Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
AIDS and Behavior
Published in: AIDS and Behavior 3/2006

01-05-2006

The Influence of Power on HIV Risk Among Pregnant Women in Rural Haiti

Authors: Trace S. Kershaw, Maria Small, Gabriel Joseph, Melanie Theodore, Reginald Bateau, Rikerdy Frederic

Published in: AIDS and Behavior | Issue 3/2006

Login to get access

Abstract

Given that condom use is not directly under a woman's control, the sexual division of power may play an important role in sexual behavior among pregnant women. We assessed the influence of factors related to the theory of gender and power (e.g., relationship power, abuse history, and sexual communication) on sexual behavior (e.g., two or more partners in the year prior to pregnancy, condom use, condom-use intentions, and STI diagnosis) among 196 pregnant women recruited from five community dispensaries in rural Haiti. Results showed that gender and power factors significantly related to sexual behavior. Gender and power factors were most significant for condom use and intention to use condoms, accounting for 18 and 25% of the variance above and beyond HIV knowledge and demographic covariates, respectively. These results suggest the need to create prevention interventions that restore power imbalances, provide support for women suffering abuse, and strengthen communication skills.
Literature
Adrien, A., Cayemittes, M., and Bergevin, Y. (1993). AIDS-related knowledge, attitudes, beliefs, and practices in Haiti. Bulletin of the Pan American Health Organization, 27, 234–243.PubMed
Behets, F. M., Genece, E., Narcisse, M., Liautaud, B., Cohen, M., and Dallabetta, G. A. (1998). Approaches to control sexually transmitted diseases in Haiti, 1992–95. Bulletin of the Pan American Health Organization, 76, 189–194.
Brewer, T. H., Hasbun, J., Ryan, C. A., Hawes, S. E., Martinez, S., Sanchez, J., et al. (1998). Migration, ethnicity and environment: HIV risk factors for women on the sugar cane plantations of the Dominican Republic. AIDS, 12, 1879–1887.PubMedCrossRef
CDC (2005). Global AIDS Program: About our work behavior change communications. CDC.
Connell, R. W. (1987). Gender and power. Stanford, CA: Stanford University Press.
de Bruyn, M. (1992). Women and AIDS in developing countries. Social Science and Medicine, 34, 249–262.CrossRefPubMed
DiClemente, R. J., Wingood, G. M., Crosby, R., Sionean, C., Brown, L., Rothbaum, B., et al. (2001). A prospective study of psychosocial distress and sexual risk behavior among black adolescent females. Pediatrics, 108(5), E85.CrossRefPubMed
Dunkle, K. L., Jewkes, R. K., Brown, H. C., Gray, G. E., McIntryre, J. A., Harlow, S. D. (2004). Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa. Lancet, 363, 1415–1421.CrossRefPubMed
Family Health International (1997). Family health international AIDS control and prevention project: Final report. FHI.
Farmer, P. E. (1995). Culture, poverty, and the dynamics of HIV transmission in rural Haiti. In H. T. Brummelhuis and G. Herdt (Eds.), Culture and sexual risk: Anthropological perspectives on AIDS (pp. 3–28). Newark, NJ: Gordon and Breach.
Fitzgerald, D. W., Behets, F., Caliendo, A., Roberfroid, D., Lucet, C., Fitzgerald, J. W., et al. (2000). Economic hardship and sexually transmitted diseases in Haiti's rural Artibonite Valley. American Journal of Tropical Medical Hygiene, 62, 496–501.
Garcia-Moreno, C., and Watts, C. (2000). Violence against women: Its importance for HIV/AIDS. AIDS, 14, S253–S265PubMedCrossRef
Gay, J., and Underwood, U. (1991). Women in danger: A call for action. Paper presented at the World's Women 1970–1990. Trends and Statistics.
Harvey, S. M., Bird, S. T., Galavotti, C., Duncan, E. A., and Greenberg, D. (2002). Relationship power, sexual decision making and condom use among women at risk for HIV/STDs. Women and Health, 36, 69–84.CrossRef
HIV/AIDS Surveillance Data Base (2000). International Programs Center, US Census Bureau.
Ickovics, J., Morrill, A., Beren, S., Walsh, U., and Rodin, J. (1994). Limited effects of HIV testing for women: A prospective study of behavioral and psychological consequences. JAMA, 272, 443–448.CrossRefPubMed
Ickovics, J. R., Niccolai, L. M., Lewis, J. B., Kershaw, T. S., and Ethier, K. A. (2003). High post-partum rates of STDs among teens: Pregnancy as a window of opportunity for prevention. Sexually Transmitted Infections, 79, 469–473.CrossRefPubMed
Ickovics, J. R., and Rodin, J. (1992). Women and AIDS in the United States: Epidemiology, natural history, and mediating mechanisms. Health Psychology, 11, 1–16.CrossRefPubMed
Jack, N. (2001). HIV/AIDS in Caribbean children and adolescents. In B. Dicks (Ed.), HIV/AIDS and children in the English speaking Caribbean. New York: Haworth.
James, S., Reddy, S. P., Taylor, M., and Jinabhai, C. C. (2004). Young people, HIV/AIDS/STIs and sexuality in South Africa: The gap between awareness and behavior. Acta Paediatrica, 93, 264–269.CrossRefPubMed
Kalichman, S. C., and Simbayi, L. C. (2004). Sexual assault history and risks for sexually transmitted infections among women in an African township in Cape Town, South Africa. AIDS Care, 16, 681–689.CrossRefPubMed
Kalichman, S. C., Williams, E. A., Cherry, C., Belcher, L., and Nachimson, D. (1998). Sexual coercion, domestic violence, and negotiating condom use among low-income African American women. Journal of Women's Health, 7, 371–378.PubMedCrossRef
Kershaw, T. S., Ickovics, J. R., Lewis, J. B., Niccolai, L. M., Milan, S., and Ethier, K. A. (2004). Sexual risk following a sexually transmitted disease diagnosis: The more things change the more they stay the same. Journal of Behavioral Medicine, 24, 445–461.CrossRef
Kershaw, T. S., Niccolai, L. M., Ickovics, J. R., Lewis, J. B., Meade, C., and Ethier, K. A. (2003). Short and long-term impact of adolescent pregnancy on postpartum contraceptive use: Implications for prevention of repeat pregnancy. Journal of Adolescent Health, 33, 359–365.CrossRefPubMed
Malow, R. M., Cassagnol, T., McMahon, R., Jennings, T. E., and Roatta, V. G. (2000). Relationship of psychosocial factors to HIV risk among Haitian women. AIDS Education and Prevention, 12, 79–92.PubMed
Mbizvo, E. M., Msuya, S. E., Hussain, A., Chirenje, M. Z., and Stray-Pederson, B. (2003). HIV prevalance in Zimbabwean women: 54–67% knowledge and perceived risk. International Journal of STD and AIDS, 14, 202–207.CrossRef
Morrill, A., Ickovics, J., Golubchikov, V., Beren, S., and Rodin, J. (1996). Safer sex: Social and psychological predictors of behavioral maintenance and change among heterosexual women. Journal of Clinical and Consulting Psychology, 64, 819–828.CrossRef
Nagelkerke, N. (1991). A note on the general definition of the coefficient of determination. Biometrika, 78, 691–692.CrossRef
Niccolai, L. M., Ethier, K. A., Kershaw, T. S., Lewis, J. B., and Ickovics, J. R. (2003). Pregnant adolescents at risk: Sexual behaviors and sexually transmitted disease prevalence. American Journal of Obstetrics and Gynecology, 188, 63–70.CrossRefPubMed
Njeru, E., Eldridge, G., Ngugi, E., Plummer, F., and Moses, S. (1995). STD partner notification and referral in primary level health centers in Nairobi, Kenya. Sexually Transmitted Diseases, 22, 231–235.PubMedCrossRef
Park, I. U., Sneed, C. D., Morisky, D. E., Alvear, S., and Hearst, N. (2002). Correlates of HIV risk among Ecuadorian adolescents. AIDS Education and Prevention, 14, 73–83.CrossRefPubMed
Peltzer, K. (2003). HIV/AIDS knowledge, attitudes, beliefs, and behaviors in a rural South African adult population. South African Journal of Psychology, 33, 250.
Pierre, J. A., and Fournier, A. M. (1999). Human immunodeficiency virus infection in Haiti. JAMA, 91, 165–170.
Pulerwitz, J., Gortmaker, S. L., and DeJong, W. (2000). Measuring sexual relationship power in HIV/STD research. Sex Roles, 42, 637–660.CrossRef
Raj, A., Silverman, J. G., and Amaro, H. (2004). Abused women report greater male partner risk and gender-based risk for HIV: Findings from a community-based study with Hispanic women. AIDS Care, 16, 519–529.CrossRefPubMed
Robinson, T., Thompson, T., and Bain, B. (2001). Sexual risk-taking behavior and HIV knowledge of Kingston's street boys. Journal of HIV/AIDS Prevention and Education for Adolescents and Children, 4, 127–147.CrossRef
Shrier, L. A., Goodman, E., and Emans, S. (1999). Partner condom use among adolescent girls with sexually transmitted diseases. Journal of Adolescent Health, 24, 357–361.CrossRefPubMed
Smith Fawzi, M. C., Lambert, W., Singler, J. M., Koenig, S. P., Leandre, F., Nevil, P., et al. (2003). Prevalence and risk factors of STDs in rural Haiti: Implications for policy and programming in resource-poor settings. International Journal of STD and AIDS, 14, 848–853.CrossRefPubMed
Smith Fawzi, M. C., Lambert, W., Singler, J. M., Tanagho, Y., Leandre, F., Nevil, P., et al. (2005). Factors associated with forced sex among women accessing health services in rural Haiti: Implications for the prevention of HIV infection and other sexually transmitted diseases. Social Science and Medicine, 60, 679–689.CrossRefPubMed
Susser, I., and Stein, Z. (2000). Culture, sexuality, and women's agency in the prevention of HIV/AIDS in Southern Africa. Amercian Journal of Public Health, 90, 1042– 1048.CrossRef
UNAIDS (2000). Fighting AIDS: A new global resolve. UNAIDS.
UNAIDS (2004). Report on the global AIDS epidemic. UNAIDS.
Wingood, G., and DiClemente, R. J. (2002). Application of the theory of gender and power to examine HIV-related exposures, risk factors, and effective interventions for women. Health Education and Behavior, 27, 539–565.CrossRef
Worth, D. (1990). Minority women and AIDS: Culture, race, and gender. In D. Feldman (Ed.), Culture and AIDS. New York: Praeger.
Metadata
Title
The Influence of Power on HIV Risk Among Pregnant Women in Rural Haiti
Authors
Trace S. Kershaw
Maria Small
Gabriel Joseph
Melanie Theodore
Reginald Bateau
Rikerdy Frederic
Publication date
01-05-2006
Publisher
Springer US
Published in
AIDS and Behavior / Issue 3/2006
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-006-9072-z

Other articles of this Issue 3/2006

AIDS and Behavior 3/2006 Go to the issue

Original Paper

Monitoring Adherence to HIV Antiretroviral Therapy in Routine Clinical Practice: The Past, the Present, and the Future

Editorial Comment

Utility of Self-Reported Antiretroviral Adherence: Comment on Simoni et al. (2006)

Africa and AIDS

HIV Education Needs Among Sudanese Immigrants and Refugees in the Midwestern United States

OriginalPaper

The Differential Impact of PTSD and Depression on HIV Disease Markers and Adherence to HAART in People Living with HIV

Original Article

Lipodystrophy Severity Does Not Contribute to HAART Nonadherence

Original Article

Self-Report Measures of Antiretroviral Therapy Adherence: A Review with Recommendations for HIV Research and Clinical Management
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits