Young rural women's perceptions of sexual infidelity among men in Cambodia

Marriage poses a high risk of HIV infection among Cambodian women due to the country's double standards regarding extramarital sexual behaviour. Married men are much more likely than married women to engage in extramarital sex, and, among men, such activity is often socially and culturally condoned. Understanding the sexual beliefs young people possess is important as these beliefs may affect their future sexual behaviour and HIV-related risk. This study explored how young women in rural Cambodia conceptualise men's extramarital affairs. Semi-structured, in-depth interviews were conducted in the Khmer language with 43 female high school students in three rural provinces. Thematic analysis was used to identify themes and sub-categories from the participants' responses. Many participants accepted men's infidelity and verbally supported traditional cultural beliefs and practices regarding male dominance within sex and relationships. They attributed their future husbands' infidelity to their own behaviour and/or justified the act as a consequence of work-related mobility. Findings point to the need for new interventions as part of future HIV prevention programmes to increase their effectiveness among young Cambodian adults.