The social context of gender-based violence, alcohol use and HIV risk among women involved in high-risk sexual behaviour and their intimate partners in Kampala, Uganda

Culture, Health & Sexuality
Jasmine SchulkindJanet Seeley

Abstract

This paper explores the interaction between gender-based violence and alcohol use and their links to vulnerability to HIV-infection in a population of women and their regular male partners in Kampala, Uganda. Data derive from 20 life history interviews (10 women and 10 men). Participants were drawn from a cohort of women at high risk of sexually transmitted infection (including HIV). Six of the women were current or former sex workers. Findings reveal that life histories are characterised by recurrent patterns of gender inequity related to violence, limited livelihood options and socioeconomic disadvantage. Overall, findings suggest women are able to negotiate safer sex and protect themselves better against abuse and violence from clients than from their intimate partners, although the status of men as 'client' or 'partner' is transitory and fluid. Among male respondents, alcohol led to intimate partner violence and high levels of sexual-risk taking, such as engagement with sex workers and reduced condom use. However, male partners are a heterogeneous group, with distinct and contrasting attitudes towards alcohol, condom use and violence. Actions to address gender-based violence need to be multi-pronged in order to respond to d...Continue Reading

References

Feb 5, 2002·Social Science & Medicine·Marjolein GyselsBetty Nnalusiba
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Oct 18, 2002·Lancet·Etienne G KrugAnthony B Zwi
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Citations

Apr 14, 2016·PloS One·Issifou YayaPalokinam Pitché
Sep 2, 2016·Culture, Health & Sexuality·Caitlyn K BradburnR Scott McClelland
Apr 6, 2018·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Parinita BhattacharjeeTara S Beattie
Mar 10, 2017·Culture, Health & Sexuality·Kirsty A ClarkKaveh Khoshnood
May 16, 2020·AIDS Research and Treatment·Maria Aparecida A O SerraMárcio Flávio M Araújo
Jun 22, 2019·Journal of Tropical Medicine·Japheth Nkiriyehe KwiringiraMarion Mutabazi Mugisha
Sep 10, 2020·Qualitative Research : QR·Rwamahe RutakumwaJanet Seeley
Dec 11, 2020·BMC Women's Health·Donatien Twizelimana, Adamson S Muula

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