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M9490709.TXT
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1994-09-24
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Document 0709
DOCN M9490709
TI Attitudes to sex and sexual behaviour in rural Matabeleland, Zimbabwe.
DT 9411
AU Vos T; Department of Health, Matabeleland North Province, Zimbabwe.
SO AIDS Care. 1994;6(2):193-203. Unique Identifier : AIDSLINE MED/94339210
AB Though HIV prevention campaigns in Zimbabwe have increased public
awareness of HIV, they have not meaningfully changed sexual behaviour.
Possibly these campaigns are based on wrong assumptions about sexual
behaviour. By means of 111 structured interviews with hospital patients,
secondary school students and teachers, and 11 focus group discussions
with traditional healers, midwives, village community workers, secondary
school students and teachers, and commercial sex workers in a rural
district of Matabeleland in Zimbabwe, this low-budget study explores
attitudes towards sex and sexual behaviour in order to define more
appropriate health education messages. Results indicate that traditional
sex education no longer takes place and that communication between
sexual partners is limited. The almost ubiquitous expectation of women
to get rewards for sex outside marriage motivates mostly single women
out of economic necessity to meet the male demand for sexual partners,
which is created by large scale migrant labour and men's professed
'biological' need for multiple partners. Types of sexual behaviour other
than penetrative vaginal sex are uncommon and considered deviant. Safe
sex messages from the West therefore are inappropriate in the Zimbabwean
context. Recommendations are given to restore traditional communication
about sexual matters across generations and to urge sexual partners to
discuss sex. Women who, for economic reasons, engage in casual sex
should at least learn to negotiate the use of condoms. Men seriously
need to reconsider their attitudes to sex and sexual practices in view
of the high HIV sero-prevalence. Faithfulness, rather than multiple
sexual contacts, should become a reason to boast.
DE Adolescence Adult *Developing Countries Extramarital Relations
Female Gender Identity Human HIV Infections/*PREVENTION &
CONTROL/PSYCHOLOGY/TRANSMISSION *Knowledge, Attitudes, Practice Male
Medicine, Traditional Prostitution/PSYCHOLOGY *Rural Population *Sex
Behavior Sex Education Sexual Abstinence Social Values Support,
Non-U.S. Gov't Zimbabwe JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).