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Published in: Journal of Public Health 3/2022

01-03-2022 | Human Immunodeficiency Virus | Original Article

HIV misconceptions among married women in Malawi: the role of household decision-making autonomy

Authors: Roger Antabe, Yujiro Sano, Isaac Luginaah

Published in: Journal of Public Health | Issue 3/2022

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Abstract

Aim

Married women face one of the highest HIV rates in Malawi. Although HIV misconceptions have been identified as a major contributor to HIV infection, we know very little about the association between household decision-making autonomy and HIV misconception endorsement among married women in Malawi.

Subjects and Methods

We used the 2015/2016 Malawi Demographic and Health Survey and applied a logistics regression technique to examine the association between household decision-making autonomy and HIV misconception endorsement among married women.

Results

The findings reveal that married women with higher levels of autonomy are less likely to endorse HIV misconceptions than those with lower levels (OR = 0.907, p < 0.001) although this difference is partly attenuated when we control for socioeconomic status such as education, household wealth, and employment (OR = 0.957, p < 0.05). We further introduce an interaction term, which points out that the impact of autonomy on misconception endorsement is significantly higher for married women in the central region than for those in the northern region (OR = 1.14, p < 0.01).

Conclusion

Based on these findings, we provide several implications for policymakers and future research.
Literature
go back to reference van den Borne F (2003) “I am not a prostitute”: Discords in targeted HIV / AIDS prevention interventions in urban and trading centers in Malawi van den Borne F (2003) “I am not a prostitute”: Discords in targeted HIV / AIDS prevention interventions in urban and trading centers in Malawi
go back to reference Burgoyne AD, Drummond PD (2008) Knowledge of HIV and AIDS in women in sub-Saharan Africa. Afr J Reprod Health 12:14–31PubMed Burgoyne AD, Drummond PD (2008) Knowledge of HIV and AIDS in women in sub-Saharan Africa. Afr J Reprod Health 12:14–31PubMed
go back to reference Jejeebhoy SJ, Sathar ZA (2001) Women’s autonomy in India and Pakistan: The influence of religion and region. Popul Dev Rev 27:687–712CrossRef Jejeebhoy SJ, Sathar ZA (2001) Women’s autonomy in India and Pakistan: The influence of religion and region. Popul Dev Rev 27:687–712CrossRef
go back to reference Jewkes R (2002) Intimate partner violence: causes and prevention. Lancet 359:1423–1429CrossRef Jewkes R (2002) Intimate partner violence: causes and prevention. Lancet 359:1423–1429CrossRef
go back to reference Kang’ethe SM, Xabendlini S (2014) Exploring myths associated with HIV/AIDS with examples from a few countries of the world. J Hum Ecol 46:55–61CrossRef Kang’ethe SM, Xabendlini S (2014) Exploring myths associated with HIV/AIDS with examples from a few countries of the world. J Hum Ecol 46:55–61CrossRef
go back to reference Malawi National AIDS Commission (2015) Malawi AIDS Response Progress Report Table of Contents Malawi National AIDS Commission (2015) Malawi AIDS Response Progress Report Table of Contents
go back to reference Malawi National Statistics Office (2010) HIV Prevalence : Data from the 2010 Malawi Demographic and Health Survey. Zomba-Malawi Malawi National Statistics Office (2010) HIV Prevalence : Data from the 2010 Malawi Demographic and Health Survey. Zomba-Malawi
go back to reference Mason KO (1986) The status of women: Conceptual and methodological issues in demographic studies. In: Sociological forum. Springer, pp 284–300 Mason KO (1986) The status of women: Conceptual and methodological issues in demographic studies. In: Sociological forum. Springer, pp 284–300
go back to reference Menard S (2002) Applied logistic regression analysis. Sage Menard S (2002) Applied logistic regression analysis. Sage
go back to reference Ministry of Health M (2016) Malawi population-based impact assessment. 1–4 Ministry of Health M (2016) Malawi population-based impact assessment. 1–4
go back to reference Moto F (2004) Towards a study of the lexicon of sex and HIV/AIDS. Nord J African Stud 13:343–362 Moto F (2004) Towards a study of the lexicon of sex and HIV/AIDS. Nord J African Stud 13:343–362
go back to reference Odetola D (2018) Josef Korbel School of International Studies Gender Experiences of HIV in Malawi. University of Denver Odetola D (2018) Josef Korbel School of International Studies Gender Experiences of HIV in Malawi. University of Denver
go back to reference Raudenbush SW, Bryk AS (2002) Hierarchical linear models: Applications and data analysis methods. Sage Raudenbush SW, Bryk AS (2002) Hierarchical linear models: Applications and data analysis methods. Sage
go back to reference Rirash F (2014) The Association Between Women’s Autonomy and Women’s HIV/AIDS Knowledge and Attitudes in Ethiopia. Western Ontario Rirash F (2014) The Association Between Women’s Autonomy and Women’s HIV/AIDS Knowledge and Attitudes in Ethiopia. Western Ontario
go back to reference Rombo DO (2009) Marital risk factors and HIV infection among women: a comparison between Ghana and Kenya. Rombo DO (2009) Marital risk factors and HIV infection among women: a comparison between Ghana and Kenya.
go back to reference UNAIDS (2018) UNAIDS Data 2018. Program HIV/AIDS 1–376 UNAIDS (2018) UNAIDS Data 2018. Program HIV/AIDS 1–376
Metadata
Title
HIV misconceptions among married women in Malawi: the role of household decision-making autonomy
Authors
Roger Antabe
Yujiro Sano
Isaac Luginaah
Publication date
01-03-2022
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 3/2022
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-020-01315-x

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