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Tsuyuki K, Donta B, Dasgupta A, Fleming PJ, Ghule M, Battala M, Nair S, Silverman J, Saggurti N, Raj A. Masculine Gender Ideologies, Intimate Partner Violence, and Alcohol Use Increase Risk for Genital Tract Infections Among Men. J Interpers Violence 2020; 35:2316-2334. [PMID: 29294709 PMCID: PMC5756145 DOI: 10.1177/0886260517700619] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Masculine gender ideologies are thought to underlie alcohol use, intimate partner violence (IPV) perpetration, and sexual risk of HIV and other sexually transmitted infections (STIs). We extend on studies in the Indian context by examining the roles of masculine gender ideologies, alcohol use, and IPV on three outcomes of HIV risk (condom use, genital tract infection [GTI] symptoms, and GTI diagnosis). We applied logistic regression models to cross-sectional data of men and their wives in rural Maharashtra, India (n = 1,080 couples). We found that men with less masculine gender ideologies demonstrated greater odds of condom use (i.e., lower odds no condom use, odds ratio [OR] = 0.96, 95% confidence interval [CI] = [0.93, 0.98]). IPV perpetration was associated with increased odds of reporting ≥1 GTI symptom (adjusted OR [AOR] = 1.56, 95% CI = [1.07, 2.26]) and decreased GTI diagnosis (AOR = 0.28, 95% CI = [0.08, 0.97]). Moderate alcohol consumption was associated with increased odds of reporting ≥1 GTI symptom (AOR = 1.51, 95% CI = [1.01, 2.25]). Our findings have direct implications for men's and women's health in rural India, including targeted GTI diagnosis and treatment, integrated violence prevention in STI clinics, and targeted intervention on masculine gender ideologies.
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Affiliation(s)
- Kiyomi Tsuyuki
- Division of Global Public Health, School of Medicine, University of California, San Diego (UCSD)
| | - Balaiah Donta
- National Institute for Research in Reproductive Health, Mumbai, India
| | - Anindita Dasgupta
- Division of Global Public Health, School of Medicine, University of California, San Diego (UCSD)
- Center for Gender Equity and Health, University of California, San Diego
| | - Paul J. Fleming
- Division of Global Public Health, School of Medicine, University of California, San Diego (UCSD)
| | - Mohan Ghule
- National Institute for Research in Reproductive Health, Mumbai, India
| | | | - Saritha Nair
- National Institute for Research in Reproductive Health, Mumbai, India
| | - Jay Silverman
- Division of Global Public Health, School of Medicine, University of California, San Diego (UCSD)
- Center for Gender Equity and Health, University of California, San Diego
- Department of Society, Human Development and Health, Harvard School of Public Health, Harvard University, Boston, MA, USA
| | | | - Anita Raj
- Division of Global Public Health, School of Medicine, University of California, San Diego (UCSD)
- Center for Gender Equity and Health, University of California, San Diego
- Clinical Addiction Research and Education, Section of General, Internal Medicine, Department of Medicine, Boston University, School of Medicine/Boston Medical Center, Boston, MA, USA
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