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Relationship power among married cou...

Mbweza, Ellen.

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Relationship power among married couples in Malawi: Implications for HIV prevention.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Relationship power among married couples in Malawi: Implications for HIV prevention./
作者:	Mbweza, Ellen.
面頁冊數:	191 p.
附註:	Adviser: Kathleen Norr.
Contained By:	Dissertation Abstracts International68-05B.
標題:	Health Sciences, Epidemiology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3266851
ISBN:	9780549056447

Relationship power among married couples in Malawi: Implications for HIV prevention.
Mbweza, Ellen.

Relationship power among married couples in Malawi: Implications for HIV prevention. - 191 p.

Adviser: Kathleen Norr.

Thesis (Ph.D.)--University of Illinois at Chicago, Health Sciences Center, 2007.

The role of relationship power in HIV risk reduction has drawn increasing attention because of the dyadic nature of sexual behavior. The purpose of this study was to generate a model of relationship power of husband and wife dyads in matrilineal and patrilineal marriage systems of Malawi. The decision making processes examined were money, food, pregnancy/contraception, sexual relations, and HIV prevention behaviors of the dyads.

ISBN: 9780549056447Subjects--Topical Terms:

1019544
Health Sciences, Epidemiology.

Relationship power among married couples in Malawi: Implications for HIV prevention.
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245 1 0 $a Relationship power among married couples in Malawi: Implications for HIV prevention.
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500 $a Source: Dissertation Abstracts International, Volume: 68-05, Section: B, page: 2960.
502 $a Thesis (Ph.D.)--University of Illinois at Chicago, Health Sciences Center, 2007.
520 $a The role of relationship power in HIV risk reduction has drawn increasing attention because of the dyadic nature of sexual behavior. The purpose of this study was to generate a model of relationship power of husband and wife dyads in matrilineal and patrilineal marriage systems of Malawi. The decision making processes examined were money, food, pregnancy/contraception, sexual relations, and HIV prevention behaviors of the dyads.
520 $a A qualitative design with application of grounded theory was used for data collection and analysis. The study was conducted in four rural communities in two districts: Chiradzulo, a matrilineal marriage system, and Chikwawa, a patrilineal marriage system. Sixty husbands and wives (30 couples) were interviewed separately in the study, 15 couples from each district. The couples were diverse in age and length of marriage, but most had little education and relied on subsistence farming and small businesses for income.
520 $a The interviews identified a consistent decision making process across diverse types of problems: one member initiated communication about an issue; the couple explored solutions; and a final decision was made. Occasionally, the couples consulted members outside the marriage when a resolution could not be reached. The couples used three decision making styles: husband dominated, wife dominated, and shared. Most couples used a mix of the three styles. Gender and non-gender cultural scripts were consistently used to provide rationales for their specific decisions. Gender cultural scripts were husband-dominant and wife-authority and these scripts were used to justify the dominant decision making style. The couples used non-gender cultural scripts to support shared decision making: communicating openly, maintaining harmony, and children's welfare. Gender cultural scripts were used in decision making more often among couples from the district with a patrilineal marriage system and less often among couples where the husband had secondary school education.
520 $a This study adds insights about the variations in couple decision making styles, especially the role of non-gender cultural scripts in encouraging shared decision making. These insights can be used in designing culturally tailored HIV prevention interventions for couples. Shared decision making for safer sex can be fostered using the widely accepted cultural scripts of communicating openly, maintaining harmony, and children's welfare.
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