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首页> 外文期刊>The Journal of primary prevention >Marital Age Disparity Among Orphaned Young Women and Their Husbands: A Mixed Methods Study in Rural Zimbabwe
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Marital Age Disparity Among Orphaned Young Women and Their Husbands: A Mixed Methods Study in Rural Zimbabwe

机译：孤儿和丈夫之间的婚姻年龄差异：津巴布韦农村的混合方法研究

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Our study reports the results from a mixed method study comparing age-similar (AS) marriages of orphaned young women to age disparate (AD) marriages, defined as spousal age difference of 5 or more years. Research in Zimbabwe and sub-Saharan Africa suggests that AD sexual relationships between older men and young women increase the risk for HIV but few studies have examined this association among married couples or explored why young women marry much older men. In this study, a total of 35 orphaned young women aged 17-26 years in rural Zimbabwe participated in semi-structured interviews during 2012-2013. Twenty-four were in AD marriages and 11 AS. All had participated in a 5-year HIV prevention trial, during which they had married and dropped out of school. We examined two research questions: were AD wives more likely than AS to cite economic considerations as a reason to marry, and were AD marriages associated with different health and economic outcomes compared to AS? Our results showed that the reasons the women married were essentially the same among the two groups; economic considerations for marriage were uncommon. Nevertheless, AD wives generally fared somewhat better than AS wives on economic and well-being measures. HIV prevalence was similar; however, the AD group accounted for all five cases of herpes simplex virus-2. Findings suggest the complexity of sexual and reproductive health in rural Africa, where AD marriages are common and accepted. The challenge for primary prevention is to develop strategies to mitigate the risk of sexually transmitted infections, as well as the potential abuse of young women, within the appropriate cultural context.
机译：我们的研究报告了一项混合方法研究的结果，该研究比较了孤立的年轻女性的年龄相似（AS）婚姻与年龄不同（AD）婚姻（定义为5岁或以上的配偶年龄差异）。在津巴布韦和撒哈拉以南非洲的研究表明，老年男性和年轻女性之间的AD性关系增加了感染艾滋病毒的风险，但是很少有研究检查已婚夫妇之间的这种关系，或者探讨了年轻女性为何嫁给许多老年男性的原因。在这项研究中，2012年至2013年期间，津巴布韦农村地区共有35位年龄在17-26岁的孤儿，她们参加了半结构化访谈。有二十四位是公元婚姻，而有11位是AS。所有人都参加了一项为期5年的艾滋病毒预防试验，在此期间他们结婚并辍学。我们研究了两个研究问题：与AS相比，AD的妻子是否更有可能将经济因素作为结婚的理由;与AS相比，AD的婚姻是否具有不同的健康和经济结果？我们的研究结果表明，两组女性结婚的原因基本相同。婚姻的经济考虑并不常见。尽管如此，在经济和福祉方面，AD妻子的表现通常要比AS妻子好一些。艾滋病毒流行率相似;但是，AD组占了5例单纯疱疹病毒2的全部病例。研究结果表明，在非洲农村，性爱和生殖健康非常复杂，在非洲，AD婚姻很普遍并且被接受。初级预防的挑战是在适当的文化背景下制定战略，以减少性传播感染的风险以及年轻妇女的潜在虐待。

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