Attitude towards negotiating safer sexual relations: Exploring power dynamics among married couples in India

The study primarily focuses on analyzing married women's attitudes towards negotiating safer sex in two contexts. The first context is when a woman refuses to have sex with husband if she knows her husband has a sexually transmitted disease (STD) and the second is when she does so if she knows...

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Bibliographic Details
Published in:Journal of biosocial science 2023-05, Vol.55 (3), p.495-508
Main Authors: Vishwakarma, Deepanjali, Sharma, Santosh Kumar, Kukreti, Shikha, Singh, S K
Format: Article
Language:English
Subjects:
Attitude
Attitudes
Bargaining
Condoms
Decision making
Female
Habits
Health surveys
Households
Humans
Husbands
India
Male
Marriage
Married couples
Negotiating
Power
Power structure
Safe sexual practices
Sex
Sexual Behavior
Sexually Transmitted Diseases
Spouses
STD
Well being
Wives
Women
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Summary:The study primarily focuses on analyzing married women's attitudes towards negotiating safer sex in two contexts. The first context is when a woman refuses to have sex with husband if she knows her husband has a sexually transmitted disease (STD) and the second is when she does so if she knows he has sex with other women. The study examined predictors of Indian women's attitude towards negotiating safer-sex using data on 92,306 ever married women from the state module of the 2015-16, National Family Health Survey 4. Descriptive and multilevel logistic regression was used to understand the interplay between the attitude towards negotiation of safer sexual relationships with husband and the selected background characteristics with a primary focus on controlling behaviour and power relations. About 17% of women did not believe in negotiating safer sexual relations with the husband. An approximately equal proportion of ever-married women (79% each) believed in doing so under the two specific conditions, that is, if they knew the husband had an STD and they knew he had sex with other women. Multilevel regression analysis showed that women who had household decision-making power [AOR=0.71; p
ISSN:0021-9320
1469-7599
DOI:10.1017/S0021932022000220