The determinants and impacts of age-disparate relationships on women in Zimbabwe: A life course perspective

Age-disparate relationships (ADR) with older men have been studied mostly in the context of HIV and found to be associated with increased HIV prevalence among young women in sub-Saharan Africa. Less is known about the impact of ADR on the broader life course of women. The objectives of this study ar...

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Main Authors: Angela Y. Chang, Rufurwokuda Maswera, Louisa R. Moorhouse, Morten Skovdal, Constance Nyamukapa, Simon Gregson
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:SSM: Population Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352827321002226
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author Angela Y. Chang
Rufurwokuda Maswera
Louisa R. Moorhouse
Morten Skovdal
Constance Nyamukapa
Simon Gregson
author_facet Angela Y. Chang
Rufurwokuda Maswera
Louisa R. Moorhouse
Morten Skovdal
Constance Nyamukapa
Simon Gregson
author_sort Angela Y. Chang
collection DOAJ
description Age-disparate relationships (ADR) with older men have been studied mostly in the context of HIV and found to be associated with increased HIV prevalence among young women in sub-Saharan Africa. Less is known about the impact of ADR on the broader life course of women. The objectives of this study are to identify the factors associated with being in ADR and estimate the association between ADR and a set of life outcomes in Manicaland, Zimbabwe. We used data from a general population open-cohort survey from 1998 to 2013 in Manicaland. We applied binary logistic regression models to estimate the odds ratios for association between socio-demographic determinants and ADR and multinomial logistic regression models to estimate the association between ADR and women's life outcomes. We found that women with less education, younger age at first sex and first marriage were more likely to be in ADR, and women in ADR have male partners with less education and less skilled employment. In terms of life and relationship outcomes, women in ADR had mostly negative life outcomes compared to women not in ADR. Future policies and research on ADR in women should reflect these complexities and study a wider range of life outcomes, beyond the commonly studied narrower topics such as HIV.
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spelling doaj.art-79ee7f5899bf423e925af79e8ad8ef202022-12-21T18:13:18ZengElsevierSSM: Population Health2352-82732021-12-0116100947The determinants and impacts of age-disparate relationships on women in Zimbabwe: A life course perspectiveAngela Y. Chang0Rufurwokuda Maswera1Louisa R. Moorhouse2Morten Skovdal3Constance Nyamukapa4Simon Gregson5Danish Institute for Advanced Study, University of Southern Denmark, Odense, Denmark; Department of Clinical Research, University of Southern Denmark, Odense, Denmark; Corresponding author. Studiestræde 6, 1455, København, Denmark.Biomedical Research and Training Institute, Harare, ZimbabweMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, United KingdomDepartment of Public Health, University of Copenhagen, Copenhagen, DenmarkBiomedical Research and Training Institute, Harare, Zimbabwe; MRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, United KingdomBiomedical Research and Training Institute, Harare, Zimbabwe; MRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, United KingdomAge-disparate relationships (ADR) with older men have been studied mostly in the context of HIV and found to be associated with increased HIV prevalence among young women in sub-Saharan Africa. Less is known about the impact of ADR on the broader life course of women. The objectives of this study are to identify the factors associated with being in ADR and estimate the association between ADR and a set of life outcomes in Manicaland, Zimbabwe. We used data from a general population open-cohort survey from 1998 to 2013 in Manicaland. We applied binary logistic regression models to estimate the odds ratios for association between socio-demographic determinants and ADR and multinomial logistic regression models to estimate the association between ADR and women's life outcomes. We found that women with less education, younger age at first sex and first marriage were more likely to be in ADR, and women in ADR have male partners with less education and less skilled employment. In terms of life and relationship outcomes, women in ADR had mostly negative life outcomes compared to women not in ADR. Future policies and research on ADR in women should reflect these complexities and study a wider range of life outcomes, beyond the commonly studied narrower topics such as HIV.http://www.sciencedirect.com/science/article/pii/S2352827321002226Age-disparate relationshipAge disparityZimbabwe
spellingShingle Angela Y. Chang
Rufurwokuda Maswera
Louisa R. Moorhouse
Morten Skovdal
Constance Nyamukapa
Simon Gregson
The determinants and impacts of age-disparate relationships on women in Zimbabwe: A life course perspective
SSM: Population Health
Age-disparate relationship
Age disparity
Zimbabwe
title The determinants and impacts of age-disparate relationships on women in Zimbabwe: A life course perspective
title_full The determinants and impacts of age-disparate relationships on women in Zimbabwe: A life course perspective
title_fullStr The determinants and impacts of age-disparate relationships on women in Zimbabwe: A life course perspective
title_full_unstemmed The determinants and impacts of age-disparate relationships on women in Zimbabwe: A life course perspective
title_short The determinants and impacts of age-disparate relationships on women in Zimbabwe: A life course perspective
title_sort determinants and impacts of age disparate relationships on women in zimbabwe a life course perspective
topic Age-disparate relationship
Age disparity
Zimbabwe
url http://www.sciencedirect.com/science/article/pii/S2352827321002226
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