Older Adults' Perspectives on HIV/AIDS Prevention Strategies for Rural Kenya

Muturi, Nancy; Mwangi, Samuel Chege

doi:10.1080/10410236.2011.563354

Cited by 21 publications

(19 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Based on previous research, this failure to focus on older adults, particularly women, is attributed to cultural beliefs that they are not sexually active (see Muturi and Mwangi 2011). Results from our study, however, show that with the onset of excessive alcoholism, and given the association between alcoholism and HIV infection, it is important for prevention programmes to aggressively focus on women regardless of age and marital status.…”

Section: Discussioncontrasting

confidence: 65%

“…The engagement in transactional sex for economic reasons demonstrates the gender inequity in rural communities which enhances women's risk of HIV infection. Although transactional sexual practices in rural Kenya have been documented (e.g., Muturi and Mwangi 2011), previous studies have focused on older men who engage in such transactions with younger women. In the context of alcoholism, such transactions increasingly involve married women in alcohol-discordant relationships, which participants viewed as a recent phenomenon.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Gender and HIV infection in the context of alcoholism in Kenya

Muturi¹

2015

African Journal of AIDS Research

Self Cite

View full text Add to dashboard Cite

Women in sub-Saharan Africa account for more than half (58%) of people living with the HIV and it is the only continent where HIV prevalence is higher for women than for men. Studies have attributed alcoholism with the high rates of HIV infection due to its impact on sexual behaviour and arousal. African countries with high rates of alcoholism also reportedly have higher rates of HIV infection. This study explores rural communities' perspectives on the risk factors for HIV infection among women who are in alcohol discordant relationships where the man drinks alcohol excessively. Data were gathered through focus group discussions in rural central Kenya where alcoholism has reached epidemic levels. Key findings indicate the perceived severity of alcoholism, the perceived impact of alcoholism on men's reproductive health and the unmet sexual and reproductive needs of women in alcohol discordant relationships. Women engage in risky sexual behaviours in an attempt to meet these needs. Such risky behaviour in addition to alcohol-related sexual violence and low response-efficacy for safer sexual practices make them vulnerable to HIV infection and enhances the spread of HIV within communities. The study concludes that in preventing HIV infection among women in alcohol communities affected by alcohol, it is important to focus on their response efficacy. Intervention programmes that focus on HIV prevention among older married women and that integrate alcohol and HIV prevention are long overdue.

show abstract

Section: Discussioncontrasting

confidence: 65%

Section: Discussionmentioning

confidence: 98%

Gender and HIV infection in the context of alcoholism in Kenya

Muturi¹

2015

African Journal of AIDS Research

Self Cite

View full text Add to dashboard Cite

show abstract

“…In sub-Saharan Africa, the HIV-related studies that have included older women have focused mostly on their role as grandparents and caretakers, particularly of orphaned children (Horwitz, Yogo, Juma, & Ice, 2009;Kyobutungi, Egondi, & Ezeh, 2010). The advocacy role of HIV-positive older women has so far not been well articulated in Kenya (Kyobutungi, Ezeh, Zulu, & Falkingham, 2009;Muturi & Mwangi, 2011). To design locally applicable HIV-prevention interventions, women voices are critical, given that women, in particular older women, are involved in day-to-day family and community activities (Njue, Rombo, & Ngige, 2007).…”

Section: Research-article2014mentioning

confidence: 99%

Advocating for HIV Prevention and Care

et al. 2014

View full text Add to dashboard Cite

The number of older women living with HIV in Kenya is increasing. However, there are little empirical data available about their role in HIV prevention. The purpose of this study was to understand the nuanced role of older women in HIV prevention. We engaged 54 HIV-positive women in three narrative-eliciting interviews between 2009 and 2010 over a period of 6 months to understand their role in HIV prevention. In this article, we focus on a sample subset of 7 rural women 50 years and older living with HIV. From narrative analysis of 19 interviews from 7 women who were 50 years and older, four themes emerged: promoting HIV transmission risk reduction, promoting HIV testing, educating others about HIV, and protecting children from HIV infection. HIV-positive older women are engaged in helping mitigate HIV in their communities and should be central to meaningful HIV-related interventions especially in rural communities

show abstract

“…For example, Muturi and Mwangi (2011) conducted focus groups with older Kenyan adults to provide suggestions for HIV prevention. They found recommendations for communicators (e.g., religious leaders), contexts (e.g., public meetings), and programs (e.g., mass HIV testing).…”

Section: The Structural Contexts Of Plwhamentioning

confidence: 99%

An Institutional Field of People Living with HIV/AIDS Organizations in Tanzania: Agency, Culture, Dialogue, and Structure

Olufowote

2017

Front. Commun.

View full text Add to dashboard Cite

Communication research on public health organizations and people living with HIV/ AIDS (PLWHA) have paid insufficient attention to PLWHA organizations. These organizations, constituted and operated by PLWHA, advocate on behalf of PLWHA with more powerful institutions in society and serve as sources of empowerment and support. I drew on the culture-centered approach to health communication and institutional perspectives on health organizations to explore PLWHA organizations in Tanzania, namely, their cultural and structural contexts, agency, and dialogue. Tanzania has 1.5 million PLWHA and a 5.3% adult prevalence rate that ranks it as 12th highest in the world. Through interviews with leaders of 10 PLWHA organizations, I found a cultural context of HIV stigma and discrimination, a structural context consisting of corruption and bureaucratic politics in governing bodies as well as lack of access to resources, agency to impact PLWHA and members of society in a variety of ways, and processes of dialogue within advocacy networks of PLWHA organizations and in network collaborations with the government. I conclude with implications for improving the organizations' interactions with their structural context and for developing the contribution from the culture-centered approach to health communication on structures as health organizations and systems.Keywords: culture-centered approach, hiV/aiDs, institutional perspectives on health organizations, people living with hiV/aiDs organizations, sub-saharan africa People living with HIV/AIDS (PLWHA) organizations are understudied in communication research. PLWHA organizations are non-profit organizations (NPOs) constituted and operated primarily by volunteers who are PLWHA. These organizations emerge out of dissatisfaction with responses to the HIV/AIDS epidemic by more powerful societal actors (e.g., government); they pursue the interests of PLWHA by advocating on behalf of PLWHA in their communities and societies (Maguire et al., 2001). It is important to focus on PLWHA organizations because PLWHA in the Global South face continuing problems such as stigma and discrimination (Okoror et al., 2014). Moreover, these organizations have implications for the empowerment, support, and wellbeing of PLWHA.Although one body of communication research on health organizations has recognized a variety of public health organizations (e.g

show abstract

Older Adults' Perspectives on HIV/AIDS Prevention Strategies for Rural Kenya

Cited by 21 publications

References 43 publications

Gender and HIV infection in the context of alcoholism in Kenya

Gender and HIV infection in the context of alcoholism in Kenya

Advocating for HIV Prevention and Care

An Institutional Field of People Living with HIV/AIDS Organizations in Tanzania: Agency, Culture, Dialogue, and Structure

Contact Info

Product

Resources

About