Women’s Economic Contribution, Relationship Status and Risky Sexual Behaviours

In sub-Saharan Africa, women bear a disproportionate burden of HIV/AIDS while also facing economic and gender inequalities. To explore the association of women's economic contribution and relationship status with risky sexual behaviour, this study analysed cross-sectional data from 626 women aged 22 to 84 in rural South Africa. All women were enrolled in a microfinance plus gender training programme (Intervention with Microfinance for AIDS and Gender Equity (IMAGE)). We used univariable and multivariable logistic regression to explore the associations of relationship status and women's household income contribution with inconsistent condom use, multiple sexual partners and transactional sex, respectively. We found that married, older women had the highest odds of inconsistent condom use, while those contributing all the household income had higher odds of multiple sexual partnerships, but lower odds of transactional sex compared to those with no contribution. Income contribution and relationship status have a nuanced relationship with sexual risk behaviours. Thus, economic strengthening interventions should target relevant vulnerable women while also addressing the broader social and economic drivers of risky sexual behaviour

Condom · Cross-sectional study · Economic growth · Economics · Health psychology · Human immunodeficiency virus (HIV · Logistic regression · Microfinance · Odds · Population · Psychological intervention · Public health · Socioeconomic status · Socioeconomics · Sociology · Syphilis · Transactional sex · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Poverty, Education, and Child Welfare · Psychology

• Risky sexual behaviors and associated factors among adult patients on antiretroviral treatment at Mankweng Hospital in Limpopo Province, South Africa

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  Open Access•Paul M Pronyk, Paul Pronyk et al.•The Lancet•2006

  Añadir item

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  Open Access•Sheri D Weiser, Karen Leiter et al.•PLoS Medicine•2007

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  Open Access•Julia Kim, Giulia Ferrari et al.•Bulletin of the World Health…•2009

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  Open Access•Kristin Dunkle, Kristin L Dunkle et al.•The Lancet•2004

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  Open Access•Kristin Dunkle, Kristin L Dunkle et al.•American Journal of Reproductive…•2013

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  Open Access•Rachel Jewkes, Rachel K Jewkes et al.•The Lancet•2010

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  Open Access•Fiona G Kouyoumdjian, Nicole Findlay et al.•PLoS ONE•2013

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  Paul M Pronyk, Paul Pronyk et al.•AIDS•2008

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  Alena Davidoff-Gore, Nancy Luke et al.•AIDS Care•2011

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  Ari R Ho-Foster, Ari Ho-Foster et al.•AIDS Care•2010

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  Open Access•Marjorie Swann•AIDS Care•2018

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  Open Access•Lucy Mkandawire-Valhmu, Claire L Wendland et al.•Global Public Health•2013

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  Open Access•Laura Gauer Bermudez, Drosin Mulenga et al.•Global Public Health•2021

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• Gendered socioeconomic conditions and HIV risk behaviours among young people in South Africa

  Kelly Hallman•African Journal of AIDS Research•2005

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  Open Access•Meghna Ranganathan, Catherine Macphail et al.•BMC Public Health•2017

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  Open Access•Larissa Jennings Mayo-Wilson, Jessica Coleman et al.•AIDS and Behavior•2020

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  Open Access•Iryna Zablotska, Iryna B Zablotska et al.•AIDS and Behavior•2007

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  Open Access•Kim Ashburn, Deanna Kerrigan et al.•AIDS and Behavior•2007

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  Open Access•Margaret W Gichane, Joyce Wamoyi et al.•Culture Health & Sexuality•2022

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  Lisa Parker, Audrey Pettifor et al.•Culture Health & Sexuality•2014

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  Open Access•Kirsten Stoebenau, Lori Heise et al.•Social Science & Medicine•2016

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  Open Access•Lara Lorenzetti, Lara M J Lorenzetti et al.•Health Policy and Planning•2017

  Añadir item

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