Barriers to achieving the first 90%: gender norms and HIV testing among men in the Democratic Republic of the Congo

References

• Auerbach, J., Parkhurst, J., & Cáceres, C. (2011). Addressing social drivers of HIV/AIDS for the long-term response: Conceptual and methodological considerations. Global Public Health, 6(sup3), S293–309. doi: 10.1080/17441692.2011.594451
   PubMed Web of Science ®Google Scholar
• Baker, P., Dworkin, S., Tong, S., Banks, I., Shand, T., & Yamey, G. (2014). The men’s health gap: Men must be included in the global health equity agenda. Bulletin of the World Health Organization, 92, 618–620. doi: 10.2471/BLT.13.132795
   PubMed Web of Science ®Google Scholar
• Barker, G., Contreras, J. M., Heilman, B., Singh, A. K., Verma, R. K., & Nascimento, M. (2011). Evolving men: Initial results from the international Men and gender equality survey (IMAGES). Washington, DC: International Center for Research on Women (ICRW) and Instituto Promundo. Retrieved from https://www.icrw.org/wp-content/uploads/2016/10/Evolving-Men-Initial-Results-from-the-International-Men-and-Gender-Equality-Survey-IMAGES-1.pdf
   Google Scholar
• Barker, G., Ricardo, C., Nascimento, M., Olukoya, A., & Santos, C. (2010). Questioning gender norms with men to improve health outcomes: Evidence of impact. Global Public Health, 5, 539–553. doi: 10.1080/17441690902942464
   PubMed Web of Science ®Google Scholar
• Blanc, A. (2001). The effect of power in sexual relationships on sexual and reproductive health: An examination of the evidence. Studies in Family Planning, 32, 189–213. doi: 10.1111/j.1728-4465.2001.00189.x
   PubMed Web of Science ®Google Scholar
• Cornell, M., Myer, L., Kaplan, R., Bekker, L., & Wood, R. (2009). The impact of gender and income on survival and retention in a South African antiretroviral therapy programme. Tropical Medicine and International Health, 14, 722–731. doi: 10.1111/j.1365-3156.2009.02290.x
   PubMed Web of Science ®Google Scholar
• Cubbins, L., Jordan, L., & Nsimba, S. (2014). Tanzanian men’s gender attitudes, HIV knowledge, and risk behaviors. African Population Studies, 28, 1171–1181. doi: 10.11564/28-0-565
   Google Scholar
• DiCarlo, A. L., Mantell, J. E., & Remien, R. H. (2014). “Men usually say that HIV testing is for women”: Gender dynamics and perceptions of HIV testing in Lesotho. Culture, Health, and Sexuality, 16, 867–882. doi: 10.1080/13691058.2014.913812
   PubMed Web of Science ®Google Scholar
• Dovel, K., Yeatman, S., Watkins, S., & Poulin, M. (2015). Men’s heighted risk of AIDS-related death: The legacy of gendered HIV testing and treatment strategies. AIDS, 29, 1123–1125. doi: 10.1097/QAD.0000000000000655
   PubMed Web of Science ®Google Scholar
• Dworkin, S. L., Fleming, P. J., & Colvin, C. J. (2015). The promises and limitations of gender-transformative health programming with men: Critical reflections from the field. Culture, Health, and Sexuality, 17(sup2), 128–143. doi: 10.1080/13691058.2015.1035751
   PubMed Web of Science ®Google Scholar
• Dworkin, S., Treves-Kagan, S., & Lippman, S. (2013). Gender-transformative interventions to reduce HIV risks and violence with heterosexually-active men: A review of the global evidence. AIDS and Behavior, 17, 2845–2863. doi: 10.1007/s10461-013-0565-2
   PubMed Web of Science ®Google Scholar
• Fladseth, K., Gafos, M., Newell, M. L., & McGrath, N. (2015). The impact of gender norms on condom use among HIV-positive adults in Kwazulu-Natal. South Africa. PloS ONE, 10(4), e0129637. doi:10.1371/journal.pone.0122671 doi: 10.1371/journal.pone.0129637
   PubMed Web of Science ®Google Scholar
• Fleming, P. J., Colvin, C., Peacock, D., & Dworkin, S. L. (2016). What role can gender-transformative programming for men play in increasing men’s HIV testing and engagement in HIV care and treatment in South Africa? Culture, Health, and Sexuality, 18, 1251–1264. doi: 10.1080/13691058.2016.1183045
   PubMed Web of Science ®Google Scholar
• Greene, M. E., & Levack, A. (2010). Synchronizing gender strategies: A cooperative model for improving reproductive health and transforming gender relations. Washington: Population Reference Bureau (PRB). Retrieved from http://www.prb.org/igwg_media/synchronizing-gender-strategies.pdf
   Google Scholar
• Gupta, G., Whelan, D., & Allendorf, K. (2003). Integrating gender into HIV/AIDS programmes. Geneva: Department of Gender and Women’s Health, Family and Community Health, World Health Organization. Retrieved from http://hivhealthclearinghouse.unesco.org/sites/default/files/resources/iiep_integratinggenderreview.pdf
   Google Scholar
• Harrison, A., O’Sullivan, L., Hoffman, S., Dolezal, C., & Morrell, R. (2006). Gender role and relationship norms among young adults in South Africa: Measuring the context of masculinity and HIV risk. Journal of Urban Health, 83, 709–722. doi: 10.1007/s11524-006-9077-y
   PubMed Web of Science ®Google Scholar
• Hensen, B., Taoka, S., Lewis, J., Weiss, H., & Hargreaves, J. (2014). Systematic review of strategies to increase men’s HIV-testing in sub-Saharan Africa. AIDS, 28, 2133–2145. doi: 10.1097/QAD.0000000000000395
   PubMed Web of Science ®Google Scholar
• Higgins, J., Hoffman, S., & Dworkin, S. (2010). Rethinking gender, heterosexual men, and women’s vulnerability to HIV/AIDS. American Journal of Public Health, 100, 435–445. doi: 10.2105/AJPH.2009.159723
   PubMed Web of Science ®Google Scholar
• Jewkes, R., & Morrell, R. (2010). Gender and sexuality: Emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention. Journal of the International AIDS Society, 13(6), 1–11. doi: 10.1186/1758-2652-13-6
   PubMed Web of Science ®Google Scholar
• Jewkes R., Nduna M., Levin J., Jama N., Dunkle K., Puren A., & Duvvury N. (2008). Impact of stepping stones on HIV, HSV-2, and sexual behaviour in rural South Africa: Cluster randomised controlled trial. BMJ, 337, a506. doi: 10.1136/bmj.a506
   PubMed Web of Science ®Google Scholar
• Kalichman, S., Simbayi, L., Cloete, A., Clayford, M., Arnolds, W., Mxoli, M., … Kalichman, M. O. (2009). Integrated gender-based violence and HIV risk reduction intervention for South African men: Results of a quasi-experimental field trial. Prevention Science, 10, 260–269. doi: 10.1007/s11121-009-0129-x
   PubMed Web of Science ®Google Scholar
• Kaufman, M., Shefer, T., Crawford, M., Simbayi, L., & Kalichman, S. (2008). Gender attitudes, sexual power, HIV risk: A model for understanding HIV risk behavior of South African men. AIDS Care, 20, 434–441. doi: 10.1080/09540120701867057
   PubMed Web of Science ®Google Scholar
• Lusey, H., San Sebastian, M., Christianson, M., Dahlgren, L., & Edin, K. (2014). Conflicting discourses of church youths on masculinity and sexuality in the context of HIV in Kinshasa, democratic Republic of Congo. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 11, 84–93. doi: 10.1080/17290376.2014.930695
   PubMed Web of Science ®Google Scholar
• Macia, M., Maharaj, P., & Gresh, A. (2011). Masculinity and male sexual behaviour in Mozambique. Culture, Health, and Sexuality, 13, 1181–1192. doi: 10.1080/13691058.2011.611537
   PubMed Web of Science ®Google Scholar
• MacPherson, E., Richards, E., Namakhoma, I., & Theobald, S. (2014). Gender equity and sexual and reproductive health in Eastern and Southern Africa: A critical overview of the literature. Global Health Action, 7, 1–9. doi: 10.3402/gha.v7.23717
   Web of Science ®Google Scholar
• Maganja, R., Maman, S., Groves, A., & Mbwambo, J. (2007). Skinning the goat and pulling the load: Transactional sex among youth in Dar es Salaam. Tanzania. AIDS Care, 19, 974–981. doi: 10.1080/09540120701294286
   PubMed Web of Science ®Google Scholar
• Middlestadt, S., Pulerwitz, J., Nanda, G., Acharya, K., & Lombardo, B. (2007). Gender norms as a key factor that influences SRH behaviors among Ethiopian men, and implications for behavior change programs. Unpublished manuscript. Washington, DC: FHI 360.
   Google Scholar
• Mills, E. J., Beyrer, C., Birungi, J., & Dybul, M. R. (2012). Engaging men in prevention and care for HIV/AIDS in Africa. PloS Medicine, 9(2), e1001167. doi: 10.1371/journal.pmed.1001167
   PubMed Web of Science ®Google Scholar
• Ministère du Plan et Suivi de la Mise en œuvre de la Révolution de la Modernité (MPSMRM), Ministère de la Santé Publique (MSP) et ICF International. (2014). Enquête Démographique et de Santé en République Démocratique du Congo 2013-2014. Rockville, MD: MPSMRM, MSP et ICF International.
   Google Scholar
• Nanda, G. (2011). Compendium of gender scales. Washington, DC: FHI 360/C-Change. Retrieved from https://www.c-changeprogram.org/content/gender-scales-compendium/
   Google Scholar
• Nyamhanga, T. M., Muhondwa, E. P., & Shayo, R. (2013). Masculine attitudes of superiority deter men from accessing antiretroviral therapy in Dar es Salaam, Tanzania. Global Health Action, 6, 21812. doi: 10.3402/gha.v6i0.21812
   PubMed Web of Science ®Google Scholar
• Obermeyer, C., Sankara, A., Bastien, V., & Parsons, M. (2009). Gender and HIV testing in Burkina Faso: An exploratory study. Social Science and Medicine, 69, 877–884. doi: 10.1016/j.socscimed.2009.07.003
   PubMed Web of Science ®Google Scholar
• President’s Emergency Plan for AIDS Relief (PEPFAR). (2012). PEPFAR blueprint: Creating an AIDS-free generation [Internet]. Retrieved from: http://www.pepfar.gov/documents/organization/201386.pdf
   Google Scholar
• President’s Emergency Plan for AIDS Relief (PEPFAR). (2013). Updated gender strategy [Internet]. Retrieved from: http://www.pepfar.gov/documents/organization/219117.pdf
   Google Scholar
• President’s Emergency Plan for AIDS Relief (PEPFAR). (2014). PEPFAR 3.0. Controlling the epidemic: delivering on the promise of an AIDS-free generation. Retrieved from: http://www.pepfar.gov/documents/organization/234744.pdf
   Google Scholar
• Pulerwitz, J., & Barker, G. (2008). Measuring attitudes toward gender norms among young men in Brazil: Development and psychometric evaluation of the GEM scale. Men and Masculinities, 10, 322–338. doi: 10.1177/1097184X06298778
   Web of Science ®Google Scholar
• Pulerwitz, J., Barker, G., Segundo, M., & Nascimento, M. (2006). Promoting more gender-equitable norms and behaviours among young men as an HIV/AIDS prevention strategy. Washington, DC: Horizons Program. Retrieved from http://pdf.usaid.gov/pdf_docs/Pnadf883.pdf
   Google Scholar
• Pulerwitz, J., Michaelis, A., Verma, R., & Weiss, E. (2010). Addressing gender dynamics and engaging men in HIV programs: Lessons learned from horizons research. Public Health Reports, 125(2), 282–292. doi: 10.1177/003335491012500219
   PubMed Web of Science ®Google Scholar
• Rhodes, S. D., McCoyt, T. P., Vissman, A. T., DiClemente, R. J., Duck, S., Hergenrather, K. C., … Eng, E. (2011). A randomized controlled trial of a culturally congruent intervention to increase condom use and HIV testing among heterosexually active immigrant latino men. AIDS and Behavior, 15, 1764–1775. doi: 10.1007/s10461-011-9903-4
   PubMed Web of Science ®Google Scholar
• Shannon, K., Leiter, K., Phaladze, N., Hlanze, Z., Tsai, A. C., Heisler, M., … Weiser, S. D. (2012). Gender inequity norms are associated with increased male-perpetrated rape and sexual risks for HIV infection in Botswana and Swaziland. PloS ONE, 7(1), e28739. doi: 10.1371/journal.pone.0028739
   PubMed Web of Science ®Google Scholar
• Shattuck, D., Burke, H., Ramirez, C., Succop, S., Costenbader, B., Attafuah, J. D., … Guest, G. (2013). Using the inequitable gender norms scale and associated HIV risk behaviors among men at high risk for HIV in Ghana and Tanzania. Men and Masculinities, 16, 540–559. doi: 10.1177/1097184X13502730
   Web of Science ®Google Scholar
• Siu, G. E., Seeley, J., & Wight, D. (2013). Dividuality, masculine respectability and reputation: How masculinity affects men’s uptake of HIV treatment in rural eastern Uganda. Social Science and Medicine, 89, 45–52. doi: 10.1016/j.socscimed.2013.04.025
   PubMed Web of Science ®Google Scholar
• Siu, G., Wight, D., & Seeley, J. (2014). Masculinity, social context and HIV testing: An ethnographic study of men in Busia district, rural eastern Uganda. BMC Public Health, 14(33), 1–11. doi: 10.1186/1471-2458-14-33
   PubMedGoogle Scholar
• Skovdal, M., Campbell, C., Madanhire, C., Mupambireyi, Z., Nyamukapa, C., & Gregson, S. (2011). Masculinity as a barrier to men’s use of HIV services in Zimbabwe. Globalization and Health, 7(13), 1–11. doi: 10.1186/1744-8603-7-13
   PubMed Web of Science ®Google Scholar
• Slegh, H., Barker, G., & Levtov, R. (2014). Gender relations, sexual and gender-based violence and the effects of conflict on women and men in nNorth Kivu, Eastern Democratic Republic of the Congo: results from the International Men and Gender Equality Survey (IMAGES). Washington, DC: Promundo-US and Sonke Gender Justice. Retrieved from https://promundoglobal.org/wp-content/uploads/2014/12/Gender-Relations-Sexual-and-Gender-Based-Violence-and-the-Effects-of-Conflict-on-Women-and-Men-in-North-Kivu-Eastern-DRC-Results-from-IMAGES.pdf
   Google Scholar
• Solorzano, I., Bank, A., Peña, R., Espinoza, M., & Pulerwitz, J. (2008). Catalyzing personal and social change around gender, sexuality, and HIV: Impact evaluation of Puntos de Encuentro’s communication strategy in Nicaragua. Washington, DC: Population Council. Retrieved from http://www.endvawnow.org/uploads/browser/files/sexto_sentido_impact_evaluation_english.pdf
   Google Scholar
• UNAIDS. (2014). 90-90-90: an ambitious treatment target to help end the AIDS epidemic. Geneva: Author. Retrieved from http://www.unaids.org/sites/default/files/media_asset/90-90-90_en.pdf
   Google Scholar
• UNAIDS. (2016). Aids info [internet]. Geneva: UNAIDS. Retrieved from: http://aidsinfo.unaids.org/#
   Google Scholar
• Underwood, C., Hendrickson, Z., Van Lith, L. M., Lengwe Kunda, J. E., & Mallalieu, E. C. (2014). Role of community-level factors across the treatment cascade: A critical review. JAIDS Journal of Acquired Immune Deficiency Syndromes, 66, S311–318. doi: 10.1097/QAI.0000000000000234
   PubMed Web of Science ®Google Scholar
• Verma, R., Pulerwitz, J., Mahendra, V. S., Khandekar, S., Barker, G., Fulpagare, P., & Singh, S. K. (2006). Challenging and changing gender attitudes among young men in Mumbai. India. Reproductive Health Matters, 14, 135–143. doi: 10.1016/S0968-8080(06)28261-2
   PubMed Web of Science ®Google Scholar
• World Health Organization (WHO). (2007). Engaging men and boys in changing gender-based inequity in health: Evidence from programme interventions. Geneva: Author. Retrieved from http://www.who.int/gender/documents/Engaging_men_boys.pdf
   Google Scholar