NDLI: Community Influences on Married Women’s Safer Sex Negotiation Attitudes in Bangladesh: A Multilevel Analysis

Content Provider	Springer Nature Link
Author	Jesmin, Syeda S. Cready, Cynthia M.
Copyright Year	2015
Abstract	The influence of disadvantaged or deprived community on individuals’ health risk-behaviors is increasingly being documented in a growing body of literature. However, little is known about the effects of community characteristics on women’s sexual attitudes and behaviors. To examine community effects on married women’s safer sex negotiation attitudes, we analyzed cross-sectional data from the 2011 Bangladesh Demographic and Health Surveys on a sample of 15,134 married women in 600 communities. We estimated two multilevel logistic regression models. Model 1, which included only individual-level variables, showed that women’s autonomy/empowerment, age, and HIV knowledge had significant associations with their safer sex negotiation attitudes. We did not find any socioeconomic status gradient in safer sex negotiation attitudes at the individual level. Adding community-level variables in Model 2 significantly improved the fit of the model. Strikingly, we found that higher community-level poverty was associated with greater positive safer sex negotiation attitudes. Prevailing gender norms and overall women’s empowerment in the community also had significant effects. While research on community influences calls for focusing on disadvantaged communities, our research highlights the importance of not underestimating the challenges that married women in economically privileged communities may face in negotiating safer sex. To have sufficient and equitable impact on married women’s sexual and reproductive health, sexual and reproductive health promotion policies and programs need to be directed to women in wealthier communities as well.
Starting Page	383
Ending Page	393
Page Count	11
File Format	PDF
ISSN	00040002
Journal	Archives of Sexual Behavior
Volume Number	45
Issue Number	2
e-ISSN	15732800
Language	English
Publisher	Springer US
Publisher Date	2015-07-11
Publisher Place	New York
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Bangladesh Community Women Safer sex negotiation Sexually transmitted infections Sexual Behavior Public Health Social Sciences
Content Type	Text
Resource Type	Article
Subject	Arts and Humanities Psychology

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