Consuming sex: the association between modern goods, lifestyles and sexual behaviour among youth in Madagascar
Identifieur interne : 002985 ( Main/Exploration ); précédent : 002984; suivant : 002986Consuming sex: the association between modern goods, lifestyles and sexual behaviour among youth in Madagascar
Auteurs : Kirsten Stoebenau [États-Unis] ; Rama C. Nair [Canada] ; Valérie Rambeloson [Madagascar] ; Paul Ghislain Rakotoarison [Madagascar] ; Violette Razafintsalama [Madagascar] ; Ronald Labonté [Canada]Source :
- Globalization and Health [ 1744-8603 ] ; 2013.
Abstract
Ethnographic evidence suggests that transactional sex is sometimes motivated by youth’s interest in the consumption of modern goods as much as it is in basic survival. There are very few quantitative studies that examine the association between young people’s interests in the consumption of modern goods and their sexual behaviour. We examined this association in two regions and four residence zones of Madagascar: urban, peri-urban and rural Antananarivo, and urban Antsiranana. We expected risky sexual behaviour would be associated with interests in consuming modern goods or lifestyles; urban residence; and socio-cultural characteristics.
We administered a population-based survey to 2, 255 youth ages 15–24 in all four residence zones. Focus group discussions guided the survey instrument which assessed socio-demographic and economic characteristics, consumption of modern goods, preferred activities and sexual behaviour. Our outcomes measures included: multiple sexual partners in the last year (for men and women); and ever practicing transactional sex (for women).
Overall, 7.3% of women and 30.7% of men reported having had multiple partners in the last year; and 5.9% of women reported ever practicing transactional sex. Bivariate results suggested that for both men and women having multiple partners was associated with perceptions concerning the importance of fashion and a series of activities associated with modern lifestyles. A subset of lifestyle characteristics remained significant in multivariate models. For transactional sex bivariate results suggested perceptions around fashion, nightclub attendance, and getting to know a foreigner were key determinants; and all remained significant in multivariate analysis. We found peri-urban residence more associated with transactional sex than urban residence; and ethnic origin was the strongest predictor of both outcomes for women.
While we found indication of an association between sexual behaviour and interest in modern goods, or modern lifestyles, such processes did not single-handedly explain risky sexual behaviour among youth; these behaviours were also shaped by culture and conditions of economic uncertainty. These determinants must all be accounted for when developing interventions to reduce risky transactional sex and vulnerability to HIV.
Url:
DOI: 10.1186/1744-8603-9-13
PubMed: 23510104
PubMed Central: 3651287
Affiliations:
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Nair</name><affiliation wicri:level="1"><nlm:aff id="I2">Vice Dean, Professional Affairs, Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, 2129 P-451 Smyth Road, Ottawa, ON, K1H 8M5, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Vice Dean, Professional Affairs, Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, 2129 P-451 Smyth Road, Ottawa, ON, K1H 8M5</wicri:regionArea><wicri:noRegion>K1H 8M5</wicri:noRegion></affiliation></author><author><name sortKey="Rambeloson, Valerie" sort="Rambeloson, Valerie" uniqKey="Rambeloson V" first="Valérie" last="Rambeloson">Valérie Rambeloson</name><affiliation wicri:level="1"><nlm:aff id="I3">Statisticien Economiste, Lot II A 119 K Bis Soavaimbahoaka, Antananarivo, 101, Madagascar</nlm:aff><country xml:lang="fr">Madagascar</country><wicri:regionArea>Statisticien Economiste, Lot II A 119 K Bis Soavaimbahoaka, Antananarivo, 101</wicri:regionArea><wicri:noRegion>101</wicri:noRegion></affiliation></author><author><name sortKey="Rakotoarison, Paul Ghislain" sort="Rakotoarison, Paul Ghislain" uniqKey="Rakotoarison P" first="Paul Ghislain" last="Rakotoarison">Paul Ghislain Rakotoarison</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Sociology and Anthropology, University of Antananarivo, Malagasy Socio-Consulting and Communication, Lot VS 52 QAL bis Avaratr’Ankatso, Antananarivo, 101, Madagascar</nlm:aff><country xml:lang="fr">Madagascar</country><wicri:regionArea>Department of Sociology and Anthropology, University of Antananarivo, Malagasy Socio-Consulting and Communication, Lot VS 52 QAL bis Avaratr’Ankatso, Antananarivo, 101</wicri:regionArea><wicri:noRegion>101</wicri:noRegion></affiliation></author><author><name sortKey="Razafintsalama, Violette" sort="Razafintsalama, Violette" uniqKey="Razafintsalama V" first="Violette" last="Razafintsalama">Violette Razafintsalama</name><affiliation wicri:level="1"><nlm:aff id="I5">Malagasy Socio-Consulting and Communication, Lot VS 52 QAL bis Avaratr’Ankatso, Antananarivo, 101, Madagascar</nlm:aff><country xml:lang="fr">Madagascar</country><wicri:regionArea>Malagasy Socio-Consulting and Communication, Lot VS 52 QAL bis Avaratr’Ankatso, Antananarivo, 101</wicri:regionArea><wicri:noRegion>101</wicri:noRegion></affiliation></author><author><name sortKey="Labonte, Ronald" sort="Labonte, Ronald" uniqKey="Labonte R" first="Ronald" last="Labonté">Ronald Labonté</name><affiliation wicri:level="1"><nlm:aff id="I6">Canada Research Chair, Globalization/Health Equity, Institute of Population Health, 1 Stewart Street, Ottawa, ON, K1N 6N5, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Canada Research Chair, Globalization/Health Equity, Institute of Population Health, 1 Stewart Street, Ottawa, ON, K1N 6N5</wicri:regionArea><wicri:noRegion>K1N 6N5</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23510104</idno><idno type="pmc">3651287</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3651287</idno><idno type="RBID">PMC:3651287</idno><idno type="doi">10.1186/1744-8603-9-13</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001387</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001387</idno><idno type="wicri:Area/Pmc/Curation">001386</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001386</idno><idno type="wicri:Area/Pmc/Checkpoint">001A47</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001A47</idno><idno type="wicri:Area/Ncbi/Merge">001D71</idno><idno type="wicri:Area/Ncbi/Curation">001D71</idno><idno type="wicri:Area/Ncbi/Checkpoint">001D71</idno><idno type="wicri:Area/Main/Merge">002996</idno><idno type="wicri:Area/Main/Curation">002985</idno><idno type="wicri:Area/Main/Exploration">002985</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Consuming sex: the association between modern goods, lifestyles and sexual behaviour among youth in Madagascar</title><author><name sortKey="Stoebenau, Kirsten" sort="Stoebenau, Kirsten" uniqKey="Stoebenau K" first="Kirsten" last="Stoebenau">Kirsten Stoebenau</name><affiliation wicri:level="1"><nlm:aff id="I1">International Center for Research on Women, 1120 20th Street NW, Suite 500, Washington, DC, 20036, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>International Center for Research on Women, 1120 20th Street NW, Suite 500, Washington, DC, 20036</wicri:regionArea><wicri:noRegion>20036</wicri:noRegion></affiliation></author><author><name sortKey="Nair, Rama C" sort="Nair, Rama C" uniqKey="Nair R" first="Rama C" last="Nair">Rama C. Nair</name><affiliation wicri:level="1"><nlm:aff id="I2">Vice Dean, Professional Affairs, Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, 2129 P-451 Smyth Road, Ottawa, ON, K1H 8M5, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Vice Dean, Professional Affairs, Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, 2129 P-451 Smyth Road, Ottawa, ON, K1H 8M5</wicri:regionArea><wicri:noRegion>K1H 8M5</wicri:noRegion></affiliation></author><author><name sortKey="Rambeloson, Valerie" sort="Rambeloson, Valerie" uniqKey="Rambeloson V" first="Valérie" last="Rambeloson">Valérie Rambeloson</name><affiliation wicri:level="1"><nlm:aff id="I3">Statisticien Economiste, Lot II A 119 K Bis Soavaimbahoaka, Antananarivo, 101, Madagascar</nlm:aff><country xml:lang="fr">Madagascar</country><wicri:regionArea>Statisticien Economiste, Lot II A 119 K Bis Soavaimbahoaka, Antananarivo, 101</wicri:regionArea><wicri:noRegion>101</wicri:noRegion></affiliation></author><author><name sortKey="Rakotoarison, Paul Ghislain" sort="Rakotoarison, Paul Ghislain" uniqKey="Rakotoarison P" first="Paul Ghislain" last="Rakotoarison">Paul Ghislain Rakotoarison</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Sociology and Anthropology, University of Antananarivo, Malagasy Socio-Consulting and Communication, Lot VS 52 QAL bis Avaratr’Ankatso, Antananarivo, 101, Madagascar</nlm:aff><country xml:lang="fr">Madagascar</country><wicri:regionArea>Department of Sociology and Anthropology, University of Antananarivo, Malagasy Socio-Consulting and Communication, Lot VS 52 QAL bis Avaratr’Ankatso, Antananarivo, 101</wicri:regionArea><wicri:noRegion>101</wicri:noRegion></affiliation></author><author><name sortKey="Razafintsalama, Violette" sort="Razafintsalama, Violette" uniqKey="Razafintsalama V" first="Violette" last="Razafintsalama">Violette Razafintsalama</name><affiliation wicri:level="1"><nlm:aff id="I5">Malagasy Socio-Consulting and Communication, Lot VS 52 QAL bis Avaratr’Ankatso, Antananarivo, 101, Madagascar</nlm:aff><country xml:lang="fr">Madagascar</country><wicri:regionArea>Malagasy Socio-Consulting and Communication, Lot VS 52 QAL bis Avaratr’Ankatso, Antananarivo, 101</wicri:regionArea><wicri:noRegion>101</wicri:noRegion></affiliation></author><author><name sortKey="Labonte, Ronald" sort="Labonte, Ronald" uniqKey="Labonte R" first="Ronald" last="Labonté">Ronald Labonté</name><affiliation wicri:level="1"><nlm:aff id="I6">Canada Research Chair, Globalization/Health Equity, Institute of Population Health, 1 Stewart Street, Ottawa, ON, K1N 6N5, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Canada Research Chair, Globalization/Health Equity, Institute of Population Health, 1 Stewart Street, Ottawa, ON, K1N 6N5</wicri:regionArea><wicri:noRegion>K1N 6N5</wicri:noRegion></affiliation></author></analytic><series><title level="j">Globalization and Health</title><idno type="eISSN">1744-8603</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Ethnographic evidence suggests that transactional sex is sometimes motivated by youth’s interest in the consumption of modern goods as much as it is in basic survival. There are very few quantitative studies that examine the association between young people’s interests in the consumption of modern goods and their sexual behaviour. We examined this association in two regions and four residence zones of Madagascar: urban, peri-urban and rural Antananarivo, and urban Antsiranana. We expected risky sexual behaviour would be associated with interests in consuming modern goods or lifestyles; urban residence; and socio-cultural characteristics.</p></sec><sec><title>Methods</title><p>We administered a population-based survey to 2, 255 youth ages 15–24 in all four residence zones. Focus group discussions guided the survey instrument which assessed socio-demographic and economic characteristics, consumption of modern goods, preferred activities and sexual behaviour. Our outcomes measures included: multiple sexual partners in the last year (for men and women); and ever practicing transactional sex (for women).</p></sec><sec><title>Results</title><p>Overall, 7.3% of women and 30.7% of men reported having had multiple partners in the last year; and 5.9% of women reported ever practicing transactional sex. Bivariate results suggested that for both men and women having multiple partners was associated with perceptions concerning the importance of fashion and a series of activities associated with modern lifestyles. A subset of lifestyle characteristics remained significant in multivariate models. For transactional sex bivariate results suggested perceptions around fashion, nightclub attendance, and getting to know a foreigner were key determinants; and all remained significant in multivariate analysis. We found peri-urban residence more associated with transactional sex than urban residence; and ethnic origin was the strongest predictor of both outcomes for women.</p></sec><sec><title>Conclusions</title><p>While we found indication of an association between sexual behaviour and interest in modern goods, or modern lifestyles, such processes did not single-handedly explain risky sexual behaviour among youth; these behaviours were also shaped by culture and conditions of economic uncertainty. These determinants must all be accounted for when developing interventions to reduce risky transactional sex and vulnerability to HIV.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Selikow, T A" uniqKey="Selikow T">T-A Selikow</name></author><author><name sortKey="Bheki, Z" uniqKey="Bheki Z">Z Bheki</name></author><author><name sortKey="Cedras, E" uniqKey="Cedras E">E Cedras</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leclerc Madlala, S" uniqKey="Leclerc Madlala S">S Leclerc-Madlala</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cole, J" uniqKey="Cole J">J Cole</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Halperin, Dt" uniqKey="Halperin D">DT Halperin</name></author><author><name sortKey="Epstein, H" uniqKey="Epstein H">H Epstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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sortKey="Ehiri, J" uniqKey="Ehiri J">J Ehiri</name></author><author><name sortKey="Campbell Forrester, S" uniqKey="Campbell Forrester S">S Campbell-Forrester</name></author><author><name sortKey="Jolly, C" uniqKey="Jolly C">C Jolly</name></author><author><name sortKey="Jolly, P" uniqKey="Jolly P">P Jolly</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Do, M" uniqKey="Do M">M Do</name></author><author><name sortKey="Meekers, D" uniqKey="Meekers D">D Meekers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harrison, A" uniqKey="Harrison A">A Harrison</name></author><author><name sortKey="Cleland, J" uniqKey="Cleland J">J Cleland</name></author><author><name sortKey="Frohlich, J" uniqKey="Frohlich J">J Frohlich</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kempadoo, K" uniqKey="Kempadoo K">K Kempadoo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roubaud, F" uniqKey="Roubaud F">F Roubaud</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li><li>Madagascar</li><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Stoebenau, Kirsten" sort="Stoebenau, Kirsten" uniqKey="Stoebenau K" first="Kirsten" last="Stoebenau">Kirsten Stoebenau</name></noRegion></country><country name="Canada"><noRegion><name sortKey="Nair, Rama C" sort="Nair, Rama C" uniqKey="Nair R" first="Rama C" last="Nair">Rama C. Nair</name></noRegion><name sortKey="Labonte, Ronald" sort="Labonte, Ronald" uniqKey="Labonte R" first="Ronald" last="Labonté">Ronald Labonté</name></country><country name="Madagascar"><noRegion><name sortKey="Rambeloson, Valerie" sort="Rambeloson, Valerie" uniqKey="Rambeloson V" first="Valérie" last="Rambeloson">Valérie Rambeloson</name></noRegion><name sortKey="Rakotoarison, Paul Ghislain" sort="Rakotoarison, Paul Ghislain" uniqKey="Rakotoarison P" first="Paul Ghislain" last="Rakotoarison">Paul Ghislain Rakotoarison</name><name sortKey="Razafintsalama, Violette" sort="Razafintsalama, Violette" uniqKey="Razafintsalama V" first="Violette" last="Razafintsalama">Violette Razafintsalama</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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