IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v67y2008i5p799-807.html
   My bibliography  Save this article

Vulnerability, gender and "proxy negativity": Women in relationships with HIV-positive men in Australia

Author

Listed:
  • Persson, Asha
  • Richards, Wendy

Abstract

In contemporary international HIV discourse, women are positioned as especially vulnerable to HIV. This vulnerability is ascribed to gender inequality and its many structural, social and sexual manifestations. It is an important discourse in that it foregrounds how the realities of women worldwide constrain their ability to control their lives and bodies and, consequently, their ability to protect themselves against HIV infection. At the same time, its analysis rarely exceeds a generalised description of gender and power and, as such, fails to usefully engage with the specificity of serodiscordant gender relationships. Drawing on qualitative interviews with HIV-negative women and their HIV-positive male partners, who participated in a larger study on HIV and heterosexuality in Australia, we argue that without a considered analysis of the gendered interplay of differing HIV statuses, the vulnerability discourse remains limited in its capacity to capture the diverse, complex ways in which these HIV-negative women negotiate HIV in their sexual lives, how they are positioned in their relationships, and how vulnerability can figure in less obvious ways. We discuss how gendered meanings invested in the women's HIV-negative status constituted a powerful conduit to heteronormality for their male partners. The mixing of serostatuses made it possible for the men to assume a kind of proxy negativity, a desired state of redeemed masculinity. We explore two ways in which this proxy negativity operated among the couples and shaped their sexual practices. As a result, this paper makes an important contribution by showing how vulnerability to HIV infection can hinge on the different ways serodiscordant couples manage gendered meanings around serostatus emotionally and sexually.

Suggested Citation

  • Persson, Asha & Richards, Wendy, 2008. "Vulnerability, gender and "proxy negativity": Women in relationships with HIV-positive men in Australia," Social Science & Medicine, Elsevier, vol. 67(5), pages 799-807, September.
  • Handle: RePEc:eee:socmed:v:67:y:2008:i:5:p:799-807
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(08)00245-1
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Mill, Judy E. & Anarfi, John K., 2002. "HIV risk environment for Ghanaian women: challenges to prevention," Social Science & Medicine, Elsevier, vol. 54(3), pages 325-337, February.
    2. Campbell, Carole A., 1995. "Male gender roles and sexuality: Implications for women's AIDS risk and prevention," Social Science & Medicine, Elsevier, vol. 41(2), pages 197-210, July.
    3. Smith Fawzi, M. C. & Lambert, W. & Singler, J. M. & Tanagho, Y. & Léandre, F. & Nevil, P. & Bertrand, D. & Claude, M. S. & Bertrand, J. & Louissaint, M. & Jeannis, L. & Mukherjee, J. S. & Goldie, S. &, 2005. "Factors associated with forced sex among women accessing health services in rural Haiti: implications for the prevention of HIV infection and other sexually transmitted diseases," Social Science & Medicine, Elsevier, vol. 60(4), pages 679-689, February.
    4. Peretti-Watel, P. & Spire, B. & Schiltz, M.A. & Bouhnik, A.D. & Heard, I. & Lert, F. & Obadia, Y., 2006. "Vulnerability, unsafe sex and non-adherence to HAART: Evidence from a large sample of French HIV/AIDS outpatients," Social Science & Medicine, Elsevier, vol. 62(10), pages 2420-2433, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Smith, Daniel Jordan & Mbakwem, Benjamin C., 2010. "Antiretroviral therapy and reproductive life projects: Mitigating the stigma of AIDS in Nigeria," Social Science & Medicine, Elsevier, vol. 71(2), pages 345-352, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lori Hunter & John Reid-Hresko & Thomas Dickinson, 2011. "Environmental Change, Risky Sexual Behavior, and the HIV/AIDS Pandemic: Linkages Through Livelihoods in Rural Haiti," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 30(5), pages 729-750, October.
    2. Poulin, Michelle, 2007. "Sex, money, and premarital partnerships in southern Malawi," Social Science & Medicine, Elsevier, vol. 65(11), pages 2383-2393, December.
    3. Loubiere, Sandrine & Peretti-Watel, Patrick & Boyer, Sylvie & Blanche, Jérôme & Abega, Séverin-Cécile & Spire, Bruno, 2009. "HIV disclosure and unsafe sex among HIV-infected women in Cameroon: Results from the ANRS-EVAL study," Social Science & Medicine, Elsevier, vol. 69(6), pages 885-891, September.
    4. Luissa Vahedi & Heather Stuart & Stéphanie Etienne & Sabine Lee & Susan A Bartels, 2021. "The Distribution and Consequences of Sexual Misconduct Perpetrated by Peacekeepers in Haiti: An Exploratory Cross-Sectional Analysis," Social Sciences, MDPI, vol. 10(7), pages 1-33, July.
    5. Patou Masika Musumari & Edwin Wouters & Patrick Kalambayi Kayembe & Modeste Kiumbu Nzita & Samclide Mutindu Mbikayi & S Pilar Suguimoto & Teeranee Techasrivichien & Bhekumusa Wellington Lukhele & Chri, 2014. "Food Insecurity Is Associated with Increased Risk of Non-Adherence to Antiretroviral Therapy among HIV-Infected Adults in the Democratic Republic of Congo: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-10, January.
    6. Stoebenau, Kirsten & Heise, Lori & Wamoyi, Joyce & Bobrova, Natalia, 2016. "Revisiting the understanding of “transactional sex” in sub-Saharan Africa: A review and synthesis of the literature," Social Science & Medicine, Elsevier, vol. 168(C), pages 186-197.
    7. Donna Dosman & Janet Fast & Sherry Chapman & Norah Keating, 2006. "Retirement and Productive Activity in Later Life," Journal of Family and Economic Issues, Springer, vol. 27(3), pages 401-419, September.
    8. Chaudoir, Stephenie R. & Fisher, Jeffrey D. & Simoni, Jane M., 2011. "Understanding HIV disclosure: A review and application of the Disclosure Processes Model," Social Science & Medicine, Elsevier, vol. 72(10), pages 1618-1629, May.
    9. Sanders, Teela, 2006. "Female sex workers as health educators with men who buy sex: Utilising narratives of rationalisations," Social Science & Medicine, Elsevier, vol. 62(10), pages 2434-2444, May.
    10. Yeboah, Ian E.A., 2007. "HIV/AIDS and the construction of Sub-Saharan Africa: Heuristic lessons from the social sciences for policy," Social Science & Medicine, Elsevier, vol. 64(5), pages 1128-1150, March.
    11. Kathryn M. Yount & AliceAnn Crandall & Yuk Fai Cheong & Theresa L. Osypuk & Lisa M. Bates & Ruchira T. Naved & Sidney Ruth Schuler, 2016. "Child Marriage and Intimate Partner Violence in Rural Bangladesh: A Longitudinal Multilevel Analysis," Demography, Springer;Population Association of America (PAA), vol. 53(6), pages 1821-1852, December.
    12. Préau, Marie & Beaulieu-Prévost, Dominic & Henry, Emilie & Bernier, Adeline & Veillette-Bourbeau, Ludivine & Otis, Joanne, 2015. "HIV serostatus disclosure: development and validation of indicators considering target and modality. Results from a community-based research in 5 countries," Social Science & Medicine, Elsevier, vol. 146(C), pages 137-146.
    13. Dima, Alexandra L. & Stutterheim, Sarah E. & Lyimo, Ramsey & de Bruin, Marijn, 2014. "Advancing methodology in the study of HIV status disclosure: The importance of considering disclosure target and intent," Social Science & Medicine, Elsevier, vol. 108(C), pages 166-174.
    14. Choi, Susanne Y.P. & Cheung, Yuet Wah & Chen, Kanglin, 2006. "Gender and HIV risk behavior among intravenous drug users in Sichuan Province, China," Social Science & Medicine, Elsevier, vol. 62(7), pages 1672-1684, April.
    15. Silberschmidt, Margrethe, 2001. "Disempowerment of Men in Rural and Urban East Africa: Implications for Male Identity and Sexual Behavior," World Development, Elsevier, vol. 29(4), pages 657-671, April.
    16. Luetke, Maya & Judge, Ashley & Kianersi, Sina & Jules, Reginal & Rosenberg, Molly, 2020. "Hurricane impact associated with transactional sex and moderated, but not mediated, by economic factors in Okay, Haiti," Social Science & Medicine, Elsevier, vol. 261(C).
    17. Moore, Ami R. & Oppong, Joseph, 2007. "Sexual risk behavior among people living with HIV/AIDS in Togo," Social Science & Medicine, Elsevier, vol. 64(5), pages 1057-1066, March.
    18. Angela Wangari Walter & Cesar Morocho, 2021. "HIV Related Knowledge, HIV Testing Decision-Making, and Perceptions of Alcohol Use as a Risk Factor for HIV among Black and African American Women," IJERPH, MDPI, vol. 18(9), pages 1-19, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:67:y:2008:i:5:p:799-807. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.