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AJPH First Look, published online ahead of print Apr 26, 2007
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American Journal of Public Health, 10.2105/AJPH.2006.088583


Framing Health Matters

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

Daniel Jordan Smith 1*

1 Brown University

* To whom correspondence should be addressed. E-mail: dsmith_nigeria{at}yahoo.com.


   Abstract

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. These findings have implications for public health interventions.

Key Words: Gender, Global Health, HIV/AIDS, Prevention, Sexual Health, Qualitative Research







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