@article{ref1,
title="Social and demographic predictors of gender inequality among heterosexual couples expecting a child in central Kenya",
journal="Global social welfare",
year="2019",
author="Vrana-Diaz, Caroline J. and Gichangi, Anthony and Sweat, Michael and Selassie, Anbesaw and Richey, Lauren and Gebregziabher, Mulugeta and Korte, Jeffrey E.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Imbalance of power and equality in sexual relationships is linked to health in various ways, including (1) reduced ability to get information or take action, (2)  increased violence between partners, and (3) influence on the reduced use of health  services. While there has been research assessing multiple social and economic  variables related to gender inequality, studies have used many different definitions  of gender inequality, and there is a lack of this research within a pregnancy  context. Here, we attempt to identify social and economic predictors of gender  inequality (measured by decision-making power and acceptance of intimate partner  violence) within heterosexual couples expecting a child in central Kenya. We ran a  secondary data analysis using data from a three-arm individually randomized  controlled HIV self-testing intervention trial conducted in 14 antenatal clinics in  central and eastern Kenya among 1410 women and their male partners. The analysis  included Cochran Mantel-Haenszel, logistic regression, proportional odds models, and  generalized linear mixed model (GLMM) framework to account for site-level  clustering. Overall, we show that there are significant social and economic  variables associated with acceptance of intimate partner violence including higher  age, being married, &quot;other&quot; religion, lower partner education, higher wealth status,  and variables associated with decision-making power including lower partner  education and lack of equality in earnings. This study contributes to the literature  on the influence of social and economic factors on gender inequality, especially in  Kenya which has a high burden of HIV/AIDS. Our results show some areas to improve  these specific factors (including education and employment opportunities) or create  interventions for targeted populations to potentially improve gender equality in  heterosexual pregnant couples in Kenya.<p /> <p>Language: en</p>",
language="en",
issn="2196-8799",
doi="10.1007/s40609-019-00138-3",
url="http://dx.doi.org/10.1007/s40609-019-00138-3"
}