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首页> 外文期刊>AIDS care. >Wives without husbands: Gendered vulnerability to sexually transmitted infections among previously married women in India
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Wives without husbands: Gendered vulnerability to sexually transmitted infections among previously married women in India

机译：没有丈夫的妻子：印度已婚妇女在性传播感染上的性别脆弱性

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摘要

Using population-based and family structural data from a high HIV-prevalence district of Southern India, this paper considers four suggested social scenarios used to explain the positive correlation between HIV prevalence and previously married status among Indian women: (1) infection from and then bereavement of an infected husband; (2) abandonment after husbands learn of their wives' HIV status; (3) economic instability after becoming previously married, leading women to seek financial support through male partners; and (4) the social status of being previously married exposing women to sexual harassment and predation. By also considering seroprevalence of two other common sexually transmitted infections (STIs), herpes and syphilis, in a combined variable with HIV, we limit the likelihood of the first two scenarios accounting for the greater part of this correlation. Through a nuanced analysis of household residences patterns (family structure), standard of living, and education, we also limit the probability that scenario three explains a greater portion of the correlation. Scenario four emerges as the most likely explanation for this correlation, recognizing that other scenarios are also possible. Further, the interdisciplinary literature on the social position of previously married women in India strongly supports the suggestion that, as a population, previously married women are sexually vulnerable in India. Previously married status as an STI risk factor requires further biosocial research and warrants concentrated public health attention.
机译：本文使用来自印度南部艾滋病高发地区的人口和家庭结构数据，考虑了四种建议的社会情景，用以解释印度妇女中艾滋病毒流行与先前已婚状况之间的正相关关系：（1）感染后丧亲的丈夫丧亲; （2）在丈夫得知妻子的艾滋病毒状况后将其遗弃; （3）先前结婚后的经济不稳定，导致妇女通过男性伴侣寻求经济支持; （4）先前已婚的社会地位，使妇女遭受性骚扰和掠食。通过同时考虑其他两种常见的性传播感染（STIs），疱疹和梅毒的血清阳性率（与HIV结合使用），我们限制了前两种情况占该相关性更大部​​分的可能性。通过对家庭居住模式（家庭结构），生活水平和教育的细致分析，我们还限制了情景三解释了大部分相关性的可能性。认识到其他场景也是可能的，场景四是这种关联的最可能解释。此外，关于印度以前已婚妇女的社会地位的跨学科文献有力地支持了这样的建议，即，作为一个人口，印度已婚妇女在性上是脆弱的。先前已婚的性传播感染是性传播感染的危险因素，需要进一步的生物社会研究，并需要集中公共卫生关注。

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