Skip to main content
×
Home
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 5
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    PATRA, SHRABONI and SINGH, RAKESH KUMAR 2015. ATTITUDES OF CIRCUMCISED WOMEN TOWARDS DISCONTINUATION OF GENITAL CUTTING OF THEIR DAUGHTERS IN KENYA. Journal of Biosocial Science, Vol. 47, Issue. 01, p. 45.


    Smolak, Alex 2014. The Association of Female Circumcision With HIV Status and Sexual Behavior in Mali. JAIDS Journal of Acquired Immune Deficiency Syndromes, Vol. 65, Issue. 5, p. 597.


    Iavazzo, Christos Sardi, Thalia A. and Gkegkes, Ioannis D. 2013. Female genital mutilation and infections: a systematic review of the clinical evidence. Archives of Gynecology and Obstetrics, Vol. 287, Issue. 6, p. 1137.


    Sovran, Steven 2013. Understanding culture and HIV/AIDS in sub-Saharan Africa. SAHARA-J: Journal of Social Aspects of HIV/AIDS, p. 1.


    Khodabakhshi Koolaee, Anahita Pourebrahim, Taghi Mohammadmoradi, Bayan and Hameedy, Mansor 2012. The Comparison of Marital Satisfaction and Mental Health in Genital Mutilated Females and Non-Genital Mutilated Females. International Journal of High Risk Behaviors and Addiction, Vol. 1, Issue. 3,


    ×

DISENTANGLING THE COMPLEX ASSOCIATION BETWEEN FEMALE GENITAL CUTTING AND HIV AMONG KENYAN WOMEN

  • OLGA MASLOVSKAYA (a1), JAMES J. BROWN (a2) and SABU S. PADMADAS (a1)
  • DOI: http://dx.doi.org/10.1017/S0021932009990150
  • Published online: 16 July 2009
Abstract
Summary

Female genital cutting (FGC) is a widespread cultural practice in Africa and the Middle East, with a number of potential adverse health consequences for women. It was hypothesized by Kun (1997) that FGC increases the risk of HIV transmission through a number of different mechanisms. Using the 2003 data from the Kenyan Demographic and Health Survey (KDHS), this study investigates the potential association between FGC and HIV. The 2003 KDHS provides a unique opportunity to link the HIV test results with a large number of demographic, social, economic and behavioural characteristics of women, including women's FGC status. It is hypothesized that FGC increases the risk of HIV infection if HIV/AIDS is present in the community. A multilevel binary logistic regression technique is used to model the HIV status of women, controlling for selected individual characteristics of women and interaction effects. The results demonstrate evidence of a statistically significant association between FGC and HIV, after controlling for the hierarchical structure of the data, potential confounding factors and interaction effects. The results show that women who had had FGC and a younger or the same-age first-union partner have higher odds of being HIV positive than women with a younger or same-age first-union partner but without FGC; whereas women who had had FGC and an older first-union partner have lower odds of being HIV positive than women with an older first-union partner but without FGC. The findings suggest the behavioural pathway of association between FGC and HIV as well as an underlying complex interplay of bio-behavioural and social variables being important in disentangling the association between FGC and HIV.

Copyright
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

B. Auvert , A. Buvé , B. Ferry , M. Caraël , L. Morison , E. Lagarde (2001) Ecological and individual level analysis of risk factors for HIV infection in four urban populations in sub-Saharan Africa with different levels of HIV infection. AIDS 15, Supplement 4, S1530.

J. I. Baldwin & J. D. Baldwin (2000) Heterosexual anal intercourse: an understudied, high-risk sexual behavior. Archives of Sexual Behavior 29(4), 357373.

D. D. Brewer , J. J. Potterat , J. M. Roberts & S. Brody (2007) Male and female circumcision associated with prevalent HIV infection in virgins and adolescents in Kenya, Lesotho, and Tanzania. Annals of Epidemiology 17(3), 217226.

J. E. Brown & R. C. Brown (2000) Traditional intravaginal practices and the heterosexual transmission of disease: a review. Sexually Transmitted Diseases 27(4), 183187.

A. Buvé , M. Caraël , R. J. Hayes , B. Auvert , B. Ferry , N. J. Robinson (2001) The multicentre study on factors determining the differential spread of HIV in four African cities: summary and conclusions. AIDS 15, Supplement 4, S127131.

B. Cheluget , C. Baltazar , P. Orege , M. Ibrahim , L. H. Marum & J. Stover (2006) Evidence for population level declines in adult HIV prevalence in Kenya. Sexually Transmitted Infections 82, 2126.

S. Clark (2004) Early marriage and HIV risks in Sub-Saharan Africa. Studies in Family Planning 35(3), 149160.

N. Luke (2003) Age and economic asymmetries in the sexual relationships of adolescent girls in sub-Saharan Africa. Studies in Family Planning 34(2), 6786.

E. Monjok , E. J. Essien & L. Holmes (2007) Female genital mutilation: potential for HIV transmission in sub-Saharan Africa and prospect for epidemiologic investigation and intervention. African Journal of Reproductive Health 11, 3342.

D. M. Nickerson (1994) Construction of a conservative confidence region from projections of an exact confidence region in multiple linear regression. American Statistician 48(2), 120124.

R.L. Shapiro (2002) Drawing lines in the sand: the boundaries of the HIV pandemic in perspective. Social Science and Medicine 55, 21892191.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Journal of Biosocial Science
  • ISSN: 0021-9320
  • EISSN: 1469-7599
  • URL: /core/journals/journal-of-biosocial-science
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×