Inequalities in women’s empowerment and prevalence of HIV in India

Authors

  • Shri Kant Singh Department of Mathematical Demography and Statistics, IIPS, Mumbai, Maharashtra, India
  • Deepanjali Vishwakarma Department of Mathematical Demography and Statistics, IIPS, Mumbai, Maharashtra, India
  • Bhawana Sharma Department of Public Health, TISS, Mumbai, Maharashtra, India
  • Santosh Kumar Sharma Department of Mathematical Demography and Statistics, IIPS, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20203380

Keywords:

Empowerment, Inequality, HIV prevalence, Marital control, Sexual rights, Violence

Abstract

Background: Over the years, there has been growing evidence of continuous narrowing gender gap in new HIV infections, despite stagnation in overall HIV prevalence in India. Among others, one of the reasons behind the exiting pattern in HIV/AIDS in the country is the poor status of women, lack of control over their sexuality and poor reproductive and sexual rights.

Methods: This paper analyses the troika of women’s empowerment, spousal-violence, and HIV prevalence in India using data from two rounds (2005-2006 and 2015-2016) of Indian DHS having a community-based HIV testing.

Results: Results corroborate the recent spurts in women’s empowerment in India, which cuts across socio-economic groups. It has positively influenced a decline in spousal-violence even in the lowest socio-economic strata despite significant inequality across states. HIV prevalence among women has not been changed over the last decade (0.22% to 0.23%) despite decreased adult HIV prevalence. Women having control over their sexuality is significantly less likely to have HIV infection. Relationship between marital control behavior of husband and HIV prevalence, which was significant in 2005-06 (OR=1.2, p<0.10), has emerged to be insignificant in 2015-16. This means that increasing women's empowerment has altered their HIV prevalence through increasing sexual-rights and reducing the intensity of marital control behavior.

Conclusions: A combative relationship has been established between women’s empowerment and their risk of HIV/AIDS. The results have been consistently showing the variations of inequality in women’s empowerment across different states, consequently affecting the risk of HIV/AIDS. Ensuring sexual-rights of women should be the best strategy.

Author Biographies

Shri Kant Singh, Department of Mathematical Demography and Statistics, IIPS, Mumbai, Maharashtra, India

Departmen of mathematical demography and statistics

Deepanjali Vishwakarma, Department of Mathematical Demography and Statistics, IIPS, Mumbai, Maharashtra, India

Senior Research Scholar, Department of Population Studies

Bhawana Sharma, Department of Public Health, TISS, Mumbai, Maharashtra, India

public health

Santosh Kumar Sharma, Department of Mathematical Demography and Statistics, IIPS, Mumbai, Maharashtra, India

population studies

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Published

2020-07-24

How to Cite

Singh, S. K., Vishwakarma, D., Sharma, B., & Sharma, S. K. (2020). Inequalities in women’s empowerment and prevalence of HIV in India. International Journal Of Community Medicine And Public Health, 7(8), 3069–3080. https://doi.org/10.18203/2394-6040.ijcmph20203380

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Section

Original Research Articles