ジンバブエのマニカルランドにおける未婚および既婚の若い女性におけるHIV予防の利用におけるジェンダーの規範と構造的障壁: HIV予防のカスケード分析
Simon Gregson1,2, Louisa Moorhouse1, Rufurwokuda Maswera2
1School of Public Health, Imperial College London, London, England, W2 1PG, UK.
Gates open research
|September 2, 2025
まとめ
ジンバブエでは,ネガティブなジェンダー規範が,少女や若い女性 (AGYW) のコンドーム使用を妨げています. これらの規範はHIV予防の動機づけに 影響を及ぼし,特に未婚のAYWには 影響を及ぼします.
科学分野:
- 公衆衛生
- 社会学
- ジェンダー研究
背景:
- 社会的ジェンダー規範は,少女と若い女性のコンドーム使用を妨げます (AGYW).
- 結婚前の性行為や結婚中のコンドームの使用に関して AGYWには障壁があります.
- ジェンダー規範に関するデータは,HIV予防の課題を理解するために不可欠です.
研究 の 目的:
- HIV予防のカスケードにおけるコンドーム使用の動機に対するジェンダー規範の影響を調査する.
- コミュニティの見解がHIVの危険にさらされている AGYWのコンドーム使用の決定にどのように影響するか評価する.
- ネガティブなジェンダー規範とコンドームの使用行動との関連を調べる.
主な方法:
- ジンバブエのマニカルランドで9803人の一般住民 (≥15歳) を対象とした調査.
- コンドームの使用を妨げるコミュニティの見解について報告した.
- 多変数ロジスティック回帰では ジェンダー規範とコンドームの使用との関連を分析した.
主要な成果:
- 大半の男性と女性は 十代の娘が婚前性行為をするか コンドームについて語られないことに 反対しました
- 未婚のAGYWの有意な割合は,コンドームの使用に障壁として,コミュニティの否定的な見解と仲間からの影響を挙げています.
- 結婚したAGYWは,コンドーム使用の決定に影響を与えるコミュニティの見解と同級生の影響についても報告しましたが,実際の使用への影響は様々でした.
結論:
- ネガティブなジェンダー規範は,未婚のAYWと既婚のAYWの両方のコンドーム使用の動機付けに障壁として作用します.
- 独身のAYWの場合も この基準はコンドームの使用を 直接妨げるものです
- AGYWを対象とした効果的なHIV予防戦略には,ジェンダー規範への対応が不可欠です.
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