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Managing men

Women's dilemmas about overt and covert use of barrier methods for HIV prevention

Bibliographic Data

ID15098732
AuthorsCatherine Macphail (0000-0002-0614-0157, Perinatal HIV Research Unit, corresponding author), Fern Terris-Prestholt (0000-0003-1693-5196, London School of Hygiene & Tropical Medicine), Lilani Kumaranayake, Prudence Ngoako (Ivchenko Progress (Ukraine)), Charlotte Watts (0000-0003-0517-6550, London School of Hygiene & Tropical Medicine), Helen Rees (0000-0002-8469-7487, Perinatal HIV Research Unit)
Year2009
Volume11
Issue5
Pages485-497
Publication date2009-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691050902803537
PMID19479490
OpenAlexW2005938188
LanguageEN
Citations received19
References cited30

Women in sub-Saharan Africa are at high risk of HIV infection and may struggle to negotiate condom use. This has led to a focus on the development of female-controlled barrier methods such as the female condom, microbicides and the diaphragm. One of the advantages of such products is their contribution to female empowerment through attributes that make covert use possible. We used focus groups to discuss covert use of barrier methods with a sample of South African women aged 18-50 years from Eastern Johannesburg. Women's attitudes towards covert use of HIV prevention methods were influenced by the overarching themes of male dislike of HIV and pregnancy prevention methods, the perceived untrustworthiness of men and social interpretations of female faithfulness. Women's discussions ranged widely from overt to covert use of barrier methods for HIV prevention and were influenced by partner characteristics and previous experience with contraception and HIV prevention. The discussions indicate that challenging gender norms for HIV prevention can be achieved in quite subtle ways, in a manner that suits individual women's relationships and previous experiences with negotiation of either HIV or pregnancy prevention

Condom · Covert · Developmental psychology · Empowerment · Family medicine · Focus group · Human immunodeficiency virus (HIV · Men who have sex with men · Political science · Pre-exposure prophylaxis · Sociology · Syphilis · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology

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Unique citing works19
Citations per year1,36
Citation span2012 - 2022 (11)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 19

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