Young women's perceptions of transactional sex and sexual agency: a qualitative study in the context of rural South Africa.
Identifieur interne : 000000 ( PubMed/Checkpoint ); suivant : 000001Young women's perceptions of transactional sex and sexual agency: a qualitative study in the context of rural South Africa.
Auteurs : Meghna Ranganathan [Royaume-Uni] ; Catherine Macphail [Afrique du Sud] ; Audrey Pettifor [Afrique du Sud] ; Kathleen Kahn [Afrique du Sud] ; Nomhle Khoza [Afrique du Sud] ; Rhian Twine [Afrique du Sud] ; Charlotte Watts [Royaume-Uni] ; Lori Heise [Royaume-Uni]Source :
- BMC public health [ 1471-2458 ] ; 2017.
Abstract
Evidence shows that HIV prevalence among young women in sub-Saharan Africa increases almost five-fold between ages 15 and 24, with almost a quarter of young women infected by their early-to mid-20s. Transactional sex or material exchange for sex is a relationship dynamic that has been shown to have an association with HIV infection.
DOI: 10.1186/s12889-017-4636-6
PubMed: 28830394
Affiliations:
- Afrique du Sud, Royaume-Uni
- Angleterre, Gauteng, Grand Londres
- Johannesbourg, Londres
- Université du Witwatersrand
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Meghna.Ranganathan@lshtm.ac.uk.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Global Health and Development, Faculty of Public Health and Policy, The London School of Hygiene and Tropical Medicine (LSHTM), London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Macphail, Catherine" sort="Macphail, Catherine" uniqKey="Macphail C" first="Catherine" last="Macphail">Catherine Macphail</name><affiliation wicri:level="1"><nlm:affiliation>Wits Reproductive Health and HIV Institute, University of Witwatersrand, Johannesburg, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Wits Reproductive Health and HIV Institute, University of Witwatersrand, Johannesburg</wicri:regionArea><wicri:noRegion>Johannesburg</wicri:noRegion></affiliation></author><author><name sortKey="Pettifor, Audrey" sort="Pettifor, Audrey" uniqKey="Pettifor A" first="Audrey" last="Pettifor">Audrey Pettifor</name><affiliation wicri:level="1"><nlm:affiliation>Wits Reproductive Health and HIV Institute, University of Witwatersrand, Johannesburg, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Wits Reproductive Health and HIV Institute, University of Witwatersrand, Johannesburg</wicri:regionArea><wicri:noRegion>Johannesburg</wicri:noRegion></affiliation></author><author><name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name><affiliation wicri:level="4"><nlm:affiliation>MRC/Wits Rural Public Health and Health Transitions Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>MRC/Wits Rural Public Health and Health Transitions Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author><author><name sortKey="Khoza, Nomhle" sort="Khoza, Nomhle" uniqKey="Khoza N" first="Nomhle" last="Khoza">Nomhle Khoza</name><affiliation wicri:level="1"><nlm:affiliation>Wits Reproductive Health and HIV Institute, University of Witwatersrand, Johannesburg, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Wits Reproductive Health and HIV Institute, University of Witwatersrand, Johannesburg</wicri:regionArea><wicri:noRegion>Johannesburg</wicri:noRegion></affiliation></author><author><name sortKey="Twine, Rhian" sort="Twine, Rhian" uniqKey="Twine R" first="Rhian" last="Twine">Rhian Twine</name><affiliation wicri:level="4"><nlm:affiliation>MRC/Wits Rural Public Health and Health Transitions Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>MRC/Wits Rural Public Health and Health Transitions Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author><author><name sortKey="Watts, Charlotte" sort="Watts, Charlotte" uniqKey="Watts C" first="Charlotte" last="Watts">Charlotte Watts</name><affiliation wicri:level="3"><nlm:affiliation>Department of Global Health and Development, Faculty of Public Health and Policy, The London School of Hygiene and Tropical Medicine (LSHTM), London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Global Health and Development, Faculty of Public Health and Policy, The London School of Hygiene and Tropical Medicine (LSHTM), London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Heise, Lori" sort="Heise, Lori" uniqKey="Heise L" first="Lori" last="Heise">Lori Heise</name><affiliation wicri:level="3"><nlm:affiliation>Department of Global Health and Development, Faculty of Public Health and Policy, The London School of Hygiene and Tropical Medicine (LSHTM), London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Global Health and Development, Faculty of Public Health and Policy, The London School of Hygiene and Tropical Medicine (LSHTM), London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></analytic><series><title level="j">BMC public health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Evidence shows that HIV prevalence among young women in sub-Saharan Africa increases almost five-fold between ages 15 and 24, with almost a quarter of young women infected by their early-to mid-20s. Transactional sex or material exchange for sex is a relationship dynamic that has been shown to have an association with HIV infection.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28830394</PMID><DateCreated><Year>2017</Year><Month>08</Month><Day>23</Day></DateCreated><DateRevised><Year>2017</Year><Month>09</Month><Day>19</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2458</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Aug</Month><Day>22</Day></PubDate></JournalIssue><Title>BMC public health</Title><ISOAbbreviation>BMC Public Health</ISOAbbreviation></Journal><ArticleTitle>Young women's perceptions of transactional sex and sexual agency: a qualitative study in the context of rural South Africa.</ArticleTitle><Pagination><MedlinePgn>666</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12889-017-4636-6</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Evidence shows that HIV prevalence among young women in sub-Saharan Africa increases almost five-fold between ages 15 and 24, with almost a quarter of young women infected by their early-to mid-20s. Transactional sex or material exchange for sex is a relationship dynamic that has been shown to have an association with HIV infection.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Using five focus group discussions and 19 in-depth interviews with young women enrolled in the HPTN 068 conditional cash transfer trial (2011-2015), this qualitative study explores young women's perceptions of transactional sex within the structural and cultural context of rural South Africa. The analysis also considers the degree to which young women perceive themselves as active agents in such relationships and whether they recognise a link between transactional sex and HIV risk.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Young women believe that securing their own financial resources will ultimately improve their bargaining position in their sexual relationships, and open doors to a more financially independent future. Findings suggest there is a nuanced relationship between sex, love and gifts: money has symbolic meaning, and money transfers, when framed as gifts, indicates a young woman's value and commitment from the man. This illustrates the complexity of transactional sex; the way it is positioned in the HIV literature ignores that "exchanges" serve as fulcrums around which romantic relationships are organised. Finally, young women express agency in their choice of partner, but their agency weakens once they are in a relationship characterised by exchange, which may undermine their ability to translate perceived agency into STI and HIV risk reduction efforts.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This research underscores the need to recognise that transactional sex is embedded in adolescent romantic relationships, but that certain aspects make young women particularly vulnerable to HIV. This is especially true in situations of restricted choice and circumscribed employment opportunities. HIV prevention educational programmes could be coupled with income generation trainings, in order to leverage youth resilience and protective skills within the confines of difficult economic and social circumstances. This would provide young women with the knowledge and means to more successfully navigate safer sexual relationships.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ranganathan</LastName><ForeName>Meghna</ForeName><Initials>M</Initials><Identifier Source="ORCID">http://orcid.org/0000-0001-5827-343X</Identifier><AffiliationInfo><Affiliation>Department of Global Health and Development, Faculty of Public Health and Policy, The London School of Hygiene and Tropical Medicine (LSHTM), London, UK. Meghna.Ranganathan@lshtm.ac.uk.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Wits Reproductive Health and HIV Institute, University of Witwatersrand, Johannesburg, South Africa. Meghna.Ranganathan@lshtm.ac.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>MacPhail</LastName><ForeName>Catherine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Wits Reproductive Health and HIV Institute, University of Witwatersrand, Johannesburg, South Africa.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>MRC/Wits Rural Public Health and Health Transitions Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Health & Society, University of Wollongong, Wollongong, NSW, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pettifor</LastName><ForeName>Audrey</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Wits Reproductive Health and HIV Institute, University of Witwatersrand, Johannesburg, South Africa.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>MRC/Wits Rural Public Health and Health Transitions Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Carolina Population Center, University of North Carolina, Chapel Hill, NC, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kahn</LastName><ForeName>Kathleen</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>MRC/Wits Rural Public Health and Health Transitions Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Umeå Centre for Global Health Research, Division of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>International Network for the Demographic Evaluation of Populations and Their Health (INDEPTH) Network, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khoza</LastName><ForeName>Nomhle</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Wits Reproductive Health and HIV Institute, University of Witwatersrand, Johannesburg, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Twine</LastName><ForeName>Rhian</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>MRC/Wits Rural Public Health and Health Transitions Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Watts</LastName><ForeName>Charlotte</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Global Health and Development, Faculty of Public Health and Policy, The London School of Hygiene and Tropical Medicine (LSHTM), London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Heise</LastName><ForeName>Lori</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Global Health and Development, Faculty of Public Health and Policy, The London School of Hygiene and Tropical Medicine (LSHTM), London, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>UM1 AI069423</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate 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1:S5-6</RefSource><PMID Version="1">20571423</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Soc Sci Med. 2016 Nov;168:186-197</RefSource><PMID Version="1">27665064</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Adolescent young women</Keyword><Keyword MajorTopicYN="N">Aspirations</Keyword><Keyword MajorTopicYN="N">HIV</Keyword><Keyword MajorTopicYN="N">Risky sexual behaviours</Keyword><Keyword MajorTopicYN="N">Sexual agency</Keyword><Keyword MajorTopicYN="N">Sexual exchange</Keyword><Keyword MajorTopicYN="N">Sexual relationships</Keyword><Keyword MajorTopicYN="N">Sub-Saharan Africa</Keyword><Keyword MajorTopicYN="N">Transactional sex</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>09</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>07</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28830394</ArticleId><ArticleId IdType="doi">10.1186/s12889-017-4636-6</ArticleId><ArticleId IdType="pii">10.1186/s12889-017-4636-6</ArticleId><ArticleId IdType="pmc">PMC5568133</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Afrique du Sud</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Gauteng</li><li>Grand Londres</li></region><settlement><li>Johannesbourg</li><li>Londres</li></settlement><orgName><li>Université du Witwatersrand</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Ranganathan, Meghna" sort="Ranganathan, Meghna" uniqKey="Ranganathan M" first="Meghna" last="Ranganathan">Meghna Ranganathan</name></region><name sortKey="Heise, Lori" sort="Heise, Lori" uniqKey="Heise L" first="Lori" last="Heise">Lori Heise</name><name sortKey="Watts, Charlotte" sort="Watts, Charlotte" uniqKey="Watts C" first="Charlotte" last="Watts">Charlotte Watts</name></country><country name="Afrique du Sud"><noRegion><name sortKey="Macphail, Catherine" sort="Macphail, Catherine" uniqKey="Macphail C" first="Catherine" last="Macphail">Catherine Macphail</name></noRegion><name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name><name sortKey="Khoza, Nomhle" sort="Khoza, Nomhle" uniqKey="Khoza N" first="Nomhle" last="Khoza">Nomhle Khoza</name><name sortKey="Pettifor, Audrey" sort="Pettifor, Audrey" uniqKey="Pettifor A" first="Audrey" last="Pettifor">Audrey Pettifor</name><name sortKey="Twine, Rhian" sort="Twine, Rhian" uniqKey="Twine R" first="Rhian" last="Twine">Rhian Twine</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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