TY - JOUR
AU1 - Larson,, Ann
AB - Abstract The literature relating to the social context of sexual relations in East and Central Africa has several implications for the heterosexual transmission of human immunodeficiency virus (HIV). Colonially created cities in the region still discriminate economically and socially against women. Rapid urbanization is occurring, but migrants maintain strong ties with rural areas. Traditional attitudes towards marriage and sexuality affect urban behavior in the extent of marital stability, the frequency of polygyny, and the emotional bond between spouses. Ethnic groups in Kampala and Nairobi exemplify the cultural foundations of two forms of sexual relations found in the region, one characterized by prostitution and the other by small circles of interchanging lovers. The first results in a more rapid spread of HIV through the urban population and outwards into rural areas. Each pattern exerts unique constraints on behavioral change and requires different prevention campaigns. This content is only available as a PDF. Author notes This research was supported by a Rockefeller Foundation grant to the Australian National University. The author thanks John C. Caldwell, Pat Caldwell, Charles M. Good, James P. M. Ntozi, and Etienne van de Walle for helpful comments on an early draft and Wendy Cosford and Peter Howard for essential editorial assistance. Please address requests for reprints to Dr. Ann Larson, Health Transition Centre, c/o Department of Demography, Research School of Social Sciences, Australian National University, GPO Box 4, Canberra ACT 2601, Australia. © 1989 by The University of Chicago
TI - Social Context of Human Immunodeficiency Virus Transmission in Africa: Historical and Cultural Bases of East and Central African Sexual Relations
JF - Clinical Infectious Diseases
DO - 10.1093/clinids/11.5.716
DA - 1989-09-01
UR - https://www.deepdyve.com/lp/oxford-university-press/social-context-of-human-immunodeficiency-virus-transmission-in-africa-0qHDn00v4G
SP - 716
EP - 731
VL - 11
IS - 5
DP - DeepDyve
ER -