Connecting-Africa | Find publications

Advanced search

Find:


Title Predictors of extra-marital partnerships among women married to fishermen along Lake Victoria in Kisumu County, Kenya.
Full text https://escholarship.org/uc/item/2g2226rw
Date 2014
Author(s) Kwena, Zachary; Mwanzo, Isaac; Shisanya, Chris; Camlin, Carol; Turan, Janet; Achiro, Lilian; Bukusi, Elizabeth
Contributor(s) Price, Matt A
Abstract BackgroundThe vulnerability of women to HIV infection makes establishing predictors of women's involvement in extra-marital partnerships critical. We investigated the predictors of extra-marital partnerships among women married to fishermen.MethodsThe current analyses are part of a mixed methods cross-sectional survey of 1090 gender-matched interviews with 545 couples and 12 focus group discussions (FGDs) with 59 couples. Using a proportional to size simple random sample of fishermen as our index participants, we asked them to enrol in the study with their spouses. The consenting couples were interviewed simultaneously in separate private rooms. In addition to socio-economic and demographic data, we collected information on sexual behaviour including extra-marital sexual partnerships. We analysed these data using descriptive statistics and multivariate logistic regression. For FGDs, couples willing to participate were invited, consented and separated for simultaneous FGDs by gender-matched moderators. The resultant audiofiles were transcribed verbatim and translated into English for coding and thematic content analysis using NVivo 9.ResultsThe prevalence of extra-marital partnerships among women was 6.2% within a reference time of six months. Factors that were independently associated with increased likelihood of extra-marital partnerships were domestic violence (aOR, 1.45; 95% CI 1.09-1.92), women reporting being denied a preferred sex position (aOR, 3.34; 95% CI 1.26-8.84) and spouse longer erect penis (aOR, 1.34; 95% CI 1.00-1.78). Conversely, women's age--more than 24 years (aOR, 0.33; 95% CI 0.14-0.78) and women's increased sexual satisfaction (aOR, 0.92; 95% CI 0.87-0.96) were associated with reduced likelihood of extra-marital partnerships.ConclusionDomestic violence, denial of a preferred sex positions, longer erect penis, younger age and increased sexual satisfaction were the main predictors of women's involvement in extra-marital partnerships. Integration of sex education, counselling and life skills training in couple HIV prevention programs might help in risk reduction.
Subject(s) Humans; Focus Groups; Sexual Behavior; Marriage; Kenya; Female; Male; Behavioral and Social Science; HIV/AIDS; Prevention; Gender Equality; General Science & Technology
Coverage e95298
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source PloS one, vol 9, iss 4
Rights public
Identifier qt2g2226rw
Repository Berkeley - University of California
Added to C-A: 2023-08-30;10:30:39