Citation
Pulerwitz, Julie; Gottert, Ann L.; Kahn, Kathleen; Haberland, Nicole; Julien, Aimee; Selin, Amanda J.; Twine, Rhian; Peacock, Dean J.; Gomez-Olive, F. Xavier; & Lippman, Sheri A., et al. (2019). Gender Norms and HIV Testing/Treatment Uptake: Evidence from a Large Population-Based Sample in South Africa. AIDS and Behavior, 23(Suppl. 2), 162-171. PMCID: PMC6773668Abstract
How does the endorsement of different dimensions of gender norms by men and/or women influence their use of HIV testing and antiretroviral treatment? This question was examined using data from a 2014 population-based survey of 1053 women and 1004 men, ages 18-49, in rural South Africa. We used a global measure for views toward gender norms (the GEM Scale), plus four subsets of scale items (all reliabilities >/= 0.7). In multivariate analyses using the global measure, endorsement of inequitable gender norms was associated with more testing (AOR 2.47, p < 0.01) and less treatment use (AOR 0.15, p < 0.01) among women but not men. When examining specific subsets of inequitable norms (e.g., endorsing men as the primary decision-maker), decreased odds of treatment use was found for men as well (AOR 0.18, p < 0.01). Careful attention to the role specific gender norms play in HIV service uptake can yield useful programmatic recommendations.URL
http://dx.doi.org/10.1007/s10461-019-02603-8Reference Type
Journal ArticleYear Published
2019Journal Title
AIDS and BehaviorAuthor(s)
Pulerwitz, JulieGottert, Ann L.
Kahn, Kathleen
Haberland, Nicole
Julien, Aimee
Selin, Amanda J.
Twine, Rhian
Peacock, Dean J.
Gomez-Olive, F. Xavier
Lippman, Sheri A.
Pettifor, Audrey E.