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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Predictors of extra-marital partnerships among women married to fishermen along Lake Victoria in Kisumu County, Kenya
PLoS ONE, Volume 9, No. 4, Article e95298, Year 2014
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Description
Background: 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. Methods: 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. Results: 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 24years (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. Conclusion: 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. © 2014 Kwena et al.
Authors & Co-Authors
Kwena, Zachary Arochi
Kenya, Nairobi
Kenya Medical Research Institute
Mwanzo, Isaac J.
Kenya, Nairobi
Kenyatta University
Shisanya, Chris Allan
Kenya, Nairobi
Kenyatta University
Camlin, Carol S.
United States, San Francisco
University of California, San Francisco
Turan, Janet M.
United States, Birmingham
The University of Alabama at Birmingham
Achiro, Lillian
Kenya, Nairobi
Kenya Medical Research Institute
Bukusi, Elizabeth Anne
Kenya, Nairobi
Kenya Medical Research Institute
Statistics
Citations: 24
Authors: 7
Affiliations: 4
Identifiers
Doi:
10.1371/journal.pone.0095298
e-ISSN:
19326203
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Violence And Injury
Study Design
Cross Sectional Study
Study Approach
Qualitative
Quantitative
Mixed-methods
Study Locations
Kenya
Participants Gender
Female