TITLE

Transactional relationships and sex with a woman in prostitution: prevalence and patterns in a representative sample of South African men

AUTHOR(S)
Jewkes, Rachel; Morrell, Robert; Sikweyiya, Yandisa; Dunkle, Kristin; Penn-Kekana, Loveday
PUB. DATE
January 2012
SOURCE
BMC Public Health;2012, Vol. 12 Issue 1, p325
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Sex motivated by economic exchange is a public health concern as a driver of the Sub-Saharan African HIV epidemic. We describe patterns of engagement in transactional sexual relationships and sex with women in prostitution of South African men, and suggest interpretations that advance our understanding of the phenomenon. Methods: Cross-sectional study with a randomly-selected sample of 1645 sexually active men aged 18-49 years who completed interviews in a household study and were asked whether they had had sex with a woman in prostitution, or had had a relationship or sex they took to be motivated by the expectation of material gain (transactional sex). Results: 18% of men had ever had sex with a woman in prostitution, 66% at least one type of transactional sexual relationship, only 30% of men had done neither. Most men had had a transactional relationship/sex with a main partner (58% of all men), 42% with a concurrent partner (or makhwapheni) and 44% with a once off partner, and there was almost no difference in reports of what was provided to women of different partner types. The majority of men distinguished the two types of sexual relationships and even among men who had once-off transactional sex and gave cash (n = 314), few (34%) reported that they had had sex with a 'prostitute'. Transactional sex was more common among men aged 25-34 years, less educated men and low income earners rather than those with none or higher income. Having had sex with a woman in prostitution varied little between social and demographic categories, but was less common among the unwaged or very low earners. Conclusions: The notion of 'transactional sex' developed through research with women does not translate easily to men. Many perceive expectations that they fulfil a provider role, with quid pro quo entitlement to sex. Men distinguished these circumstances of sex from having sex with a woman in prostitution. Whilst there may be similarities, when viewed relationally, these are quite distinct practices. Conflating them is sociologically inappropriate. Efforts to work with men to reduce transactional sex should focus on addressing sexual entitlement and promoting gender inequity.
ACCESSION #
79961817

 

Related Articles

  • Health Services Utilization Among South African Women Living with HIV and Reporting Sexual and Substance-Use Risk Behaviors. Luseno, Winnie K.; Wechsberg, Wendee M.; Kline, Tracy L.; Ellerson, Rachel Middlesteadt // AIDS Patient Care & STDs;Apr2010, Vol. 24 Issue 4, p257 

    HIV health services are critical in sub-Saharan African where the burden of the HIV pandemic is devastating. Existing studies suggest that HIV-infected individuals from marginalized populations who know their status do not seek health services because they are unaware of available treatment and...

  • Assessing adult mortality in HIV-1-afflicted Zimbabwe (1998-2003). Lopman, Ben A.; Barnabas, Ruanne; Hallett, Timothy B.; Nyamukapa, Constance; Mundandi, Costa; Mushati, Phyllis; Garnett, Geoff P.; Gregson, Simon // Bulletin of the World Health Organization;Mar2006, Vol. 84 Issue 3, p189 

    Objective To compare alternative methods to vital registration systems for estimating adult mortality, and describe patterns of mortality in Manicaland, Zimbabwe, which has been severely affected by HIV. Methods We compared estimates of adult mortality from (1) a single question on household...

  • Impact of five years of peer-mediated interventions on sexual behavior and sexually transmitted infections among female sex workers in Mombasa, Kenya. Luchters, Stanley; Chersich, Matthew F.; Rinyiru, Agnes; Barasa, Mary- Stella; King'ola, Nzioki; Mandaliya, Kishorchandra; Bosire, Wilkister; Wambugu, Sam; Mwarogo, Peter; Temmerman, Marleen // BMC Public Health;2008, Vol. 8 Issue 1, p143 

    Background: Since 2000, peer-mediated interventions among female sex workers (FSW) in Mombasa Kenya have promoted behavioural change through improving knowledge, attitudes and awareness of HIV serostatus, and aimed to prevent HIV and other sexually transmitted infection (STI) by facilitating...

  • HIV prevalence and factors associated with HIV infection among male injection drug users under 30: a cross-sectional study in Long An, Vietnam. Tran, Thu Minh T.; Nguyen, Hien T.; Yatsuya, Hiroshi; Hamajima, Nobuyuki; Nishimura, Akio; Ito, Katsuki // BMC Public Health;2006, Vol. 6 Issue 1, p248 

    Background: Sufficient targeted HIV prevention activities aiming at reducing HIV transmission within and from an extremely marginalized population of injection drug users (IDUs) must urgently and efficiently be implemented in Vietnam. This study was conducted to facilitate the development of...

  • Improving sexual health for HIV patients by providing a combination of integrated public health and hospital care services; a one-group pre- and post test intervention comparison. Dukers-Muijrers, Nicole H. T. M.; Somers, Carlijn; Hoebe, Christian J. P. A.; Lowe, Selwyn H.; Niekamp, Anne-Marie E. J. W. M.; Oude Lashof, Astrid; Bruggeman, Cathrien A. M. V. H.; Vrijhoef, Hubertus J. M. // BMC Public Health;2012, Vol. 12 Issue 1, p1118 

    Background: Hospital HIV care and public sexual health care (a Sexual Health Care Centre) services were integrated to provide sexual health counselling and sexually transmitted infections (STIs) testing and treatment (sexual health care) to larger numbers of HIV patients. Services, need and...

  • The most severe HIV epidemic in Europe: Ukraine's national HIV prevalence estimates for 2007. Kruglov, Y V; Kobyshcha, Y V; Salyuk, T; Varetska, O; Shakarishvili, A; Saldanha, V P // Sexually Transmitted Infections;Aug2008 Supplement 1, Vol. 84 Issue S1, pi37 

    Objective: To revise the national HIV estimates and quantify the magnitude of the HIV epidemic in Ukraine at the end of 2007. Design: Internationally recommended methods-the Workbook and Spectrum-were employed to generate the estimates. This enables comparison of...

  • An HIV epidemic is ready to emerge in the Philippines. Farr, Anna C.; Wilson, David P. // Journal of the International AIDS Society;2010, Vol. 13 Issue 1, p1 

    Background: The state of the HIV epidemic in the Philippines has been described as "low and slow", which is in stark contrast to many other countries in the region. A review of the conditions for HIV spread in the Philippines is necessary. Methods: We evaluated the current epidemiology, trends...

  • The 'bear trap': the colliding epidemics of tuberculosis and HIV in Russia. Drobniewski, F. A.; Atun, R.; Fedorin, I.; Bikov, A.; Coker, R. // International Journal of STD & AIDS;Oct2004, Vol. 15 Issue 10, p641 

    In April, 2003 the World Bank approved a long-awaited $150 million loan to the Russian Federation to support tuberculosis (TB) and AIDS control. Although the Russian Federation accounts for a relatively small fraction of the global TB case-load the proportion of cases which are drug-resistant...

  • AIDS and Africa - when will the epidemic level off. L�yt�nen, Markku // Fennia;2003, Vol. 181 Issue 1, p1 

    Discusses the epidemic of AIDS and HIV infection in Africa. Spread of the epidemic worldwide; Percentage of populations in subSaharan African countries that are infected of HIV; Importance of reliable statistics on the spread of AIDS and HIV infections in planning and modelling on when the...

Share

Other Topics