title: Gender attitudes, sexual power, HIV risk: a model for understanding HIV risk behavior of South African men.
abstract: The Gender Attitudes-Power-Risk (GAPR) model of HIV risk behavior was tested using survey data collected from among 309 men who were attending STI services in a primary health care clinic in Cape Town, South Africa. Results showed that negative attitudes towards women were significantly positively associated with a high level of HIV risk behavior, and that endorsement of traditional male roles was negatively associated with HIV risk behavior. Endorsement of traditional male gender roles was also inversely related to relationship control but positively to a high degree of decision-making dominance in one's relationship. Sexual relationship power did not significantly mediate the relationships between gender attitudes and HIV risk behavior. A better understanding of gender roles and ideologies in combination with one's power in sexual relationships as they relate to HIV risk behavior among men could better inform future HIV prevention interventions.
authors.affiliation: Department of Psychology, University of Connecticut, Storrs, CT, USA. MichelleKaufman@msn.com
authors.forename: Michelle R
authors.initials: MR
authors.lastname: Kaufman
authors.forename: Tamara
authors.initials: T
authors.lastname: Shefer
authors.forename: Mary
authors.initials: M
authors.lastname: Crawford
authors.forename: Leickness C
authors.initials: LC
authors.lastname: Simbayi
authors.forename: Seth C
authors.initials: SC
authors.lastname: Kalichman
mesh_terms: D000293:Adolescent; D000328:Adult; D001290:Attitude; D003657:Decision Making; D015658:HIV Infections / Q000517:prevention & control / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D011209:Power, Psychological; D012309:Risk-Taking; D012737:Sex Factors; D012725:Sexual Behavior / Q000523:psychology*; D013019:South Africa