women-the role of spousal substance abuse and marital violence. S Afr Med J 91: 429–431.
[23]  Allen ES, Atkins DC, Baucom DH, Snyder DK, Gordon KC, et al. (2005) Intrapersonal, interpersonal, and contextual factors in engaging in and responding to extramarital involvement. J Clin Psychol 12: 101–130. doi: 10.1093/clipsy.bpi014
[24]  Ahlburg DA, Jensen ER, Perez AE (1997) Determinants of extramarital sex in the Philippines. Health Transit Rev 7 Suppl: 467–479
[25]  Mark KP, Janssen E, Milhausen RR (2011) Infidelity in heterosexual couples: demographic, interpersonal, and personality-related predictors of extradyadic sex. Arch Sex Behav 40: 971–982. doi: 10.1007/s10508-011-9771-z
[26]  Mugweni E, Pearson S, Omar M (2012) Traditional gender roles, forced sex and HIV in Zimbabwean marriages. Cult Health Sex 14: 577–590. doi: 10.1080/13691058.2012.671962
[27]  Bandali S (2011) Norms and practices within marriage which shape gender roles, HIV/AIDS risk and risk reduction strategies in Cabo Delgado, Mozambique. AIDS Care 23: 1171–1176. doi: 10.1080/09540121.2011.554529
[28]  Kwena ZA, Bukusi EA, Ng'ayo MO, Buffardi AL, Nguti R, et al. (2010) Prevalence and risk factors for sexually transmitted infections in a high-risk occupational group: the case of fishermen along Lake Victoria in Kisumu, Kenya. Int J STD AIDS 21: 708–713. doi: 10.1258/ijsa.2010.010160
[29]  NACC NASCOP (2009) The Kenya 2007 HIV and AIDS estimates and interim projected HIV prevalence and incidence trends for 2008 to 2015. Kenya 2007 HIV and AIDS estimates Nairobi: National AIDS and STD Control Program (NASCOP).
[30]  NASCOP MOH (2013) Kenya AIDS Indicator Survey 2012: Preliminary Report. Nairobi. 1–18 p.
[31]  Kwena ZA, Mwanzo IJ, Bukusi EA, Achiro LF, Shisanya CA (2013) Across-sectional survey of prevalence and correlates of couple sexual concurrency among married couples in fishing communities along Lake Victoria in Kisumu, Kenya. Sex Transm Infect.
[32]  Kenya National Bureau of Statistics (2010) Kenya Demographic and Health Survey 2008-09: Kenya National Bureau of Statistics.
[33]  Harrison A, O'Sullivan LF, Hoffman S, Dolezal C, Morrell R (2006) Gender role and relationship norms among young adults in South Africa: measuring the context of masculinity and HIV risk. J Urban Health 83: 709–722. doi: 10.1007/s11524-006-9077-y
[34]  Hudson WW (1998) Index of sexual satisfaction. Handbook of sexuality-related measures: 512–513.
[35]  Lever J, Frederick DA, Peplau LA (2006) Does Size Matter? Men's and Women's Views on Penis Size Across the Lifespan. Psychol Men Masc 7: 129–143. doi: 10.1037/1524-9220.7.3.129
[36]  Stoltzfus JC (2011) Logistic regression: a brief primer. Acad Emerg Med 18: 1099–1104. doi: 10.1111/j.1553-2712.2011.01185.x
[37]  Boeije H (2002) A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Qual Quant 36: 391–409.
[38]  Dude AM (2011) Spousal intimate partner violence is associated with HIV and Other STIs among married Rwandan women. AIDS Behav 15: 142–152. doi: 10.1007/s10461-009-9526-1
[39]  Jewkes R, Morrell R (2010) Gender and sexuality: emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention. J Int AIDS Soc 13: 6.
[40]  Kiarie JN, Farquhar C, Richardson BA, Kabura MN, John FN, et al. (2006) Domestic violence and prevention of mother-to-child transmission of HIV-1. AIDS 20: 1763–1769. doi: 10.1097/01.aids.0000242823.51754.0c
[41]  Hatcher AM, Romito P, Odero M, Bukusi EA, Onono M, et al. (2013) Social context and drivers of intimate partner violence in rural Kenya: implications for the health of pregnant women. Cult Health Sex 15: 404–419. doi: 10.1080/13691058.2012.760205
[42]  Basson R (2000) The female sexual response: A different model. J Sex Marital Ther 26: 51–65. doi: 10.1080/009262300278641
[43]  Haavio-Mannila E, Kontula O (1997) Correlates of increased sexual satisfaction. Arch Sex Behav 26: 399–419. doi: 10.1023/a:1024591318836
[44]  Ashrafian H (2009) An ancient Indian method of penis lengthening. Arch Sex Behav 38: 4–5. doi: 10.1007/s10508-008-9417-y
[45]  Vardi Y, Har-Shai Y, Harshai Y, Gil T, Gruenwald I (2008) A critical analysis of penile enhancement procedures for patients with normal penile size: surgical techniques, success, and complications. Eur Urol 54: 1042–1050. doi: 10.1016/j.eururo.2008.07.080
[46]  Shamloul R (2005) Treatment of men complaining of short penis. Urology 65: 1183–1185. doi: 10.1016/j.urology.2004.12.066
[47]  Dillon BE, Chama NB, Honig SC (2008) Penile size and penile enlargement surgery: a review. Int J Impot Res 20: 519–529. doi: 10.1038/ijir.2008.14
[48]  Ashdown BK, Hackathorn J, Clark EM (2011) In and out of the bedroom: sexual satisfaction in marital relationships. J Integrated Soc Sci 2: 41–57.
[49]  Chao JK, Lin YC, Ma MC, Lai CJ, Ku YC, et al. (2011) Relationship among sexual desire, sexual satisfaction, and quality of life in middle-aged and older adults. J Sex Marital Ther 37: 386–403. doi: 10.1080/0092623x.2011.607051
[50]  Haning RV, O'Keefe SL, Randall EJ, Kommor MJ, Baker E, et al. (2007) Intimacy, orgasm likelihood, and conflict predict sexual satisfaction in heterosexual male and female respondents. J Sex Marital Ther 33: 93–113. doi: 10.1080/00926230601098449
[51]  Kioli FN, Were AR, Onkware K (2012) Traditional perspectives and control mechanisms of adolescent sexual behavior in Kenya. Int J Sociol Anth 4: 1–7. doi: 10.5897/ijsax11.002
[52]  Mbunda D (1991) Traditional sex education in Tanzania: A Study of 12 Ethnic Groups. New York: Planned parenthood of New York City. pp. 1–75.
[53]  Mbonile L, Kayombo EJ (2008) Assessing acceptability of parents/guardians of adolescents towards introduction of sex and reproductive health education in schools at Kinondoni Municipal in Dar es salaam City. East Afr J Pub Health 5: 26–31. doi: 10.4314/eajph.v5i1.38973
[54]  Muyinda H, Nakuya J, Pool R, Whitworth J (2003) Harnessing the senga institution of adolescent sex education for the control of HIV and STDs in rural Uganda. AIDS Care 15: 159–167. doi: 10.1080/0954012031000068308
[55]  Larson JH, Anderson SM, Holman TB, Niemann BK (1998) A longitudinal study of the effects of premarital communication, relationship stability, and self-esteem on sexual satisfaction in the first year of marriage. J Sex Marital Ther 24: 193–206. doi: 10.1080/00926239808404933

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133