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Can married or cohabiting women negotiate protective sex? Findings from Demographic and Health Surveys of two West African countries.
J Biosoc Sci 2019; :1-24JB

Abstract

Can married or cohabitating women in patriarchal societies, who are often disproportionately affected by STI/HIV infections, negotiate protective sex when perceived necessary by refusing sex or asking for condom use during sex? Protective sex negotiation was examined through measures of power relations related to whether or not a woman has a say in sexual activities within marriage. The study hypothesis was that women who are more able to refuse sex or ask for condom use before sexual intercourse will be more able to discuss and reach agreement with their spouses on protective sex practices when needed. The study used data from DHS surveys conducted in Cote d'Ivoire and Nigeria in 2012 and 2013 respectively. Multivariate logistic regression models were used to predict women's ability to negotiate protective sex in Cote d'Ivoire and Nigeria. The findings show that moderately high percentages of women in both countries reported the ability to negotiate protective sex, with a higher percentage reporting the ability to refuse sex compared with the ability to ask partners to use a condom. The logistic regression results showed that, in the two countries, women's ability to refuse sex or ask their partners to use a condom, varied by gender- and power-mediating factors, women's characteristics and behavioural factors. The study draws attention to the need to intensify efforts to promote more-egalitarian relationships between partners through culturally appropriate interventions.

Authors+Show Affiliations

Office of Population and Reproductive Health, United States Agency for International Development, Washington, DC, USA.MEASURE Evaluation Project, International Division, John Snow Inc., Arlington, VA, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31826762

Citation

Feyisetan, Bamikale, and Kola A. Oyediran. "Can Married or Cohabiting Women Negotiate Protective Sex? Findings From Demographic and Health Surveys of Two West African Countries." Journal of Biosocial Science, 2019, pp. 1-24.
Feyisetan B, Oyediran KA. Can married or cohabiting women negotiate protective sex? Findings from Demographic and Health Surveys of two West African countries. J Biosoc Sci. 2019.
Feyisetan, B., & Oyediran, K. A. (2019). Can married or cohabiting women negotiate protective sex? Findings from Demographic and Health Surveys of two West African countries. Journal of Biosocial Science, pp. 1-24. doi:10.1017/S0021932019000798.
Feyisetan B, Oyediran KA. Can Married or Cohabiting Women Negotiate Protective Sex? Findings From Demographic and Health Surveys of Two West African Countries. J Biosoc Sci. 2019 Dec 12;1-24. PubMed PMID: 31826762.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Can married or cohabiting women negotiate protective sex? Findings from Demographic and Health Surveys of two West African countries. AU - Feyisetan,Bamikale, AU - Oyediran,Kola A, Y1 - 2019/12/12/ PY - 2019/12/13/entrez PY - 2019/12/13/pubmed PY - 2019/12/13/medline KW - Gender KW - Protective sex KW - West-Africa SP - 1 EP - 24 JF - Journal of biosocial science JO - J Biosoc Sci N2 - Can married or cohabitating women in patriarchal societies, who are often disproportionately affected by STI/HIV infections, negotiate protective sex when perceived necessary by refusing sex or asking for condom use during sex? Protective sex negotiation was examined through measures of power relations related to whether or not a woman has a say in sexual activities within marriage. The study hypothesis was that women who are more able to refuse sex or ask for condom use before sexual intercourse will be more able to discuss and reach agreement with their spouses on protective sex practices when needed. The study used data from DHS surveys conducted in Cote d'Ivoire and Nigeria in 2012 and 2013 respectively. Multivariate logistic regression models were used to predict women's ability to negotiate protective sex in Cote d'Ivoire and Nigeria. The findings show that moderately high percentages of women in both countries reported the ability to negotiate protective sex, with a higher percentage reporting the ability to refuse sex compared with the ability to ask partners to use a condom. The logistic regression results showed that, in the two countries, women's ability to refuse sex or ask their partners to use a condom, varied by gender- and power-mediating factors, women's characteristics and behavioural factors. The study draws attention to the need to intensify efforts to promote more-egalitarian relationships between partners through culturally appropriate interventions. SN - 1469-7599 UR - https://www.unboundmedicine.com/medline/citation/31826762/Can_married_or_cohabiting_women_negotiate_protective_sex_Findings_from_Demographic_and_Health_Surveys_of_two_West_African_countries L2 - https://www.cambridge.org/core/product/identifier/S0021932019000798/type/journal_article DB - PRIME DP - Unbound Medicine ER -