Journal of Urban Health

, Volume 83, Issue 4, pp 625–636 | Cite as

Determinants of HIV/AIDS Risk Behaviors in Expectant Fathers in Haiti

  • Edward M. Magee
  • Maria Small
  • Rikerdy Frederic
  • Gabriel Joseph
  • Trace Kershaw
Article

Abstract

Haiti has an HIV/AIDS epidemic of the highest magnitude outside of sub-Saharan Africa. Factors such as relationship power imbalances, traditional gender role acceptance, and patriarchal belief systems that devalue women's sexuality have increased Haitian women's vulnerability to HIV infection. Because of these influences and since the HIV epidemic is largely heterosexually transmitted, it is important to understand the role that men's beliefs and behaviors play in the continuing risk of young men and women in Haiti. The purpose of this study was to gather information from male community members through semi-structured interviews in order to describe the prevalence of HIV/AIDS risk behaviors (e.g., condom use, number of sexual partners) among expectant fathers in Haiti and identify predictive psychosocial variables of HIV/AIDS risk behaviors. Results from this study showed that men who were not married (OR = 0.22, p = 0.05) and men who had medium (OR = 22.50, p < 0.001) and high sexual communication (OR = 36.51, p < 0.001) were more likely to use condoms. This study also showed that high stigma associated with HIV (OR = 16.07, p < 0.05), low HIV knowledge (OR = 0.10, p < 0.01), and high decision making power (OR = 62.52, p < 0.001) were predictors of multiple sex partners for the expectant fathers in the sample. HIV prevention programs should be designed to increase knowledge about HIV transmission, treatment, prevention and personal risk of contraction as well as correct misconceptions about individuals with HIV or AIDS and promote sex communication among partners.

Keywords

Haiti HIV risk behaviors HIV/AIDS Knowledge Men Power Sex communication Stigma 

References

  1. 1.
    UNAIDS. 2004 report on the global AIDS epidemic. 2004. Geneva, Switzerland; http://www.unaids.orgGoogle Scholar
  2. 2.
    UNAIDS/WHO. Haiti Epidemiological Fact Sheet on HIV/AIDS and other Sexually Transmitted Infections: 2000 Update. Geneva, Switzerland; http://www.unaids.orgGoogle Scholar
  3. 3.
    Fitzgerald DW, Behets F, Roberfroid D, Lucet C, Fitzgerald JW, Kuykens L. Economic hardship and sexually transmitted diseases. Am J Trop Med Hyg. 2000;62:496–501.PubMedGoogle Scholar
  4. 4.
    Adrien A, Cayemittes M, Bergevin Y. AIDS-related knowledge, attitudes, beliefs, and practices in Haiti. Bull Pan Am Health Organ. 1993;27:234–243.PubMedGoogle Scholar
  5. 5.
    Kershaw T, Small M, Joseph G, Theodore M, Bateau R, Frederic R. The influence of power on HIV risk among pregnant women in rural Haiti. AIDS Behav. 2006;10.Google Scholar
  6. 6.
    Susser I, Stein Z. Culture, sexuality, and women's agency in the prevention of HIV/AIDS in Southern Africa. Am J of Public Health. 2000;90:1042–1048.CrossRefGoogle Scholar
  7. 7.
    PANOS Institute, The Young Men and HIV—culture, poverty, and sexual risk. PANOS Report Number 41. 2001.Google Scholar
  8. 8.
    Padian NS, Shiboski S, Glass S, Vittinghoff E. Heterosexual transmission of HIV in Northern California: results from a 10 year study. Am J Epidemiol. 1997;146:350–357.PubMedGoogle Scholar
  9. 9.
    Wagstaff KD, Perry M, Sikkema K, Solomon L, Heckman T, Anderson E, the Community Housing AIDS Prevention Study Group. Multiple partners, risky partners and HIV risk among low-income urban women. Fam Plann Perspect. 1995;27:241–245.CrossRefPubMedGoogle Scholar
  10. 10.
    Meade C, Ickovics JR. Systematic review of sexual risk among pregnant and mothering teens in the USA: pregnancy as an opportunity for integrated prevention of STD and repeat pregnancy. Soc Sci Med. 2005;60:661–678.CrossRefPubMedGoogle Scholar
  11. 11.
    Ickovics J, Morrill A, Beren S, Walsh U, Rodin J. Limited effects of HIV testing for women: a prospective study of behavioral and psychological consequences. JAMA. 1994;272:443–448.CrossRefPubMedGoogle Scholar
  12. 12.
    Morrill A, Ickovics J, Golubchikov V, Beren S, Rodin J. Safer sex: social and psychological predictors of behavioral maintenance and change among heterosexual women. J Consult Clin Psychol. 1996;64:819–828.CrossRefPubMedGoogle Scholar
  13. 13.
    DiClemente RJ, Winggood GM, Crosby R. A prospective study of psychosocial distress and sexual risk behavior among black adolescent females. Pediatrics. 2001;108:E85.CrossRefPubMedGoogle Scholar
  14. 14.
    Pulerwitz J, Gortmaker SL, DeJong W. Measuring sexual relationship power in HIV/STD research. Sex Roles. 2000;42:637–660.CrossRefGoogle Scholar
  15. 15.
    Fortenberry JD, McFarlane M, Bleakley A, Bull S, Fishbein M, Grimley DM, Malotte CK, Stoner BP. Relationships of stigma and shame to gonorrhea and HIV screening. Am J Public Health.Mar 2002;92:378–381.PubMedGoogle Scholar
  16. 16.
    Malow RM, Cassagnol T, McMahon R, Jennings TE, Roatta VG. Relationship of psychosocial factors to HIV risk among Haitian women. AIDS Educ Prev. 2000;12:79–92.PubMedGoogle Scholar
  17. 17.
    Pape JW, Johnson W. Epidemiology of AIDS in the Caribbean. Bailliere's Clin Trop Med Commun Dis. 1988;3:31–42.Google Scholar
  18. 18.
    Pape JW, Liautaud B, Thomas F, Mathurim JR, St. Amand MA, Boncy M, Vergniaud P, Pamphil M, Laroche CC, Johnson WD. Risk factors associated with AIDS in Haiti. Am J Med Sci. 1986;29:4–7.CrossRefGoogle Scholar
  19. 19.
    USAID. Haiti Country Profile: HIV/AIDS. 2003. http://www.usaid.govGoogle Scholar

Copyright information

© The New York Academy of Medicine 2006

Authors and Affiliations

  • Edward M. Magee
  • Maria Small
  • Rikerdy Frederic
  • Gabriel Joseph
  • Trace Kershaw
    • 1
  1. 1.Yale UniversityNew HavenUSA

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