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RELIGION, HIV/AIDS AND SEXUAL RISK-TAKING AMONG MEN IN GHANA

Published online by Cambridge University Press:  09 March 2010

STEPHEN OBENG GYIMAH ,
ERIC Y. TENKORANG ,
BAFFOUR K. TAKYI ,
JONES ADJEI  and
GABRIEL FOSU
STEPHEN OBENG GYIMAH
Affiliation:
Department of Sociology, Queen's University, Kingston, Ontario, Canada African Population & Health Research Center, Nairobi, Kenya
ERIC Y. TENKORANG
Affiliation:
Department of Sociology, University of Western Ontario, London, Ontario, Canada
BAFFOUR K. TAKYI
Affiliation:
Department of Sociology, University of Akron, Akron, Ohio, USA
JONES ADJEI
Affiliation:
Department of Sociology, Queen's University, Kingston, Ontario, Canada
GABRIEL FOSU
Affiliation:
Center for Scientific Review, National Institutes of Health, Bethesda, Maryland, USA
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Summary

Although a growing body of research has linked religious involvement with HIV/AIDS protective behaviour in Africa, the focus has mainly been on women. Given the patriarchal nature of African culture, this paper argues for the inclusion of men, a critical group whose sexual behaviours have increasingly been linked to the spread and sustenance of the virus in the region. Drawing on different theoretical discourses and using data from the 2003 Ghana Demographic and Health Survey, this paper examines how religious affiliation influences men's risky sexual behaviours. While the results from the bivariate analysis suggested that Muslims and Traditionalists were significantly less likely to engage in risky sexual behaviour compared with Christians, those differences disappeared once socioeconomic variables were controlled, rendering support for the selectivity thesis. This finding could benefit programmatic and policy formulation regarding AIDS prevention in Ghana.

Type
Research Article
Information
Journal of Biosocial Science , Volume 42 , Issue 4 , July 2010 , pp. 531 - 547
Copyright
Copyright © Cambridge University Press 2010

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References

Addai, I. (1999) Does religion matter in contraceptive use among Ghanaian women? Review of Religious Research 40, 259–277.CrossRefGoogle Scholar
Addai, I. (2000) Religious affiliation and sexual initiation among Ghanaian women. Review of Religious Research 41, 328–343.CrossRefGoogle Scholar
Adepegba, B. (2001) Canada rises up for Sharia convict. PM News, Lagos, 2nd January 2001.Google Scholar
Adogame, A. (2007) HIV/AIDS support and African Pentecostalism: The case of the Redeemed Christian Church of God (RCCG). Journal of Health Psychology 12, 475–483.CrossRefGoogle ScholarPubMed
Agadjanian, V. (2001) Religion, social milieu, and contraceptive revolution. Population Studies 55, 135–148.CrossRefGoogle Scholar
Akwara, P. A., Fosu, G. B., Govindasamy, P., Alayón, S. & Hyslop, A. (2005) An In-depth Analysis of HIV Prevalence in Ghana: Further Analysis of Demographic and Health Surveys Data. ORC Macro, Calverton, MD, USA.Google Scholar
Allain, J. P., Anokwa, M., Casbard, A., Owusu-Ofori, S. & Dennis-Antwi, J. (2004) Sociology and behavior of West African blood donors: the impact of religion on HIV infection. Vox Sanguinis 87, 233–240.CrossRefGoogle Scholar
Amuyunzu-Nyamongo, M., Tendo-Wambua, L., Babishangire, B., Nyagero, J., Yitbarek, N., Matasha, E. & Omurwa, T. (1999) Barriers to behavior change as a response to STD including HIV/AIDS: The East African experience. In Caldwell, J. & Caldwell, P. (eds) Resistances to Behavior Change to Reduce HIV/Aids Infection in Predominantly Heterosexual Epidemics in Third World Countries. Health Transition Centre, Australian National University, pp. 1–11.Google Scholar
Anarfi, J. (1993) Sexuality, migration and AIDS in Ghana: A socio-behavioral study. Health Transition Review 3 (Supplement), 45–67.Google Scholar
Awusabo-Asare, K., Abane, A. M. & Kumi-Kyereme, A. (2004) Adolescent Sexual and Reproductive Health: A Synthesis of Research Evidence. The Alan Guttmacher Institute, New York, No. 13.Google Scholar
BBC News (2005) Africans Trust Religious Leaders. URL: http://news.bbc.co.uk/1/hi/world/africa/4246754.stm (accessed 4th September 2005).Google Scholar
BBC News (2009) HIV Infections and Deaths Fall as Drugs have Impact. URL: http://news.bbc.co.uk/2/hi/health/8375297.stm (accessed 24th November 2009).Google Scholar
Bediako, K. (1995) Christianity in Africa: Renewal of a Non-Western Religion. Edinburgh University Press, Edinburgh.Google Scholar
Booysen, F. R. (2004) HIV/AIDS, poverty and risky sexual behavior in South Africa. African Journal of AIDS Research 3, 57–67.CrossRefGoogle Scholar
Brockerhoff, M. & Biddlecom, A. (1999) Migration, sexual behavior and the risk of HIV in Kenya. International Migration Review 33, 833–856.CrossRefGoogle Scholar
Caldwell, J. (2000) Rethinking the African AIDS epidemic. Population and Development Review 26, 17–135.CrossRefGoogle Scholar
Caldwell, J. C. (1999) Reasons for limited sexual behavioral change in the sub-Saharan AIDS epidemic, and possible future intervention strategies. In Caldwell, J. et al. (eds) Resistances to Behavioral Change to Reduce HIV/AIDS Infections in Predominantly Heterosexual Epidemics in Third World Countries. Health Transition Centre, Australian National University, pp. 241–256.Google Scholar
Caldwell, J. & Caldwell, P. (1993) The nature and limits of the sub-Saharan African AIDS epidemic: Evidence from geographic and other patterns. Population and Development Review 19, 817–848.CrossRefGoogle Scholar
Caldwell, J., Caldwell, P., Ankrah, E. M., Anarfi, J. K., Agyeman, D. K., Awusabo-Asare, K. & Orubuloye, I. O. (1993) African families and AIDS: Context, reactions and potential interventions. Health Transition Review 3 (Supplement), 1–16.Google ScholarPubMed
Caldwell, J., Caldwell, P. & Orubuloye, I. (1992) The family and sexual networking in sub-Saharan African. Population Studies 46, 385–410.CrossRefGoogle Scholar
Caldwell, J., Caldwell, P. & Quiggin, P. (1989) The social context of AIDS in sub-Saharan Africa. Population and Development Review 15, 185–234.CrossRefGoogle Scholar
Chatterji, M., Murray, N., London, D. & Anglewicz, P. (2004) The Factors Influencing Transactional Sex among Young Men and Women in 12 sub-Saharan African Countries. Report prepared for USAID. No. HRN-C-00-00-00006-00. URL: http://www.policyproject.com/pubs/countryreports/Trans_Sex.pdf (accessed 27th November 2009).Google Scholar
Chesnut, R. A. (1997) Born Again in Brazil: The Pentecostal Boom and the Pathogens of Poverty. Rutgers University Press, New Brunswick, NJ, USA.Google Scholar
Dinkelman, T., Lam, D. & Leibbrandt, M. (2008) Linking poverty and income shocks to risky sexual behavior: Evidence from a panel study in Cape Town. South African Journal of Economics 76, s52–74.CrossRefGoogle Scholar
Dodoo, F. N-A. (1995) Explaining contraceptive use differences: Do men play a role? African Population Studies 10, 15–37.Google Scholar
Dodoo, F. N-A. & van Landewijk, P. (1996) Men, women, and the fertility question in sub-Saharan Africa: An example from Ghana. African Studies Review 39, 29–41.CrossRefGoogle Scholar
Ezeh, A. (1993) The influence of spouses over each other's contraceptive attitudes in Ghana. Studies in Family Planning 24, 163–174.CrossRefGoogle ScholarPubMed
Gallup International (2000) Religion in the World at the End of the Millennium. Gallup International. URL: http://www.gallup-international.com (accessed 16th October 2003).Google Scholar
Garner, R. C. (2000) Safe sect? Dynamic religion and AIDS in South Africa. Journal of Modern African Studies 38, 41–69.CrossRefGoogle Scholar
Ghana Statistical Service (GSS) & Macro International Inc. (MI) (2004) Ghana Demographic and Health Survey 2003. GSS and MI, Calverton, MD, USA.Google Scholar
Gifford, P. (1994) Some recent developments in African Christianity. African Affairs 93, 513–534.CrossRefGoogle Scholar
Gyimah, S. O. (2007) What has faith got to do with it? Religion and child survival in Ghana. Journal of Biosocial Science 39, 923–937.CrossRefGoogle Scholar
Gyimah, S. O., Takyi, B. K. & Addai, I. (2006) Challenges to the reproductive health needs of African women: On religion and maternal health utilization in Ghana. Social Science & Medicine 62, 2930–2944.CrossRefGoogle Scholar
Gyimah, S. O., Takyi, B. K. & Tenkorang, E. (2008) Denominational affiliation and fertility behaviour in an African context: An examination of couple data from Ghana. Journal of Biosocial Science 40(3), 445–458.CrossRefGoogle Scholar
Hargreaves, J. & Boler, T. (2006) Girl power: The impact of girls' education on HIV and sexual behaviour. Education and HIV series 01, ActionAid.Google Scholar
Heike, B. (2007) The rise of occult powers, AIDS and the Roman Catholic Church in Western Uganda. Journal of Religion in Africa 37, 41–58.Google Scholar
Hummer, R. A., Ellison, C., Rogers, R. G., Moulton, B. E. & Romero, R. R. (2004) Religious involvement and adult mortality in the United States: Review and perspectives. Southern Medical Journal 97, 1223–1230.CrossRefGoogle Scholar
Jenkins, P. (2002) The Next Christendom: The Coming of Global Christianity. Oxford University Press, Oxford and New York.CrossRefGoogle Scholar
Kagimu, M., Marum, E., Wabwire-Mangen, F., Nakyanjo, N., Walakira, Y. & Hogle, J. (1998) Evaluation of the effectiveness of AIDS health education intervention in the Muslim community in Uganda. AIDS Education & Prevention 10, 215–218.Google ScholarPubMed
Kongnyuy, E. J., Wiysonge, C. S., Mbu, R. E., Nana, P. & Kouam, L. (2006) Wealth and sexual behavior among men in Cameroun. BMC International Health and Human Rights 6, 11.CrossRefGoogle Scholar
Lagarde, E., Enel, C., Seck, K., Gueye-Ndiaye, A., Piau, J. P., Pison, G. et al. (2000) Religion and protective behaviors towards AIDS in rural Senegal. AIDS 14, 2027–2033.CrossRefGoogle ScholarPubMed
Lehrer, E. L. (2004) The role of religion in union formation: An economic perspective. Population Research and Policy Review 23, 161–185.CrossRefGoogle Scholar
Macintyre, K., Brown, L. & Sosler, S. (2001) It's not what you know, but who you knew: Examining the relationship between behavior change and AIDS mortality in Africa. AIDS Education and Prevention 13, 160–174.CrossRefGoogle Scholar
Maxwell, D. (1998) Delivered from the spirit of poverty? Pentecostalism, prosperity and modernity in Zimbabwe. Journal of Religion in Africa 28, 350–373.Google Scholar
Meekers, D. (1994) Sexual initiation and premarital childbearing in sub-Saharan Africa. Population Studies 48, 47–64.CrossRefGoogle Scholar
Ministry of Health Ghana (2007) HIV Sentinel Survey 2006 Report. March. Accra.Google Scholar
Ojo, O. D. (2000) Knowledge, attitudes and practices of parents and teachers in relation to adolescents reproductive health training in Osun State, Nigeria. PhD Thesis, Faculty of Education, Department of Foundations and Counselling, Obafemi Awolowo University, Ile-Ife, Nigeria.Google Scholar
Oppong, C. (1995) A high price to pay: For education, subsistence or a place in the job market. Health Transition Review 5 (Supplement), 3556.Google Scholar
Parkhurst, J. (2001) The crisis of AIDS and the politics of response: The case of Uganda. International Relations 15, 69–87.CrossRefGoogle Scholar
Rutenberg, N. & Watkins, S. C. (1997) The buzz outside the clinics: Conversations and contraception in Nyanza Province, Kenya. Studies in Family Planning 28, 290–307.CrossRefGoogle ScholarPubMed
Sauve, N., Dzokoto, A., Opare, B., Kaitoo, E. E., Khonde, N., Mondor, M., Bekoe, V. & Pepin, J. (2002) The price of development: HIV infection in semiurban community of Ghana. Journal of Acquired Immune Deficiency Syndrome 20, 402–408.CrossRefGoogle Scholar
Skrondal, A. & Rabe-Hesketh, S. (2004) Generalized Latent Variable Modeling: Multilevel, Longitudinal, and Structural Equation Models. Chapman & Hall/CRC, Boca Raton, FL, USA.CrossRefGoogle Scholar
Susser, I. & Stein, Z. (2000) Culture, sexuality, and women's agency in the prevention of HIV/AIDS in Southern Africa. American Journal of Public Health 90, 1042–1048.Google ScholarPubMed
Takyi, B. K. (2003) Religion and women's health in Ghana: Insight into HIV/AIDS preventive and protective behavior. Social Science & Medicine 56, 1221–1234.CrossRefGoogle ScholarPubMed
Takyi, B. K. & Addai, I. (2002) Effects of ethnicity on the onset of parenthood in a developing Country: The early 1990s. Journal of Comparative Family Studies 33, 51–71.CrossRefGoogle Scholar
Takyi, B. K. & Addai, I. (2003) Population Growth and Socioeconomic Development in Ghana. In Tettey, W. J., Puplampu, K. P. & Berman, B. J. (eds) Critical Perspectives on Political and Socio-Economic Developments in Ghana. Brill Academic Press, Boston, MA, USA, pp. 223–237.Google Scholar
Tenkorang, E. Y. & Fernando, R. (2008) A Multi-level Analysis of Poverty and Sexual Risk-taking of Young People in Cape Town, South Africa. Paper presented at the international conference Investing in Young People's Health and Development: Research That Improves Policies and Programs,Abuja, Nigeria,27–30th April 2008.Google Scholar
Tenkorang, E. Y., Fernando, R. & Maticka-Tyndale, E. (2009) Perceived risks of HIV/AIDS and first sexual intercourse among young people in Cape Town, South Africa. AIDS & Behavior 13, 234–245.CrossRefGoogle ScholarPubMed
Tenkorang, E. Y. & Maticka-Tyndale, E. (2008) Factors influencing the timing of first sexual intercourse among young people in Nyanza, Kenya. International Family Planning Perspectives 34, 177–188.CrossRefGoogle ScholarPubMed
Trinitapoli, J. A. & Regnerus, M. D. (2006) Religion and HIV risk behaviors among married men: Initial results from a study in rural sub-Saharan Africa. Journal for the Scientific Study of Religion 45, 505–528.CrossRefGoogle Scholar
UNAIDS (2007) Comparing Adult Antenatal-Clinic Based HIV Prevalence with Prevalence from National Population Based Surveys in sub-Saharan Africa. URL: http://data.unaids.org/pub/Presentation/2007/survey_anc_2007en.pdf (accessed 17th November 2007).Google Scholar
UNAIDS & WHO (2008) Sub-Saharan Africa: AIDS Epidemic Update Regional Summary. URL: http://data.unaids.org/pub/Report/2008/jc1526_epibriefs_ssafrica_en.pdf (accessed 18th July 2008).Google Scholar
UNAIDS (2004) UNAIDS 2004 Report on the Global AIDS Epidemic – Executive Summary. URL: http://www.unaids.org/bangkok2004/gar2004_html/GAR2004_00_en.htm (accessed 2nd December 2009).Google Scholar
UNAIDS/WHO (2003) Women and HIV/AIDS: Confronting the Crises. A joint report by UNAIDS/UNFPA/UNIFEM. URL: //www.genderandaids.org/downloads/conference/308_filename_women_aids1.pdf (accessed 2nd December 2009).Google Scholar
Waithaka, M. & Bessinger, R. (2001) Sexual Behavior and Condom Use in the Context of HIV Prevention in Kenya. A report prepared for USAID, No. HRN-A-00-97-00018-00. URL http://www.heart-intl.net/HEART/Internat/Comp/SexualBehaviorKenya.pdf (accessed 27th November 2009).Google Scholar
World Bank (1997) Confronting AIDS: Public Priorities in a Global Epidemic. Oxford University Press, New York.Google Scholar
Yamba, B. (1997) Cosmologies in turmoil: Witchfinding and AIDS in Chiawa, Zambia. Africa 67, 200–223.CrossRefGoogle Scholar
Zaba, B., Pisani, E., Slaymaker, E. & Boerma, T. J. (2004) Age at first sex: Understanding recent trends in African demographic surveys. Sexually Transmitted Infections 80, 28–35.CrossRefGoogle ScholarPubMed
Zellner, S. L. (2003) Condom use and accuracy of AIDS knowledge in Cote' D'Ivoire. International Family Planning Perspectives 29, 41–47.CrossRefGoogle ScholarPubMed
Zenebe, M. (2007) Intersection between religion and HIV/AIDS in Addis Ababa: Some contradictions and paradoxes. Paper presented at AEGIS Conference,Leiden, the Netherlands.Google Scholar