ArticlePloS one2015
The impact of gender norms on condom use among HIV-positive adults in KwaZulu-Natal, South Africa.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Consistent condom utilization among sexually active HIV positive individuals in Sub-Saharan Africa: systematic review and meta-analysis.Scientific reports · 2024Pooled it
- A peer group intervention implemented by community volunteers increased HIV prevention knowledge.BMC public health · 2023Trial
- Relationship Gender Equality and Couples' Uptake of Oral Human Immunodeficiency Virus Self-Testing Kits Delivered by Pregnant Women in Kenya.Sexually transmitted diseases · 2019Trial
- Associated factors with the access to sexual health and STI/HIV services for individuals aged 18 and older in the Marrakech-Safi region of Morocco: a cross-sectional study.BMC health services research · 2025Article
- Knowledge About HIV/AIDS and its Transmission and Misconception Among Women in Thailand: A Structural Equation Modelling Approach.American journal of health promotion : AJHP · 2025Article
- Is sexual autonomy a protective factor against intimate partner violence? Evidence from 27 sub-Saharan African countries.PloS one · 2024Article
- Impact of DREAMS interventions on attitudes towards gender norms among adolescent girls and young women: Findings from a prospective cohort in Kenya.PLOS global public health · 2024Article
- A syndemic of inequitable gender norms and intersecting stigmas on condom self-efficacy and practices among displaced youth living in urban slums in Uganda: a community-based cross-sectional study.Conflict and health · 2023Article
- An agent-based model of binge drinking, inequitable gender norms and their contribution to HIV transmission, with application to South Africa.BMC infectious diseases · 2023Article
- Prevalence and factors associated with condom use among sexually active young women in Haiti: evidence from the 2016/17 Haiti demographic and health survey.BMC women's health · 2023Article
- A Qualitative Exploration of Factors Influencing Non-Use of Sexual Reproductive Health Services among University Students in South Africa.International journal of environmental research and public health · 2023Article
- Knowledge About HIV/AIDS and Its Transmission and Misconception Among Women in Bangladesh.International journal of health policy and management · 2022Article
- Applying Behavioural Insights to HIV Prevention and Management: a Scoping Review.Current HIV/AIDS reports · 2022Article
- HIV serostatus disclosure to sexual partner: a survey among women in Tehran, Iran.European journal of medical research · 2022Article
- "I always prefer to withdraw than use a condom": contextualising condomless sex among East Asian and sub-Saharan African international students in Sydney.Archives of public health = Archives belges de sante publique · 2022Article
- A randomized group antenatal care pilot showed increased partner communication and partner HIV testing during pregnancy in Malawi and Tanzania.BMC pregnancy and childbirth · 2021Article
- The PrEPARE Pretoria Project: protocol for a cluster-randomized factorial-design trial to prevent HIV with PrEP among adolescent girls and young women in Tshwane, South Africa.BMC public health · 2020Article
- Socio-demographic predictors of gender inequality among heterosexual couples expecting a child in south-central Uganda.African health sciences · 2020Article
- Condom use: a less travelled route among minibus taxi drivers and their taxi queens in KwaZulu-Natal, South Africa.African health sciences · 2020Article
- Social and Demographic Predictors of Gender Inequality Among Heterosexual Couples Expecting a Child in Central Kenya.Global social welfare : research, policy & practice · 2019Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
Abstract
Critical to preventing the spread of HIV is promoting condom use among HIV-positive individuals. Previous studies suggest that gender norms (social and cultural constructions of the ways that women and men are expected to behave) may be an important determinant of condom use. However, the relationship has not been evaluated among HIV-positive women and men in South Africa. We examined gender norms and condom use at last sex among 550 partnerships reported by 530 sexually-active HIV-positive women (372) and men (158) who had sought care, but not yet initiated antiretroviral therapy in a high HIV-prevalence rural setting in KwaZulu-Natal, South Africa between January 2009 and March 2011. Participants enrolled in the cohort study completed a baseline questionnaire that detailed their socio-demographic characteristics, socio-economic circumstances, religion, HIV testing history and disclosure of HIV status, stigma, social capital, gender norms and self-efficacy. Gender norms did not statistically differ between women and men (p = 0.18). Overall, condoms were used at last sex in 58% of partnerships. Although participants disclosed their HIV status in 66% of the partnerships, 60% did not have knowledge of their partner's HIV status. In multivariable logistic regression, run separately for each sex, women younger than 26 years with more equitable gender norms were significantly more likely to have used a condom at last sex than those of the same age group with inequitable gender norms (OR = 8.88, 95% CI 2.95-26.75); the association between condom use and gender norms among women aged 26+ years and men of all ages was not statistically significant. Strategies to address gender inequity should be integrated into positive prevention interventions, particularly for younger women, and supported by efforts at a societal level to decrease gender inequality.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.