Economic Status, Informal Exchange, and Sexual Risk in Kisumu, Kenya.
نویسنده
چکیده
Many observers believe that wealthy men play a disproportionate role in the continuing spread of HIV/AIDS infection in sub-Saharan Africa through their involvement in informal exchange relationships, where money and gifts (referred to as "transfers") are given to a range of nonmarital sexual partners. In this case, wealthier men are riskier sexual partners because they can afford to give larger transfers, which have been found to be negatively associated with condom use. Alternatively, wealthier men might have greater incentives to practice safe sex at later stages of the epidemic or wealthier men might match with female partners who have particularly strong preferences for condom use. Accordingly, economic status would be positively associated with condom use. We use survey data from urban Kisumu, Kenya, to investigate the various mechanisms through which economic status is associated with sexual risk behavior. Our results show that wealth is positively associated with transfers; wealth is uncorrelated with condom use, however. The characteristics of wealthier men's female partners also do not differ from the characteristics of poorer men's partners. We conclude that wealthier men have stronger preferences for condom use, which offsets the negative effect of larger transfers that they give to their sexual partners.
منابع مشابه
Male Circumcision in the General Population of Kisumu, Kenya: Beliefs about Protection, Risk Behaviors, HIV, and STIs
Using a population-based survey we examined the behaviors, beliefs, and HIV/HSV-2 serostatus of men and women in the traditionally non-circumcising community of Kisumu, Kenya prior to establishment of voluntary medical male circumcision services. A total of 749 men and 906 women participated. Circumcision status was not associated with HIV/HSV-2 infection nor increased high risk sexual behavior...
متن کاملPrevalence of forced sex and associated factors among women and men in Kisumu, Kenya.
Sexual violence is a well-recognized global health problem, albeit with limited population-based data available from sub-Saharan Africa. We sought to measure the prevalence of forced sex in Kisumu, Kenya, and identify its associated factors. The data were drawn from a population-based cross-sectional survey. A two-stage sampling design was used: 40 clusters within Kisumu municipality were enume...
متن کاملDisco funerals: a risk situation for HIV infection among youth in Kisumu, Kenya.
OBJECTIVE We investigated the so-called 'disco funeral' phenomenon in Kisumu, Kenya, whereby community members including adolescents congregate at the home of the deceased for several days, accompanied by music and dancing. We explored whether disco funerals are a risk situation for HIV/sexually transmitted infection infection among youth. DESIGN : Cross-sectional qualitative study. METHODS...
متن کاملSpatial distribution and cluster analysis of sexual risk behaviors reported by young men in Kisumu, Kenya
BACKGROUND The well-established connection between HIV risk behavior and place of residence points to the importance of geographic clustering in the potential transmission of HIV and other sexually transmitted infections (STI). METHODS To investigate the geospatial distribution of prevalent sexually transmitted infections and sexual behaviors in a sample of 18-24 year-old sexually active men ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Economic development and cultural change
دوره 56 2 شماره
صفحات -
تاریخ انتشار 2008