HIV & AIDS
HIV Risk Behaviors and the Context of Sexual Coercion in Young Adults’ Sexual Interactions: Results From a Diary Study in Rural South Africa
Background: Gender inequalities in relationship power may promote
unprotected sexual intercourse.
Goals: The goal of this study was to gain insight into the specific
gender dynamics in the intimate relationships of rural South African
young adults that contribute to risk for HIV infection.
Study: Using diary methods, 25 female and 25 male secondary
school students in rural South Africa provided daily reports (N
1000) over a 3-week timeframe, including details regarding 466 sexual
Results: Inconsistent condom use was more likely in relationships
in which the male partner had ever used threat or force to engage in
sex during this period (unadjusted odds ratio, 13.4; 95% confidence
interval, 1.57–114.26). Male sexual coercion was more likely in relationships
in which alcohol was ever used in conjunction with sex and
when a man’s desire to engage in sex was perceived as greater than the
Conclusion: This study adds to the growing evidence that sexual
relationships characterized by gender inequality and sexual coercion
are contexts of sexual risk.
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