@article{Poulin_25_28,
author = {Poulin, Michelle and Muula, Adamson S.},
title={{An inquiry into the uneven distribution of women’s HIV infection in rural Malawi}},
journal = {Demographic Research},
volume = {25},
number = {28},
pages = {869--902},
doi = {10.4054/DemRes.2011.25.28},
year = {2011},
abstract = {Ecological comparisons in sub-Saharan Africa show that HIV prevalence is lower where men are generally circumcised than where they are not. Randomized controlled trials have found a 50-60% reduction in HIV acquisition for newly circumcised men. Yet in Malawi, HIV prevalence is highest in several districts in the Southern Region, where men are commonly circumcised. We draw upon a population-based sample of ever-married women to explore this unexpected finding. Our data show that in the southern district of Balaka, women with circumcised spouses have a lower probability of HIV infection compared to those with uncircumcised spouses. However, the strength of this effect is conditioned by specific marital histories: among women with circumcised spouses, those with multiple marriages and an absence of spousal co-residence have a higher probability of HIV infection than do those married once and those who have never lived apart from their spouses. The history of marital turnover and female-headed households among the ethnic groups of Balaka offer insight into the district’s elevated HIV levels.},
URL = {https://www.demographic-research.org/volumes/vol25/28/},
eprint = {https://www.demographic-research.org/volumes/vol25/28/25-28.pdf}
}