AJPH
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

AJPH First Look, published online ahead of print May 30, 2007
This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
AJPH.2006.088682v1
97/7/1198    most recent
Right arrow Submit a response
Right arrow View responses
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Parikh, S. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Parikh, S. A.
Related Collections
Right arrow Gender
Right arrow Global Health
Right arrow HIV/AIDS
Right arrow Prevention
Right arrow Sexual Health
Right arrow Qualitative Research
July 2007, Vol 97, No. 7 | American Journal of Public Health 1198-1208
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2006.088682

FRAMING HEALTH MATTERS

The Political Economy of Marriage and HIV: The ABC Approach, "Safe" Infidelity, and Managing Moral Risk in Uganda

Shanti A. Parikh, PhD

Shanti A. Parikh is with the Department of Anthropology, Washington University, St. Louis, Mo.

Correspondence: Requests for reprints should be sent to Shanti A. Parikh, PhD, Department of Anthropology, Washington University, CB 1114, 1 Brookings Dr, St. Louis, MO 63139 (e-mail: shanti.parikh{at}wustl.edu).

Research has shown that married women’s greatest risk for HIV infection is their husbands’ extramarital sexual activities. Using 6 months of ethnographic research in southeastern Uganda, I examined how the social and economic contexts surrounding men’s extramarital sexuality and the dynamics of marriage put men and women at risk for HIV infection.

I found that Uganda’s HIV prevention messages may be inadvertently contributing to increased difficulty in acknowledging HIV risk and to newer forms of sexual secrecy and that structural determinants, including persistent poverty, intersect with gender inequalities to shape marital risk. After examining a community effort to regulate men’s sexuality, I suggest that HIV prevention strategies should focus more on endogenous forms of risk reduction while simultaneously addressing structural factors that facilitate opportunities for men’s extramarital sex.




This article has been cited by other articles:


Home page
 Am. J. Public HealthHome page
H. M. Phinney
"Rice Is Essential but Tiresome; You Should Get Some Noodles": Doi Moi and the Political Economy of Men's Extramarital Sexual Relations and Marital HIV Risk in Hanoi, Vietnam
Am J Public Health, April 1, 2008; 98(4): 650 - 660.
[Abstract] [Full Text] [PDF]

eLetters:

Read all eLetters

"Be Faithful" Messages Needed for Men and Women
Allison M Herling
AJPH Online, 18 Sep 2007 [Full text]

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by the American Public Health Association