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M94A1866.TXT
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1994-10-24
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Document 1866
DOCN M94A1866
TI Reducing HIV risk among couples: a study from northern Thai villages.
DT 9412
AU Dumronggittigule P; Wakeman E; Luke C; Lindan C; Arthamet R; Taywaditep
K; Mandel J; Payap University-Faculty of Sciences, Chiang Mai, Thailand.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):433 (abstract no. PD0341). Unique
Identifier : AIDSLINE ICA10/94370709
AB OBJECTIVE: To evaluate how Thai cultural and marital norms regarding
sexuality may affect risk behavior and AIDS prevention efforts. METHODS:
139 women and 119 married men from 4 villages near Chiang Mai that
requested AIDS prevention programs completed a self-administered
anonymous questionnaire in 1993. RESULTS: Both men and women were
knowledgeable about HIV risk behaviors and transmission from husband to
wife; up to 66% believed that men in their villages commonly visit
prostitutes. Both men and women, (67%) believed that if a husbands
becomes HIV infected, that he would not likely discuss it with his wife.
Most men felt that husbands visited prostitutes because wives did not
meet their sexual needs and did not take adequate care of their
husbands; they proposed improved sexual relationships and wives telling
their husbands not to see prostitutes as means to reduce men seeing
prostitutes. Women felt they couldn't satisfy this expectation because
of responsibility both for the household and working outside the home.
There were significant differences in expectations of sexual initiation
in marriage. More men (74%) than women (53%, p = .01) liked the wife to
initiate sex; however only 38% of both men and women felt it was
acceptable to do so. Even though men indicated dissatisfaction with sex
in marriage, out of 6 categories, both men and women reported that sex
was the least important factor for them in being together as a couple.
CONCLUSIONS: HIV preventions that target couples should address the
often contradictory norms, values, and expectations of sex in marriage.
Both men and women should be aware how cultural norms support female
passivity. If men further share home responsibilities, sexual
relationships might improve and allow women to be more sexually
assertive in marriage.
DE Female *Health Education Human HIV Infections/*PREVENTION &
CONTROL/TRANSMISSION Male *Marriage Prostitution Risk Factors *Sex
Behavior Thailand MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).