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Gender norms and HIV testing/treatment uptake: Evidence from a large population-based sample in South Africa

By Julie Pulerwitz, Ann Gottert, Kathleen Kahn, Nicole Haberland, Aimee Julien, Suarez A. Selin, Rhian Twine, Dean Peacock, X. Gómez-Olivé, Sheri A. Lippman and Audrey Pettifor


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 \u3c 0.01) and less treatment use (AOR 0.15, p \u3c 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 \u3c 0.01). Careful attention to the role specific gender norms play in HIV service uptake can yield useful programmatic recommendations

Topics: South Africa, Gender, HIV Prevention, HIV Treatment/Care/Support
Publisher: 'Springer Science and Business Media LLC'
Year: 2019
DOI identifier: 10.1007/s10461-019-02603-8
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