Document Detail


Marriage as a risk factor for HIV: Learning from the experiences of HIV-infected women in Malawi.
MedLine Citation:
PMID:  23350930     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract The gender inequalities that characterise intimate partner relationships in Malawi, a country with one of the highest HIV prevalence rates in the world, arguably place marriage as an important risk factor for HIV infection among women, yet few studies detail the complex interactions of marriage and risk. In order to develop HIV-prevention interventions that have lasting impacts in such communities, we need a deeper understanding of the intricacies of women's lives, how and why they are involved in marital relationships, and the implications of these relationships for HIV transmission or prevention. This article describes how women understand marriage's effects on their lives and their HIV risks. Drawing from focus group discussions with 72 women attending antiretroviral clinics in Malawi, we explore why women enter marriage, what women's experiences are within marriage and how they leave spouses for other relationships. Based on their narratives, we describe women's lives after separation, abandonment or widowhood, and report their reflections on marriage after being married two or three times. We then review women's narratives in light of published work on HIV, and provide recommendations that would minimise the risks of HIV attendant on marriage.
Authors:
Lucy Mkandawire-Valhmu; Claire Wendland; Patricia E Stevens; Peninnah M Kako; Anne Dressel; Jennifer Kibicho
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-28
Journal Detail:
Title:  Global public health     Volume:  -     ISSN:  1744-1706     ISO Abbreviation:  Glob Public Health     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101256323     Medline TA:  Glob Public Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
a College of Nursing , University of Wisconsin-Milwaukee , Milwaukee , WI , USA.
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