Tag Archives: Demographic factors

Married women’s negotiation for safer sexual intercourse in Kenya: Does experience of female genital mutilation matter?

Clinical Simulation in Nursing. 2017 Dec;14:79-84. doi: 10.1016/j.srhc.2017.09.003. Epub 2017 Sep 30.

Married women’s negotiation for safer sexual intercourse in Kenya: Does experience of female genital mutilation matter?

Chai X, Sano Y, Kansanga M, Baada J, Antabe R

ABSTRACT

OBJECTIVE: Married women’s ability to negotiate for safer sex is important for HIV prevention in sub-Saharan Africa, including Kenya. Yet, its relationship to female genital mutilation is rarely explored, although female genital mutilation has been described as a social norm and marker of womanhood that can control women’s sexuality. Drawing on the social normative influence theory, this study addressed this void in the literature. METHODS: We analysed data from the 2014 Kenya Demographic and Health Survey using logistic regression. Our sample included 8,602 married women. Two indicators of safer sex, namely the ability to refuse sex and the ability to ask for condom use, were explored. RESULTS: We found that women who had undergone genital mutilation were significantly less likely to report that they can refuse sex (OR=0.87; p<.05) and that they can ask for condom use during sexual intercourse (OR=0.62; p<.001) than their counterparts who had not undergone genital mutilation, while controlling for theoretically relevant variables. CONCLUSION: Our findings indicate that the experience of female genital mutilation may influence married women’s ability to negotiate for safer sex through gendered socialization and expectations. Based on these findings, several policy implications are suggested. For instance, culturally sensitive programmes are needed that target both married women who have undergone genital mutilation and their husbands to understand the importance of safer sexual practices within marriage.

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The relation of female circumcision to sexual behavior in Kenya and Nigeria

Women Health. 2016 Jun 29:1-18. [Epub ahead of print]

The relation of female circumcision to sexual behavior in Kenya and Nigeria.

Mpofu S, Odimegwu C, De Wet N, Adedini S, Akinyemi J

ABSTRACT

One of the reasons for the perpetuation of female circumcision is that it controls female sexuality. In this study, the authors examined the relationship between female circumcision and the sexual behavior of women in Kenya and Nigeria. Data on women who were aware of circumcision and were circumcised were extracted from the Kenya Demographic and Health Survey of 2008-09 as well as the Nigeria Demographic and Health Survey of 2008. The sample size was 7,344 for Kenya and 16,294 for Nigeria. The outcome variables were age at first intercourse and total lifetime number of sexual partners. The study hypothesis was that women who were circumcised were less likely to have initiated sex early and to have only one sex partner. Cox proportional hazards regression and Poisson regression were used to examine the relations of female circumcision and other selected variables to sexual behavior. No association was observed between female circumcision and the outcomes for sexual behavior of women in Kenya and Nigeria. The argument of sexual chastity is insufficient to sustain the perpetuation of female circumcision.

This article can be accessed in this LINK