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AJPH First Look, published online ahead of print Apr 26, 2007
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June 2007, Vol 97, No. 6 | American Journal of Public Health 997-1005
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2006.088583


FRAMING HEALTH MATTERS

Modern Marriage, Men’s Extramarital Sex, and HIV Risk in Southeastern Nigeria

Daniel Jordan Smith, PhD, MPH

Daniel Jordan Smith is with the Department of Anthropology, Brown University, Providence, RI.

Correspondence: Requests for reprints should be sent to Daniel Jordan Smith, Department of Anthropology, Brown University, Box 1921, 128 Hope Street, Providence, RI 02912 (e-mail: Daniel_J_Smith{at}brown.edu)

For women in Nigeria, as in many settings, simply being married can contribute to the risk of contracting HIV. I studied men’s extramarital sexual behavior in the context of modern marriage in southeastern Nigeria. The results indicate that the social organization of infidelity is shaped by economic inequality, aspirations for modern lifestyles, gender disparities, and contradictory moralities. It is men’s anxieties and ambivalence about masculinity, sexual morality, and social reputation in the context of seeking modern lifestyles—rather than immoral sexual behavior and traditional culture—that exacerbate the risks of HIV/AIDS.







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