Globalization and Health | |
“Money talks, bullshit walks” interrogating notions of consumption and survival sex among young women engaging in transactional sex in post-apartheid South Africa: a qualitative enquiry | |
Anna Mia Ekström2  Anna Thorson2  Loraine Townsend1  Yanga Z Zembe2  | |
[1] Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa;Department of Public Health Sciences/Global Health, Karolinska Institutet, Stockholm, Sweden | |
关键词: South Africa; Modernity; Global technologies; Post-apartheid; Wealth inequalities; HIV; Survival sex; Consumption sex; Young women; Transactional sex; | |
Others : 819282 DOI : 10.1186/1744-8603-9-28 |
|
received in 2013-01-17, accepted in 2013-06-14, 发布年份 2013 | |
【 摘 要 】
Background
Transactional sex is believed to be a significant driver of the HIV epidemic among young women in South Africa. This sexual risk behaviour is commonly associated with age mixing, concurrency and unsafe sex. It is often described as a survival- or consumption-driven behaviour. South Africa’s history of political oppression as well as the globalization-related economic policies adopted post-apartheid, are suggested as the underlying contexts within which high risk behaviours occur among Black populations. What remains unclear is how these factors combine to affect the particular ways in which transactional sex is used to negotiate life among young Black women in the country.
In this paper we explore the drivers of transactional sex among young women aged 16–24, who reside in a peri-urban community in South Africa. We also interrogate prevailing constructions of the risk behaviour in the context of modernity, widespread availability of commodities, and wealth inequalities in the country.
Methods
Data were collected through 5 focus group discussions and 6 individual interviews amongst young women, men, and community members of various age groups in a township in the Western Cape, South Africa.
Findings
Young women engaged in transactional sex to meet various needs: some related to survival and others to consumption. In this poverty-stricken community, factors that created a high demand for transactional sex among young women included the pursuit of fashionable images, popular culture, the increased availability of commodities, widespread use of global technologies, poverty and wealth inequalities. Transactional sex encounters were characterized by sexual risk, a casual attitude towards HIV, and male dominance. However, the risk behaviour also allowed women opportunities to adopt new social roles as benefactors in sexual relationships with younger men.
Conclusion
Transactional sex allows poor, young women to access what young people in many parts of the world also prioritize: fashionable clothing and opportunities for inclusion in popular youth culture. In the context of high HIV prevalence in South Africa, strategies are needed that present young women with safer economic gateways to create and consume alternative symbols of modernity and social inclusion.
【 授权许可】
2013 Zembe et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20140712000104778.pdf | 312KB | download |
【 参考文献 】
- [1]Ankomah A: Premarital sexual relationships in Ghana in the era of AIDS. Health Policy Plan 1992, 7(2):135-143.
- [2]Leclerc-Madlala S: Transactional Sex and the pursuit of modernity. Soc Dyn 2004, 29(2):1-21.
- [3]Norris AH, Kitali AJ, Worby E: Alcohol and transactional sex: how risky is the mix? Soc Sci Med 2009, 69(8):1167-1176.
- [4]Wamoyi J, Wight D, Plummer M, Mshana HG, Ross D: Transactional sex amongst young people in rural northern Tanzania: an ethnography of young women’s motivations and negotiation. Reprod Heal 2010., 7(2)
- [5]Hunter M: The materiality of everyday sex: thinking beyond ‘prostitution’. Afr Stud 2002, 61(1):99-120.
- [6]Luke N: Age and economic asymmetries in the sexual relationships of adolescent girls in Sub-Saharan Africa. Stud Fam Plann 2003, 34(2):67-86.
- [7]Hawkins K, Price N, Mussa F: Milking the cow: young women’s construction of identity and risk in age-disparate transactional sexual relationships in Maputo, Mozambique. Glob Public Health 2009, 4:169-182.
- [8]Dunkle KL, Jewkes R, Nduna M, Jama N, Levin J: Transactional sex with casual and main partners among young South African men in the rural Eastern Cape: prevalence, predictors and associations with gender based violence. Soc Sci Med 2007, 65:1235-1248.
- [9]Hope R: Addressing cross generational sex: a desktop review of research and programs. Population Reference Bureau; 2007. [http://www.igwg.org/igwg_media/AddressingCGSex.pdf webcite]
- [10]McPhail C, Campbell C: “I think condoms are good, but, aai I hate those things”: condom use among adolescents and young people in a southern African township, South Africa. Soc Sci Med 2001, 52(11):1613-1627.
- [11]Zembe Y, Townsend L, Thorson A, Ekström AM: Predictors of inconsistent condom use among a hard to reach population of young women with multiple sexual partners in peri-urban South Africa. PLoS One 2012, 7(2):e51998.
- [12]Tabet P: I’m the meat, I’m the knife. Gender Issues 1991, 11(1):3-21.
- [13]Preston-Whyte E, Varga C, Oosthuizen H, Roberts R, Blose F: Survival Sex and HIV/AIDS in an African city. In Framing the sexual subject: the politics of gender, sexuality and power. Edited by Parker RG, Barbosa RM, Aggleton P. California: University of California Press; 2000.
- [14]Hunter M: The changing political economy of sex in South Africa: the significance of unemployment and inequalities to the scale of the AIDS pandemic. Soc Sci Med 2007, 64(3):689-700.
- [15]Jewkes R, Morrell R, Sikweyiya Y, Dunkle K, Penn-Kekana L: Transactional relationships and sex with a woman in prostitution: prevalence and patterns in a representative sample of South African men. BMC Publ Health 2012, 12:325. BioMed Central Full Text
- [16]Sawers L, Stillwaggon E: Concurrent sexual partnerships do not explain the HIV epidemics in Africa: a systematic review of the evidence. J Int AIDS Soc 2010., 13(1)
- [17]Kaufman CE, Stavrou SE: Bus Fare Please’: the economics of sex and gifts among young people in urban South Africa. Cult Health Sex 2004, 6(5):377-391.
- [18]Wojcicki JM: “She drank his money”: survival sex and the problem of violence in taverns in the Gauteng Province, South Africa. Medical Anthropology Quarterly 2000, 16(3):267-293.
- [19]Poulin MJ: Sex, money and premarital relationships in Southern Malawi. Soc Sci Med 2007, 65(11):2383-2393.
- [20]Shisana O, Rehle T, Simbayi LC, Parker W, Zuma K, et al.: South African national HIV prevalence, HIV incidence, behavior and communication survey. Human Sciences Research Council Press 2009. http://www.hsrc.ac.za webcite
- [21]Pettifor AE, Hudgens MG, Levandowski BA, Rees HV, Cohen MS: Highly efficient HIV transmission to young women in South Africa. AIDS 2007, 21:861-865.
- [22]Selikow TA, Zulu B, Cedras E: The ingagara, the regte and the cherry: HIV/AIDS and youth culture in contemporary urban townships. Agenda 2002, 53:22-32.
- [23]Kaufman CE, Clark S, Manzini N, May J: Communities, opportunities and adolescent sexual behavior in KwaZulu-Natal, South Africa. Studies in Family Planning 2004, 35(4):261-274.
- [24]Mah TL, Halperin DT: Concurrent sexual partnerships and the HIV epidemics in Africa: the evidence to move forward. AIDS Behav 2010, 14:11-16.
- [25]Jochelson K: The color of disease: syphilis and racism in South Africa. 1880–1950. Hampshire: Palgrave; 2001.
- [26]Levin R: Marriage in Langa native location. Masters Thesis. University of Cape Town, Centre for African Studies; 1947.
- [27]Woolard I: An overview of poverty and inequality in South Africa. Working Paper prepared for DFID (South Africa); 2002. [http://www.sarpn.org webcite]
- [28]Weeks J: Stuck in low GEAR? Macro-economic policy in South Africa, 1996–1998. Camb J Econ 1999, 23:795-811.
- [29]Peet R: Ideology, discourse, and the geography of hegemony: from socialist to neoliberal development in post-apartheid South Africa. Oxford: Blackwell Publishers; 2002.
- [30]Miraftab F: Neoliberalism and casualization of public sector services: the case of waste collection services in Cape Town, South Africa. Int J Urban Reg Res 2004, 28(4):874-892.
- [31]Feachem GA: Globalization is good for your health, mostly. BMJ 2001, 323:504-506.
- [32]Kaplinsky R, McCormick D, Morris M: The impact of China on sub-Saharan Africa. Institute of Development Studies, University of Sussex; 2007. [http://www.ids.ac.uk webcite]
- [33]Van der Westhuizen C: Trade and poverty: a case study of the SA clothing industry. University of Cape Town South Africa Labor and Development Research Unit; 2006.
- [34]Harrison K, Dunne N: Kwazulu-Natal’s clothing industry: the importance of firm level and pipeline competitiveness issues. Durban: Research report no. 14, centre for social and development studies, university of natal; 1998.
- [35]Rivers K, Aggleton P: Adolescent sexuality, gender and the HIV epidemic. HIV and Development 1999. [http://www.hivclearinghouse.unesco.org webcite]
- [36]Seekings J, Nicoli N: Class, distribution and redistribution in post-apartheid South Africa. Transformation: critical perspectives on southern Africa 2002, 50(1):1-30.
- [37]Demombynes G, Özler B: Crime and local inequality in South Africa. J Dev Econ 2005, 76(2):265-292.
- [38]Béné C, Merten S: Women and fish-for-sex: transactional sex, HIV/AIDS and gender in African fisheries. World Dev 2008, 36(5):875-899.
- [39]Moore AM, Biddlecom AE, Zulu EM: Prevalence and meanings of exchange of money or gifts for sex in unmarried adolescent sexual relationships in Sub-Saharan Africa. Afr J Reprod Health 2007, 11(3):44-61.
- [40]The PSDF Joint Social Partner Forum: Business case for the Western Cape provincial skills development forum. The Department of Economic Development and Tourism 2010. [http://www.sangocowc.org/uploads/4/5/…/psdf_business_case_310310.pdf webcite]
- [41]Keller S: Household formation, poverty and unemployment: the case of rural households in South Africa. Stellenbosch Economic Working Papers. Stellenbosch: University of Stellenbosch, Bureau for Economic Research; 2004.
- [42]Statistics South Africa: Census 2001: stages in the life cycle of South Africans. [http://www.statssa.gov.za/publications/statsdownload.asp?PPN=C2001Stages&SCH=3534 webcite]
- [43]Cape Slavery Heritage: A different history of Franschoek and the Drankenstein District. [http://cape-slavery-heritage.iblog.co.za/category/local-capture-of-sa-slaves/ webcite]
- [44]Ligthelm A: The impact of shopping mall development on small township retailers. S Afr J Econ Manag Sci 2008, 11(1):37-53.
- [45]Graneheim UH, Lundman B: Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004, 24:105-112.
- [46]Fossey E, Harvey C, McDermott F, Davidson L: Understanding and evaluating qualitative research. Aust N Z J Psychiatry 2002, 36:717-732.
- [47]Luke N: Confronting the “sugar daddy” stereotype: age and economic asymmetries and risky sexual behavior in urban Kenya. Int Fam Plan Perspect 2005, 31:6-14.
- [48]Luke N, Kurz K: Cross Generational and Transactional Sexual Relations in Sub-Saharan Africa: Prevalence of Behavior and Implications for Negotiating Safer Sexual Practices. Population Studies International (PSI); 2002. [http://www.icrw.org/files/publications/Cross-generational-and-Transactional-Sexual-Relations-in-Sub-Saharan-Africa-Prevalence-of-Behavior-and-Implications-for-Negotiating-Safer-Sexual-Practices.pdf webcite]
- [49]Swidler A, Cotts-Watkins S: Ties of dependence: Aids and transactional sex in rural Malawi. Stud Fam Plann 2007, 38(3):147-162.
- [50]Csaba FF: Redefining luxury: a review essay. Creative Encounters 2008, 15:1-32.
- [51]Atik D, Sahin DY: Conspicuous consumption of the neglected majority: low-income consumers in a non-western culture. Afr J Bus Manag 2011, 5(3):5330-5335.
- [52]Auty S, Elliott R: Fashion involvement, self-monitoring and the meaning of brands. J Prod Brand Manag 1998, 7(2):109-123.
- [53]Besley AC: Hybridized and Globalized: youth cultures in the post-modern era. Rev Educ Pedagog Cult Stud 2003, 25:153-177.
- [54]Coghlan A: ‘Consumerism is eating the future’. New Scientist Opinion 2009. [https://www.newscientist.com/article/dn/7569-consumerism-is-eating-the-future.html?fill=true webcite]
- [55]Brown GW: Globalization is what we make of it: contemporary globalization theory and the future construction of global interconnection. Polit Stud Rev 2008, 6(1):42-53.
- [56]Veblen T: The theory of the leisure class. Project Gutenberg 1899. ebook # 833. [http://www.gutenberg.org/files/833/833-h/833-h.htm webcite]
- [57]Robins S: Grounding globalization from below: global citizens in local spaces. Democracy Development Programme 2010. [http://www.ddp.org.za/…/citizenship…/Grounding%20globalization%20from%20below%20global%20citizens%20… webcite]
- [58]Nattrass N, Seekings J: ‘Two nations?’ Race and economic inequality in South Africa today. Deadalus 2001, 130(1):45-70.
- [59]Kuate-Defo B: Young People’s Relationships with Sugar Daddies and Sugar Mummies: What Do We Know? Afr J Reprod Health 2004, 8(2):13-37.
- [60]Kelly RJ, Gray RH, Sewankambo NK, Serwadda D, Wabwire-Mangen F, Lutalo T, Wawer MJ: Age differences in sexual partners and risk of HIV-1 infection in rural Uganda. JAIDS 2003, 32:446-451.
- [61]Gregson S, Nyamukapa CA, Garnett GP, Mason PR, Zhuwau T, Caraël T, Anderson RM: Sexual mixing patterns and sex-differentials in teenage exposure to HIV infection in rural Zimbabwe. Lancet 2002, 359(9321):1896-1903.
- [62]Meekers D, Calves AE: “Main” girlfriends, girlfriends, marriage and money: the social context of HIV risk behavior in sub-Saharan Africa. Health Transit Rev 1997, 7:361-375.
- [63]AIDSSTAR One: Addressing multiple and concurrent sexual partnerships in generalized HIV epidemics: Report on a technical consultation in Washington, DC, October 29-30, 2008 convened by the PEPFAR General Population and Youth Technical Working Group and AIDSTAR-One. Virginia. Arlington: AIDS Support and Technical Assistance Resources Project, Sector 1, Task Order 1 (AIDSTAR-One); 2009.
- [64]Kelly PJ, Morgan‒Kidd J: Social Influences on the Sexual Behaviors of Adolescent Girls in At‒Risk Circumstances. J Obstet Gynecol Neonatal Nurs 2001, 30(5):481-489.
- [65]Saftner MA, Martyn KK, Lori JR: Sexually active adolescent women assessing family and peer relationships using event history calendars. J Sch Nurs 27(3):225-236.
- [66]Higgins JA, Hoffman S, Dworkin SL: Rethinking gender, heterosexual men, and women's vulnerability to HIV/AIDS. Journal Information 2010., 100(3)
- [67]Jewkes R, Morrell R: Gender and sexuality: emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention. J Int AIDS Soc 2010, 13(1):6.