Confronting the 'sugar daddy' stereotype: age and economic asymmetries and risky sexual behavior in urban Kenya.

摘要: Context: "Sugar daddy" relationships which are characterized by large age and economic asymmetries between partners believed to be a major factor in the spread of HIV Sub-Saharan Africa. Information is needed about sugar daddy partnerships-and symmetries more generally-to determine how common they whether related unsafe sexual behavior. Methods: The sample comprised 1052 men aged 21-45 who were surveyed Kisumu Kenya 2001. Data on these their 1614 recent nonmarital partnerships analyzed calculate prevalence daddies as well range disparities within partnerships. Logistic regression models constructed assess condom use at last intercourse various measures asymmetry. Results: mean difference was 5.5 years 47% mens female adolescents. Fourteen percent involved an least 10 23% than amount male-to-female material assistance. Men reported one partnership with both characteristics defined made up 5% sample; accounted for 4% Sugar largest associated decreased odds use. Conclusions: Although not pervasive generally assumed relatively common. All types nonuse condoms. Increasing womens power asymmetric could improve ability negotiate safer behaviors such (authors)