title: The inevitability of infidelity: sexual reputation, social geographies, and marital HIV risk in rural Mexico.
abstract: Marriage presents the single greatest risk for HIV infection among women in rural Mexico. We drew on 6 months of participant observation, 20 marital case studies, 37 key informant interviews, and archival research to explore the factors that shape HIV risk among married women in one of the country's rural communities. We found that culturally constructed notions of reputation in this community lead to sexual behavior designed to minimize men's social risk (threats to one's social status or relationships), rather than viral risk and that men's desire for companionate intimacy may actually increase women's risk for HIV infection. We also describe the intertwining of reputation-based sexual identities with structurally patterned sexual geographies (i.e. the social spaces that shape sexual behavior). We propose that, because of the structural nature of men's extramarital sexual behavior, intervention development should concentrate on sexual geographies and risky spaces rather than risky behaviors or identities.
authors.affiliation: Mailman School of Public Health, Columbia University, New York, NY 10032, USA. jsh2124@columbia.edu
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Hirsch
authors.forename: Sergio
authors.initials: S
authors.lastname: Meneses
authors.forename: Brenda
authors.initials: B
authors.lastname: Thompson
authors.forename: Mirka
authors.initials: M
authors.lastname: Negroni
authors.forename: Blanca
authors.initials: B
authors.lastname: Pelcastre
authors.forename: Carlos
authors.initials: C
authors.lastname: del Rio
mesh_terms: D000328:Adult; D003142:Communication; D017280:Condoms / Q000706:statistics & numerical data; D003466:Cultural Characteristics; D005114:Extramarital Relations; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000635:transmission; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008571:Men / Q000523:psychology*; D008800:Mexico / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D012309:Risk-Taking; D012424:Rural Population; D012725:Sexual Behavior; D015229:Sexually Transmitted Diseases, Viral / Q000453:epidemiology* / Q000635:transmission; D012931:Social Environment; D047568:Unsafe Sex; D016387:Women's Health