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The political economy of marriage and HIV: The ABC approach, "safe" infidelity, and managing moral risk in Uganda

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  • Parikh, S.A.

Abstract

Research has shown that married women's greatest risk for HIV infection is their husbands' extramarital sexual activities. Using 6 months of ethnographic research in southeastern Uganda, I examined how the social and economic contexts surrounding men's extramarital sexuality and the dynamics of marriage put men and women at risk for HIV infection. I found that Uganda's HIV prevention messages may be inadvertently contributing to increased difficulty in acknowledging HIV risk and to newer forms of sexual secrecy and that structural determinants, including persistent poverty, intersect with gender inequalities to shape marital risk. After examining a community effort to regulate men's sexuality, I suggest that HIV prevention strategies should focus more on endogenous forms of risk reduction while simultaneously addressing structural factors that facilitate opportunities for men's extramarital sex.

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  • Parikh, S.A., 2007. "The political economy of marriage and HIV: The ABC approach, "safe" infidelity, and managing moral risk in Uganda," American Journal of Public Health, American Public Health Association, vol. 97(7), pages 1198-1208.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2006.088682_6
    DOI: 10.2105/AJPH.2006.088682
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    Cited by:

    1. Bishai, David & Grossbard, Shoshana, 2007. "Far Above Rubies: The Association Between Bride Price and Extramarital Sexual Relations in Uganda," IZA Discussion Papers 2982, Institute of Labor Economics (IZA).
    2. Michelle Poulin & Adamson S. Muula, 2011. "An inquiry into the uneven distribution of women’s HIV infection in rural Malawi," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 25(28), pages 869-902.
    3. Williams, Charmaine C. & Newman, Peter A. & Sakamoto, Izumi & Massaquoi, Notisha A., 2009. "HIV prevention risks for Black women in Canada," Social Science & Medicine, Elsevier, vol. 68(1), pages 12-20, January.
    4. Hirsch, Jennifer S., 2014. "Labor migration, externalities and ethics: Theorizing the meso-level determinants of HIV vulnerability," Social Science & Medicine, Elsevier, vol. 100(C), pages 38-45.
    5. Julia Cordero Coma, 2013. "When the group encourages extramarital sex," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 28(30), pages 849-880.
    6. Siu, Godfrey E. & Seeley, Janet & Wight, Daniel, 2013. "Dividuality, masculine respectability and reputation: How masculinity affects men's uptake of HIV treatment in rural eastern Uganda," Social Science & Medicine, Elsevier, vol. 89(C), pages 45-52.
    7. Chapoto, Antony & Kirimi, Lilian & Kadiyala, Suneetha, 2012. "Poverty and Prime-Age Mortality in Eastern and Southern Africa: Evidence from Zambia and Kenya," World Development, Elsevier, vol. 40(9), pages 1839-1853.
    8. David Bishai & Shoshana Grossbard, 2010. "Far above rubies: Bride price and extramarital sexual relations in Uganda," Journal of Population Economics, Springer;European Society for Population Economics, vol. 23(4), pages 1177-1187, September.

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