AIDS and Behavior

, Volume 10, Issue 3, pp 309–318

The Influence of Power on HIV Risk Among Pregnant Women in Rural Haiti

  • Trace S. Kershaw
  • Maria Small
  • Gabriel Joseph
  • Melanie Theodore
  • Reginald Bateau
  • Rikerdy Frederic
Article

DOI: 10.1007/s10461-006-9072-z

Cite this article as:
Kershaw, T.S., Small, M., Joseph, G. et al. AIDS Behav (2006) 10: 309. doi:10.1007/s10461-006-9072-z

Given that condom use is not directly under a woman's control, the sexual division of power may play an important role in sexual behavior among pregnant women. We assessed the influence of factors related to the theory of gender and power (e.g., relationship power, abuse history, and sexual communication) on sexual behavior (e.g., two or more partners in the year prior to pregnancy, condom use, condom-use intentions, and STI diagnosis) among 196 pregnant women recruited from five community dispensaries in rural Haiti. Results showed that gender and power factors significantly related to sexual behavior. Gender and power factors were most significant for condom use and intention to use condoms, accounting for 18 and 25% of the variance above and beyond HIV knowledge and demographic covariates, respectively. These results suggest the need to create prevention interventions that restore power imbalances, provide support for women suffering abuse, and strengthen communication skills.

KEY WORDS:

HIV riskpowerwomen's healthHaitipregnancy.

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Trace S. Kershaw
    • 1
    • 6
  • Maria Small
    • 2
  • Gabriel Joseph
    • 3
    • 4
  • Melanie Theodore
    • 5
  • Reginald Bateau
    • 3
  • Rikerdy Frederic
    • 3
  1. 1.Department of Epidemiology and Public Health, and Center for Interdisciplinary Research on AIDSYale UniversityNew HavenUSA
  2. 2.Department of Maternal Fetal MedicineYale UniversityNew HavenUSA
  3. 3.Hôpital Albert SchweitzerDeschappellesUSA
  4. 4.Department of Health Administration and Public HealthUniversite de MontrealMontrealCanadaUSA
  5. 5.Meharry Medical CollegeNashvilleUSA
  6. 6.60 College St.Yale UniversityNew HavenUSA