INTRODUCTION With HIV prevalence at 6% and little indication that infection rates are abating. Men are a driving force in the HIV epidemic, with extramarital sexual relations and polygamy common among Nigeria' s population of 120 million. Men's infrequent use of condoms within marriage places married Nigerian women at increased risk for HIV and other STDs. METHODS Sixteen focus group discussions were conducted with 110 adult men of diverse socioeconomic status, age and marital status between May-August 2000. A "grounded theory approach" was used to guide the qualitative data analysis. RESULTS Men perceived that sexual decision-making was under their control. Affluence, the "ability to love women", inability to attain sexual satisfaction from one woman, and sexual denial from wife were cited as reasons for extramarital sexual relationships. Women were seen as the root of sexual promiscuity as well. Women's multiple sexual partnerships were explained by economic needs, the beliefs that women are "naturally promiscuous" and lack self-discipline, and easy access to men through the workplace. Men reported that they do not talk to their wives about sex or HIV/STDs and distrust the male condom. Women's initiation of barrier method use was seen as an indication of promiscuity. Many men believed that they should control access to the female condom and introduce it to their wives. CONCLUSIONS Men need to become full partners in the response to HIV. Interventions that address gender relations and behaviors are urgently needed to reduce the risk of HIV sexual transmission.
Learning Objectives: 1. Describe men's gender-role beliefs and behaviors that increase women's and men's vulnerability to HIV/STDs. 2. Discuss the types of interventions needed to redress gender inequities and reduce HIV sexual transmission.
Keywords: Sexual Risk Behavior, HIV/AIDS
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Association for Reproductive and Family Health, Ibadan, Nigeria
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.