- Lack of gender equity
- Poverty and commercial sex
- Disruptions to traditional family life
- Inadequate health services
- Legal, cultural and religious obstacles to
condom promotion and use
Lack of gender equity plays a large role in the spread of STDs.
Women with little power in their personal relationships often
cannot persuade their partners to practice safe sexual behaviors.
Poverty can make this problem worse by forcing some women to
exchange sex for economic support, either informally or by entering
the sex industry, a major force in the spread of STDs.
Both commercial and casual sex are associated with disruptions
in traditional family life often caused by migration, movement
to cities, and men working away from their families for extended
Other social factors that greatly promote the spread of STDs
are lack of education, inadequate health services, including
diagnostic and treatment services for STDs, and legal, cultural
and religious obstacles to condom promotion and use.