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Women's Autonomy in Negotiating Safer Sex to Prevent HIV: Findings From the 2011 Nepal Demographic and Health Survey

Authors
 Madhu Sudhan Atteraya  ;  Heejin Kimm  ;  In Han Song 
Citation
 AIDS EDUCATION AND PREVENTION, Vol.26(1) : 1-12, 2014 
Journal Title
 AIDS EDUCATION AND PREVENTION 
ISSN
 0899-9546 
Issue Date
2014
MeSH
Adolescent ; Adult ; Cluster Analysis ; Condoms/utilization ; Cross-Sectional Studies ; Decision Making ; Female ; HIV Infections/prevention & control* ; HIV Infections/psychology ; Health Knowledge, Attitudes, Practice ; Health Surveys ; Humans ; Interviews as Topic ; Logistic Models ; Middle Aged ; Negotiating* ; Nepal ; Personal Autonomy* ; Risk Reduction Behavior ; Safe Sex* ; Socioeconomic Factors ; Young Adult
Abstract
Women with greater autonomy have higher HIV-related knowledge and condom use. Inability to negotiate safer sex in high-risk situations might increase HIV infection. This study examined the relationship between women's autonomy and ability to negotiate safer sex practices among married women. The 2011 Nepal Demographic and Health Survey data were used. The data were collected by two-stage stratified cluster sampling and face-to-face interviews. Autonomy was measured in Decision-Making Participation and Assets Ownership, while ability to negotiate safer sex consists of Refusal of Sex and Ask for Condom Use. Among 12,674 women of 15-49 years, married women were analyzed (n = 8,896). Women with greater autonomy in decision-making participation were more likely to negotiate safer sex. After controlling for socio-demographic factors, odds ratios (OR) for refusal of sex was 2.70 (95% CI [2.14, 3.40]) in women with the highest decision-making participation. These women showed higher OR for 'ask for condom use' in high risk situations (2.10, 95% CI [1.81, 2.44]). Assets ownership also demonstrated a positive statistical relationship with asking for a condom use (OR 1.31, 95% CI [1.10, 1.56]). The results point to the importance of women's autonomy on sexual health. It emphasizes women's empowerment-based approach to curbing HIV/AIDS in developing countries.
Full Text
http://guilfordjournals.com/doi/abs/10.1521/aeap.2014.26.1.1
DOI
10.1521/aeap.2014.26.1.1
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kimm, Heejin(김희진) ORCID logo https://orcid.org/0000-0003-4526-0570
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98053
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