Gender attitudes, sexual power, HIV risk: A model for understanding HIV risk behavior of South African men

Michelle R. Kaufman, Tamara Shefer, Mary Crawford, Leickness C. Simbayi, Seth C. Kalichman

Research output: Contribution to journalArticlepeer-review

Abstract

The Gender Attitudes-Power-Risk (GAPR) model of HIV risk behavior was tested using survey data collected from among 309 men who were attending STI services in a primary health care clinic in Cape Town, South Africa. Results showed that negative attitudes towards women were significantly positively associated with a high level of HIV risk behavior, and that endorsement of traditional male roles was negatively associated with HIV risk behavior. Endorsement of traditional male gender roles was also inversely related to relationship control but positively to a high degree of decision-making dominance in one's relationship. Sexual relationship power did not significantly mediate the relationships between gender attitudes and HIV risk behavior. A better understanding of gender roles and ideologies in combination with one's power in sexual relationships as they relate to HIV risk behavior among men could better inform future HIV prevention interventions.

Original languageEnglish (US)
Pages (from-to)434-441
Number of pages8
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume20
Issue number4
DOIs
StatePublished - Apr 2008
Externally publishedYes

Keywords

  • Gender
  • Masculinity
  • Sexual relationship power

ASJC Scopus subject areas

  • Social Psychology
  • Health(social science)
  • Public Health, Environmental and Occupational Health

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