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Publication: Gender Norms and HIV testing/treatment uptake: Evidence from a large population‑based sample in South Africa
Pulerwitz, J Gottert, A Kahn, K Haberland, N Julien, A Selin, A Twine, R Peacock, D Gómez-Olivé, X Pettifor, A
Pulerwitz, J
Gottert, A
Kahn, K
Haberland, N
Julien, A
Selin, A
Twine, R
Peacock, D
Gómez-Olivé, X
Pettifor, A
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Abstract
How does the endorsement of different dimensions of gender norms by men and/or women influence their use of HIV testing and antiretroviral treatment? This question was examined using data from a 2014 population-based survey of 1053 women and 1004 men, ages 18-49, in rural South Africa. We used a global measure for views toward gender norms (the GEM Scale), plus four subsets of scale items (all reliabilities ≥ 0.7). In multivariate analyses using the global measure, endorsement of inequitable gender norms was associated with more testing (AOR 2.47, p < 0.01) and less treatment use (AOR 0.15, p < 0.01) among women but not men. When examining specific subsets of inequitable norms (e.g., endorsing men as the primary decision-maker), decreased odds of treatment use was found for men as well (AOR 0.18, p < 0.01). Careful attention to the role specific gender norms play in HIV service uptake can yield useful programmatic recommendations.
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Date
2019-07-29
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Publisher
Springer Nature
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Keywords
Gender norms,HIV testing,HIV treatment,South Africa
Citation
Pulerwitz J, Gottert A, Kahn K, Haberland N, Julien A, Selin A, Twine R, Peacock D, Gómez-Olivé X, Lippman SA, Pettifor A. Gender Norms and HIV Testing/Treatment Uptake: Evidence from a Large Population-Based Sample in South Africa. AIDS Behav. 2019 Sep;23(Suppl 2):162-171. doi: 10.1007/s10461-019-02603-8.