Predictors of extra-marital partnerships among women married to fishermen along Lake Victoria in Kisumu County, Kenya.
The 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.The current analyses are part of a mixed methods cross-sectional...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2014-01-01
|
| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC3991629?pdf=render |
| _version_ | 1818178640344514560 |
|---|---|
| author | Zachary Kwena Isaac Mwanzo Chris Shisanya Carol Camlin Janet Turan Lilian Achiro Elizabeth Bukusi |
| author_facet | Zachary Kwena Isaac Mwanzo Chris Shisanya Carol Camlin Janet Turan Lilian Achiro Elizabeth Bukusi |
| author_sort | Zachary Kwena |
| collection | DOAJ |
| description | The 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.The 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.The 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.Domestic 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. |
| first_indexed | 2024-12-11T20:51:11Z |
| format | Article |
| id | doaj.art-4814d69387424ffd8188ffc4d09f3b18 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-11T20:51:11Z |
| publishDate | 2014-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-4814d69387424ffd8188ffc4d09f3b182022-12-22T00:51:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0194e9529810.1371/journal.pone.0095298Predictors of extra-marital partnerships among women married to fishermen along Lake Victoria in Kisumu County, Kenya.Zachary KwenaIsaac MwanzoChris ShisanyaCarol CamlinJanet TuranLilian AchiroElizabeth BukusiThe 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.The 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.The 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.Domestic 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.http://europepmc.org/articles/PMC3991629?pdf=render |
| spellingShingle | Zachary Kwena Isaac Mwanzo Chris Shisanya Carol Camlin Janet Turan Lilian Achiro Elizabeth Bukusi Predictors of extra-marital partnerships among women married to fishermen along Lake Victoria in Kisumu County, Kenya. PLoS ONE |
| title | Predictors of extra-marital partnerships among women married to fishermen along Lake Victoria in Kisumu County, Kenya. |
| title_full | Predictors of extra-marital partnerships among women married to fishermen along Lake Victoria in Kisumu County, Kenya. |
| title_fullStr | Predictors of extra-marital partnerships among women married to fishermen along Lake Victoria in Kisumu County, Kenya. |
| title_full_unstemmed | Predictors of extra-marital partnerships among women married to fishermen along Lake Victoria in Kisumu County, Kenya. |
| title_short | Predictors of extra-marital partnerships among women married to fishermen along Lake Victoria in Kisumu County, Kenya. |
| title_sort | predictors of extra marital partnerships among women married to fishermen along lake victoria in kisumu county kenya |
| url | http://europepmc.org/articles/PMC3991629?pdf=render |
| work_keys_str_mv | AT zacharykwena predictorsofextramaritalpartnershipsamongwomenmarriedtofishermenalonglakevictoriainkisumucountykenya AT isaacmwanzo predictorsofextramaritalpartnershipsamongwomenmarriedtofishermenalonglakevictoriainkisumucountykenya AT chrisshisanya predictorsofextramaritalpartnershipsamongwomenmarriedtofishermenalonglakevictoriainkisumucountykenya AT carolcamlin predictorsofextramaritalpartnershipsamongwomenmarriedtofishermenalonglakevictoriainkisumucountykenya AT janetturan predictorsofextramaritalpartnershipsamongwomenmarriedtofishermenalonglakevictoriainkisumucountykenya AT lilianachiro predictorsofextramaritalpartnershipsamongwomenmarriedtofishermenalonglakevictoriainkisumucountykenya AT elizabethbukusi predictorsofextramaritalpartnershipsamongwomenmarriedtofishermenalonglakevictoriainkisumucountykenya |