Social Capital and Women's Reduced Vulnerability to HIV Infection in Rural Zimbabwe

Dados Bibliográficos

ID4122251
AutoresSarah Gregson (0000-0003-2707-0714, Imperial College London), Simon Gregson, Phyllis Mushati (0000-0002-0252-4882, Biomedical Research and Training Institute), Harry Grusin (Birkbeck, University of London), Mercy Nhamo (London School of Economics and Political Science), Claude Schumacher (0000-0002-2296-1027, Imperial College London), Christina Schumacher (0009-0004-3325-3773), Morten Skovdal (0000-0002-2068-1814, London School of Economics and Political Science), Constance Nyamukapa (0000-0001-6779-4069, Imperial College London), Catherine Campbell (0009-0008-4644-7728, London School of Economics and Political Science)
Ano2011
Volume37
Fascículo2
Páginas333-359
Data de publicação2011-06-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPopulation and Development Review (JOURNAL)
Identificadores do periódicoISSN: 0098-7921 • E-ISSN: 1728-4457
EditoraWiley (PUBLISHER • GB)
DOI10.1111/j.1728-4457.2011.00413.x
PMID22066129
OpenAlexW2104664471
IdiomaEN
Citações recebidas28
Referências citadas47

Social capital-especially through its "network" dimension (high levels of participation in local community groups)-is thought to be an important determinant of health in many contexts. We investigate its effect on HIV prevention, using prospective data from a general population cohort in eastern Zimbabwe spanning a period of extensive behavior change (1998-2003). Almost half of the initially uninfected women interviewed were members of at least one community group. In an analysis of 88 communities, individuals with higher levels of community group participation had lower incidence of new HIV infections and more of them had adopted safer behaviors, although these effects were largely accounted for by differences in socio-demographic composition. Individual women in community groups had lower HIV incidence and more extensive behavior change, even after controlling for confounding factors. Community group membership was not associated with lower HIV incidence in men, possibly refecting a propensity among men to participate in groups that allow them to develop and demonstrate their masculine identities-often at the expense of their health. Support for women's community groups could be an effective HIV prevention strategy in countries with large-scale HIV epidemics

Cohort · Confounding · Environmental health · Incidence (geometry · Population · Propensity score matching · Social capital · Sociology · Vulnerability (computing · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Medicine · Gerontology