Cordero Coma, Julia2024-04-062024-04-062013Coma, Julia Cordero. When the group encourages extramarital sex: Difficulties in HIV/AIDS prevention in rural malawi». Demographic Research, vol. 28, 2013, pp. 849-80, https://doi.org/10.4054/DEMRES.2013.28.301435-987110.4054/DEMRES.2013.28.30https://hdl.handle.net/20.500.14352/102794Referencias bibliográficas : • Ahlburg, D.A., Jensen, E.R., and Perez, A.E. (1997). Determinants of extramarital sex in the Philippines. Health Transition Review 7(Supplement): 467-479. • Anglewicz, P., Adams, J., Obare, F., Kohler, H.-P., and Watkins, S. (2009). The Malawi Diffusion and Ideational Change Project 2004-06: Data collection, data quality and analysis of attrition. Demographic Research 20(21): 503-540. doi:10.4054/DemRes.2009.20.21. • Bankole, A., Ahmed, F.H., Neema, S., Ouedraogo, C., and Konyani, S. (2007). Knowledge of correct condom use and consistency of use among adolescents in four countries in sub-Saharan Africa. African Journal of Reproductive Health 11(3): 197-220. doi:10.2307/25549740. • Bearman, P.S. and Brückner, H. (2001). Promising the future: Virginity pledges and first intercourse. American Journal of Sociology 106(4). doi:10.1086/320295. • Behrman, J.R., Kohler, H-P., and Watkins, S.C. (2001). How can we measure the causal effects of social networks using observational data? Evidence from the diffusion of family planning and AIDS worries in South Nyanza District, Kenya. Rostock: Max Planck Institute for Demographic Research (MPIDR Working Papers; WP-2001-022). • Bicchieri, C. (2006). The Grammar of society. The nature and dynamics of social norms. New York: Cambridge University Press. • Bicchieri, C., and Xiao, E. (2008). Do the right thing: But only if others do so. Journal of Behavioral Decision Making 22(2): 191-208. doi:10.1002/bdm.621. • Bingenheimer, J.B. (2010). Men's multiple sexual partnerships in 15 sub-Saharan African countries: Sociodemographic patterns and implications. Studies in Family Planning 41(1): 1-17. doi:10.1111/j.1728-4465.2010.00220.x. • Bott, E. (1957). Family and social network. London: Tavistock. • Buehler, C., and Kohler, H-P. (2003). Talking about AIDS: The influence of communication networks on individual risk perceptions of HIV/AIDS infection and favored protective behaviors in South Nyanza District, Kenya. Demographic Research, Special Collection 1(13): 397-438. doi:10.4054/DemRes.2003.S1.13. • Caldwell, J., Caldwell, P., Ankrah, M.E., Anarfi, J.K., Agyeman, D.K., Awusabo-Asare, K., and Orubuloye, I.O. (1993). African families and AIDS: Context, reactions and potential interventions. Health Transition Review 3(Supplement): 1- 14. • Cameron, A.C., and Trivedi, P.K. (2009). Microeconometrics using STATA. College Station, TX: Stata Press. • Carael, M., Ali, M., and Cleland, J. (2001). Nuptiality and risk behaviour in Lusaka and Kampala. African Journal of Reproductive Health 5(1): 83-89. doi:10.2307/3583201. • Carpenter, L.M., Kamali, A., Ruberantwari, A., Malamba, S.S., and Whitworth, J.A.G. (1999). Rates of HIV-1 transmission within marriage in rural Uganda in relation to the HIV sero-status of the partners. AIDS 13(9): 1083-1089. doi:10.1097/00002030-199906180-00012. • Chimbiri, A.M. (2006). Development, family change, and community empowerment in Malawi. In: Oheneba-Sakyi, Y., and Takyi, B.K. (eds.). African Families at the Turn of the 21st Century. Westport, CT: Praeger Publishers. • Chimbiri, A.M. (2007). The condom is an =intruder' in marriage: Evidence from rural Malawi. Social Science & Medicine 64(5): 1102-1115. doi:10.1016/j.socscimed. 2006.10.012. • Chwe, M.S.-Y. (1999). Structure and strategy in collective action. American Journal of Sociology 105(1): 128-156. doi:10.1086/210269. • Clark, S. (2010). Extra-marital sexual partnerships and male friendships in rural Malawi. Demographic Research 22(1): 1-28. doi:10.4054/DemRes.2010.22.1. • Cleland, J., and Ali, M.M. (2006). Sexual abstinence, contraception, and condom use by young African women: A secondary analysis of survey data. The Lancet 368(9549): 1788-1793. doi:10.1016/S0140-6736(06)69738-9. • Cordero-Coma, J., and Breen, R. (2012). HIV prevention and social desirability: Husband-wife discrepancies in reports of condom use. Journal of Marriage and Family 74(3): 601-613. • De Walque, D. (2007). Sero-discordant couples in five African countries: Implications for prevention strategies. Population and Development Review 33(3): 501-523. doi:10.1111/j.1728-4457.2007.00182.x. • DiClemente, R.J. (1991). Predictors of HIV-preventive sexual behavior in a high-risk adolescent population: The influence of perceived peer norms and sexual communication on incarcerated adolescents' consistent use of condoms. Journal of Adolescent Health 12(5): 385-390. doi:10.1016/0197-0070(91)90052-N. • Dunkle, K.L., Stephenson, R., Karita, E., Chomba, E., Kayitenkore, K., Vwalika, C., Greenberg, L., and Allen, S. (2008). New heterosexually transmitted HIV infections in married or cohabiting couples in urban Zambia and Rwanda: An analysis of survey and clinical data. The Lancet 371(9631): 2183-2191. doi:10.1016/S0140-6736(08)60953-8. • Fletcher, J.M. (2007). Social multipliers in sexual initiation decisions among U.S. high school students. Demography 44(2): 373-388. doi:10.1353/dem.2007.0009. • Glynn, J.R., Buvé, A., Caraël, M., Macauley, I.B., Kahindo, M., Musonda, R.M., and Zekeng, L. (2001a). Is long postpartum sexual abstinence a risk factor for HIV? AIDS 15(8): 1059-1061. doi:10.1097/00002030-200105250-00016. • Glynn, J.R., Carael, M., Auvert, B., Kahindo, M., Chege, M., and Musonda, R.M. (2001b). Why do young women have a much higher prevalence of HIV than young men? A study in Kisumu, Kenya and Ndola, Zambia. AIDS 15(S4): S51- S60. doi:10.1097/00002030-200108004-00006. • Granovetter, M.S. (1973). The strength of weak ties. American Journal of Sociology 78(6): 1360-1380. doi:10.1086/225469. • Granovetter, M.S. (1978). Threshold models of collective behavior. American Journal of Sociology 83(6): 1420-1443. doi:10.1086/226707. • Helleringer, S., and Kohler, H-P. (2005). Social networks, perceptions of risk, and changing attitudes towards HIV/AIDS: New evidence from a longitudinal study using fixed-effects analysis. Population Studies 59(3): 265-282. doi:10.1080/00324720500212230. • Hirsch, J.S., Higgins, J., Bentley, M.E., Nathanson, C.A. (2002). The social construction of sexuality: Marital infidelity and sexually transmitted disease-HIV risk in a Mexican migrant community. American Journal of Public Health 92(8): 1227-1237. doi:10.2105/AJPH.92.8.1227. • Hugonnet, S., Mosha, F., Todd, J., Mugeye, K., Klokke, A., Ndeki, L., Ross, D., Grosskurth, H., and Hayes, R. (2002). Incidence of HIV infection in stable sexual partnerships: A retrospective cohort study of 1802 couples in Mwanza region, Tanzania. Journal of Acquired Immune Deficiency Syndromes 30(1): 73-80. • Hunter, M. (2005). Cultural politics and masculinities: Multiple partners in historical perspectives in KwaZulu-Natal. Culture, Health, and Sexuality 7(4): 389-403. doi:10.1080/13691050412331293458. • Hunter, M. (2010). Love in the time of AIDS: Inequality, gender, and rights in South Africa. Bloomington, IN.: Indiana University Press. • Isiugo-Abanihé, U.C. (1994). Extramarital relations and perceptions of HIV/AIDS in Nigeria. Health Transition Review 4(2): 111-125. • Kaler, A. (2001). 'Many divorces and many spinsters': marriage as an invented tradition in Southern Malawi, 1946-1999. Journal of Family History 26(4): 529-556. doi:10.1177/036319900102600405. • Kaler, A. (2003). 'My girlfriends could fill a yanu-yanu bus': Rural Malawian men's claim about their own serostatus. Demographic Research SC1(11): 349-372. doi:10.4054/DemRes.2003.S1.11. • Kelly, R.J., Gray, R., Sewankambo, N.K., Serwadda, D., Wabwire-Mangen, F., Lutalo, T., and Wawer, M.J. (2003). Age differences in sexual partners and risk of HIV-1 Infection in rural Uganda. Journal of Acquired Immune Deficiency Syndrome 32: 446-451. doi:10.1097/00126334-200304010-00016. • Khobotlo, M., Tshehlo, R., Nkonyana, J., Ramoseme, M., Khobotle, M., Chitoshia, A., Hildebrand, M., and Fraser, N. (2009). Lesotho: HIV prevention response and modes of transmission analysis. Maseru, Lesotho: National AIDS Commission. • Kimuna, S.R., and Djamba, Y.K. (2005). Wealth and extramarital sex among men in Zambia. International Family Planning Perspectives 31(2): 83-89. doi:10.1363/3108305. • Kohler, H-P., Behrman, J., and Watkins, S. (2001). The density of social networks and fertility decisions: Evidence from South Nyanza District, Kenya. Demography 38(1): 43-58. doi:10.1353/dem.2001.0005. • Kohler, H.-P., Behrman, J.R., and Watkins, S.C. (2007). Social networks and HIV/AIDS risk perceptions. Demography 44 (1): 1-33. doi:10.1353/dem.2007. 0006. • Luke, N. (2006). Exchange and condom use in informal sexual relationships in urban Kenya. Economic Development and Cultural Change 54(2): 319-348. doi:10.1086/497011. • Luke, N. (2007). Economic status, informal exchange, and sexual risk in Kisumu, Kenya. Economic Development and Cultural Change 56(2): 375-396. doi:10.1086/522896. • Lurie, M.N., Williams, B.G., Zuma, K., Mkaya-Mwamburi, D., Garnett, G.P., Sweat, M.D., Gittelsohn, J., and Karim, S.S.A. (2003). Who infects who? HIV-1 concordance and discordance among migrant and non-migrant couples in South- Africa. AIDS 17(15): 2245-2252. doi:10.1097/00002030-200310170-00013. • Mah, T.L., and Halperin, D.T. (2010). Concurrent sexual partnerships and the HIV epidemics in Africa: Evidence to move forward. AIDS and Behavior 14(1): 11-16. doi:10.1007/s10461-008-9433-x. • Mishra, V., and Bignami-Van Assche, S. (2009). Concurrent sexual partnerships and HIV infection: Evidence from national population-based surveys. Calverton, Maryland: United States Agency for International Development. (DHS Working Paper 62). • Mishra, V., Bignami-Van Assche, S., Greener, R., Vaessen, M., Hong, R., Ghys, P.D., Boerma, J.T., Van Assche, A., Khan, S., Rutstein, S. (2007). HIV infection does not disproportionately affect the poorer in sub-Saharan Africa. AIDS 21(S7): S17-S28. doi:10.1097/01.aids.0000300532.51860.2a. • Mitsunaga, T.M., Powell, A.M., Heard, N.J., Larsen, U.M. (2005). Extramarital sex among Nigerian men: Polygyny and other risk factors. Journal of Acquired Immune Deficiency Syndromes 39(4): 478-488. doi:10.1097/01.qai. 0000152396.60014.69. • Mngadi, S., Fraser, N., Mkhatshwa, H., Lapidos, T., Khumalo, T., Tsela, S., Nhlabatsi, N., Odido, H. (2009). Swaziland: HIV prevention response and modes of transmission analysis. Mbabane, Swaziland: National Emergency Response Council on HIV/AIDS. • Montgomery, M.R., and Casterline, J.B. (1996). Social learning, social influence, and new models of fertility. Population and Development Review 22: 151-175. doi:10.2307/2808010. • Morris, M., and Kretzschmar, M. (1995). Concurrent partnerships and transmission dynamics in networks. Social Networks 17(3-4): 299-318. doi:10.1016/0378-8733(95)00268-S. • Morris, M., and Kretzschmar, M. (1997). Concurrent partnerships and the spread of HIV. AIDS 11(5): 641-648. doi:10.1097/00002030-199705000-00012. • Moscovici, S. (1985). Social influence and conformity. In: Lindzey, G., and Aronson, E. (eds.). Handbook of Social Psychology, vol. 2. New York: Random House. • O'Connor, M.L. (2001). Men who have many sexual partners before marriage are more likely to engage in extramarital intercourse. International Family Planning Perspectives 27(1): 48-49. doi:10.2307/2673807. • Parikh, S.A. (2007). The political economy of marriage and HIV: The ABC approach, ?safe? infidelity, and managing moral risk in Uganda. American Journal of Public Health 97(7): 1198-1208. doi:10.2105/AJPH.2006.088682. • Pilcher, C.D., Tien, H.C., Eron, J.J., Vernazza, P.L., Leu, S.-Y., Stewart, P.W., Goh, L.-E., and Cohen, M.S. (2004). Brief but efficient: Acute HIV infection and the sexual transmission of HIV. Journal of Infectious Diseases 189(10): 1785-1792. doi:10.1086/386333. • Reniers, G., and Tfaily, R. (2008). Polygyny and HIV in Malawi. Demographic Research 19(53): 1811-1830. doi:10.4054/DemRes.2008.19.53. • Rogers, E.M. (1995). Diffusion of innovations. (5th edition). New York: Free Press. • Schelling, T.C. (1971). Dynamic models of segregation. Journal of Mathematical Sociology 1(2): 143-186. doi:10.1080/0022250X.1971.9989794. • Schelling, T.C. (1978). Micromotives and macrobehavior. New York: Norton. • Scherer, C.W., and Cho, H. (2003). A social network contagion theory of risk perception. Risk Analysis 23(2): 261-267. doi:10.1111/1539-6924.00306. • Shelton, J.D. (2007). Ten myths and one truth about generalised HIV epidemics. The Lancet 370(9602): 1809-1811. doi:10.1016/S0140-6736(07)61755-3. • Smith, D.J. (2007). Modern marriage, men's extramarital sex, and HIV-Risk in Southeastern Nigeria. American Journal of Public Health 97(6): 997-1005. doi:10.2105/AJPH.2006.088583. • Smith, K.P., and Watkins, S.C. (2005). Perceptions of risk and strategies for prevention: Responses to HIV/AIDS in rural Malawi. Social Science & Medicine 60(3): 649-660. doi:10.1016/j.socscimed.2004.06.009. • Tawfik, L., and Watkins, S.C. (2007). Sex in Geneva, sex in Lilongwe, and sex in Balaka. Social Science & Medicine 64(5): 1090-1101. doi:10.1016/j.socscimed. 2006.10.002. • Thornton, R.J. (2008). Unimagined Community: Sex, Networks, and AIDS in Uganda and South Africa. Berkeley and Los Angeles: University of California Press. • Varga, C.A. (1997). Sexual decision-making and negotiation in the midst of AIDS: Youth in KwaZulu-Natal, South Africa. Health Transition Review 7(S3): 45-67. • Wabwire-Mangen, F., Odiit, M., Kirungi, W., Kisutu, D.K., and Wanyama, J.O. (2009). Uganda: HIV modes of transmission and prevention response analysis. Kampala: Uganda National AIDS Commission. • Watkins, S., Behrman, J.R., Kohler, H-P., and Zulu, E.M. (2003). Introduction to 'Research on demographic aspects of HIV/AIDS in rural Africa'. Demographic Research SC1(1): 1-30. doi:10.4054/DemRes.2003.S1.1. • Watts, C.H., and May, R.M. (1992). The influence of concurrent partnerships on the dynamics of HIV/AIDS. Mathematical Biosciences 108(1): 89-104. doi:10.1016/0025-5564(92)90006-I. • Wawer, M.J., Gray, R.H., Sewankambo, N.K., Serwadda, D., Li, X., Laeyendecker, O., Kiwanuka, N., Kigozi, G., Kiddugavu, M., Lutalo, T., Nalugoda, F., Wabwire-Mangen, F., Meehan, M.P., and Quinn, T.C. (2005). Rates of HIV-1 transmission per coital act, by stage of HIV-1 Infection, in Rakai, Uganda. Journal of Infectious Diseases 191(9): 1403-1409. doi:10.1086/429411. • Wolffers, I., Fernández, I., Verghis, S., Vink, M. (2002). Sexual behavior and vulnerability of migrant workers for HIV infection. Culture, Health & Sexuality 4(4): 459-473. doi:10.1080/13691050110143356. • World Bank (2006). Malawi at a Glance. World Bank Country Profile. Washington, DC: The World Bank. http://devdata.worldbank.org/AAG/mwi_aag.pdf. • Yang, X. (2006). Temporary migration and HIV risk behaviors in China. Environment and Planning A 38(8): 1527-1543. doi:10.1068/a3814.BACKGROUND Recent research on the HIV epidemic in sub-Saharan Africa has highlighted the relevance of married individuals' extramarital sexual behavior for the spread of the disease. At the same time, there is social disapproval of sexual infidelity. OBJECTIVE This article examines the extent to which Malawian married men's likelihood of having extramarital sex is influenced by their expectations about the prevalence of extramarital relationships in their social network. It also explores whether this effect depends on the network density, and whether it is also observed when the extramarital behavior of a particularly influential actor is controlled for. METHODS Data from the last two waves, 2004 and 2006, of the longitudinal survey provided by the Malawi Diffusion and Ideational Change Project are analyzed both cross-sectionally and through a panel analysis with fixed effects. The longitudinal approach enables the researcher to deal with the potential non-random distribution of social interactions among respondents, which bias the estimation in the cross-sectional analysis. RESULTS Married men's expectations about the prevalence of extramarital sexual relationships in the network were shown to have a substantial influence on their extramarital behavior, and the impact was found to be bigger in dense networks. In addition, there was some evidence that the perceived dominant behavior in the peer group is relevant, independent of the extramarital behavior of the respondents' best friends.engAttribution-ShareAlike 4.0 InternationalWhen the Group encourages extramarital sex: difficulties in HIV/AIDS prevention in rural Malawijournal articlehttps://www.demographic-research.org/volumes/vol28/30/28-30.pdf#search=%22When%20the%20Group%20encourages%20extramarital%20sex%20Difficulties%20in%20HIV%20AIDS%20prevention%20in%20rural%20Malawi%22https://produccioncientifica.ucm.es/documentos/609c1e1a1aec1f036bb18725https://www.jstor.org/stable/26349325?seq=3open access57.017.5612.6.057616.9-092.19314SexoSexSidaAidsMalawiExtramaritalFixed effectsHIV/AIDSSub-Saharan AfricaSocial networksSexual intercourseDemografía (Sociología)Enfermedades infecciosas52 Demografía