Sex, drugs, and HIV: Rapid assessment of HIV risk behaviors among street-based drug using sex workers in Durban, South Africa

Social Science and Medicine

Volumn 67, Issue 9, 2008, Pages 1447-1455

  Needle, Richard ^a   Kroeger, Karen ^a   Belani, Hrishikesh ^a   Achrekar, Angeli ^a   Parry, Charles D ^b   Dewing, Sarah ^b  

^a CENTERS FOR DISEASE CONTROL AND PREVENTION   (United States)

^b SOUTH AFRICAN MEDICAL RESEARCH COUNCIL   (South Africa)

Author keywords

Drug abuse; Gender; HIV; Pimps; Rapid assessment; Sex workers; South Africa

Indexed keywords

3,4 METHYLENEDIOXYMETHAMPHETAMINE; COCAINE; DIAMORPHINE; DIPIPANONE; MANDRAX; METHAQUALONE; STREET DRUG;

ACQUIRED IMMUNE DEFICIENCY SYNDROME; DRUG; DRUG USER; HEALTH RISK; HUMAN IMMUNODEFICIENCY VIRUS; PROSTITUTION; RISK ASSESSMENT;

ADOLESCENT; ADULT; ARTICLE; COUNSELING; DAILY LIFE ACTIVITY; DRUG ABUSE; ETHNOGRAPHIC RESEARCH; FEMALE; HIGH RISK BEHAVIOR; HIGH RISK POPULATION; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INFECTION RISK; INFORMATION PROCESSING; INTERVIEW; INTRAVENOUS DRUG ABUSE; MALE; PROSTITUTION; RISK ASSESSMENT; SEX DIFFERENCE; SEXUAL BEHAVIOR; SOCIOECONOMICS; SOUTH AFRICA;

ADOLESCENT; ADULT; FEMALE; FOCUS GROUPS; HIV INFECTIONS; HUMANS; PROSTITUTION; QUALITATIVE RESEARCH; RISK-TAKING; SAMPLING STUDIES; SOUTH AFRICA; SUBSTANCE-RELATED DISORDERS; URBAN HEALTH; URBAN POPULATION;

AFRICA; DURBAN; KWAZULU-NATAL; SOUTH AFRICA; SOUTHERN AFRICA; SUB-SAHARAN AFRICA;

EID: 50949098214     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.socscimed.2008.06.031     Document Type: Article

References (46)

1. Aceijas C., Stimson G.V., Hickman M., Rhodes T., Adelekan M.L., Lawal R.A., et al. Global overview of injecting drug use and HIV infection among injecting drug users. AIDS 18 17 (2004) 2295-2303
2. AnSWR. Analysis software for word based records. Version 6.4 (2004), Centers for Disease Control and Prevention, Atlanta, GA, United States. Available from: www.cdc.gov/hiv/software/answr/ver3d.htm (Accessed 8.02.08)
3. In: Bernard R.H. (Ed). Handbook of methods in cultural anthropology (1998), AltaMira Press, Walnut Creek, CA
4. Bourgois P. The moral economies of homeless heroin addicts: confronting ethnography, HIV risk, and everyday violence in San Francisco shooting encampments. Substance Abuse and Misuse 33 11 (Sep 1998) 2323-2351
5. Bourgois P. In search of respect. Selling crack in El Barrio (2003), Cambridge University Press
6. Costenbader E., Astone N., and Latkin C. The dynamics of drug users' personal networks and HIV risk behaviors. Addiction 101 7 (2006) 1003-1013
7. Cusick L. Widening the harm reduction agenda: from drug use to sex work. International Journal of Drug Policy 17 (2006) 3-11
8. DeBeck K., Shannon K., Wood E., Li K., Montaner J., and Kerr T. Income generating activities of people who inject drugs. Drug Alcohol and Dependency 9 1 (2007) 50-56
9. Douglas M. Risk and blame: essays in cultural theory (1992), Routledge, New York, NY
10. Dunkle K.L., Jewkes R.K., Brown H.C., Gray G.E., McIntryre J.A., and Harlow S.D. Transactional sex among women in Soweto, South Africa: prevalence, risk factors and association with HIV infection. Social Science & Medicine 59 8 (2004) 1581-1592
11. Edlin B.R., Irwin K.L., Faruque S., McCoy C.B., Word C., Serrano Y., et al. Intersecting epidemics: crack cocaine use and HIV infection among inner-city young adults. New England Journal of Medicine 331 21 (1994) 1422-1427
12. Fitch C., Stimson G.V., Rhodes T., and Poznyak V. Rapid assessment: an international review of diffusion, practice, and outcomes in the substance use field. Social Science & Medicine 59 (2004) 1819-1830
13. Foss A.M., Hossain M., Vickerman P.T., and Watts C.H. A systematic review of published evidence on intervention impact on condom use in sub-Saharan Africa and Asia. Sexually Transmitted Infections 83 (2007) 510-516
14. Fung I., Guiness L., Vickerman P., Watts C., Vannela G., Vadhvana J., et al. Modelling the impact and cost-effectiveness of the HIV intervention programmed amongst commercial sex workers in Ahmedabad, Gujarat, India. BMC Public Health 2007 7 (2007) 195
15. Hunter M. The changing political economy of sex in South Africa: the significance of unemployment and inequalities to the scale of the AIDS pandemic. Social Science & Medicine 64 (2007) 689-700
16. Kane S., and Mason T. "IV drug users" and "sex partners": the limits of epidemiological categories and the ethnography of risk. In: Herdt G., and Lindenbaum S. (Eds). The time of AIDS: social analysis, theory, and method (1992), Sage Publications, Inc., Newbury Park, CA 199-222
17. Leggett T. Crack, sex work, and HIV. AIDS Analysis Africa 9 (1999) 3
18. Leggett T. The sleazy hotel syndrome: housing vice in Durban and Johannesburg. Crime & Conflict 18 (1999) 14-20
19. Leggett T. Drugs, sex work, and HIV in three South African cities. Society in Transition 32 (2001) 101-109
20. Leggett T. Rainbow vice: The drugs and sex industries in the new South Africa (2002), Zed Books, Ltd, New York
21. Leggett T. Intravenous drug use in South Africa. In: Abdool Karim S., and Abdool Karim Q. (Eds). HIV/AIDS in South Africa (2005), Cambridge University Press, Cambridge 183-191
22. Miles M.B., and Huberman A.M. Qualitative data analysis: An expanded sourcebook (1994), Sage, Thousand Oaks, CA
23. Morse J.M., and Field P.A. Qualitative research methods for health professionals (1995), Sage, Thousand Oaks, CA
24. Myers T., Aguinaldo J.P., Dakers D., Fischer B., Bullock S., Millson P., et al. How drug-using men who have sex with men account for substance use during sexual behaviors: questioning assumptions of HIV prevention and research. Addiction Research and Theory 12 3 (2004) 213-229
25. Needle R.H., Burrows D., Friedman S., Dorabjee J., Touz'e G., Badrieva L., et al. Effectiveness of community-based outreach in preventing HIV/AIDS among injecting drug users. International Journal of Drug Policy 16S (2005) S45-S57
26. Needle R.H., Kroeger K., Belani H., and Hegle J. Substance abuse and HIV in sub-Saharan Africa: introduction to the special issue. African Journal of Drug and Alcohol Studies 5 2 (2006) 83-94
27. Needle R.H., Trotter R., Singer M., Bates C., Page J., Metzger D., et al. Rapid assessment of the HIV/AIDS crisis in racial and ethnic minority communities: an approach for timely community interventions. American Journal of Public Health 93 6 (June 2003) 970-979
28. Parry, C. D., Dewing, S., Petersen, P., Carney, T., Needle, R., Kroeger, K., et al. (2008). Rapid assessment of HIV risk behavior in drug using sex workers in three cities in South Africa. AIDS Behavior, [Epub ahead of print], doi:10.1007/s10461-008-9367-3.
29. Parry C., and Pithey A.L. Risk behaviour and HIV among drug-using populations in South Africa. African Journal of Drug & Alcohol Studies 5 2 (2006) 139-156
30. Pluddeman A., Parry C., Cerff P., Bhana A., Harker N., Potgieter H., et al. Monitoring alcohol and drug abuse trends in South Africa (July 1996-December 2005): phase 19. SACENDU Research Brief 9 1 (2006) 1-12
31. In: Ratner M.S. (Ed). Crack pipe as pimp: An ethnographic investigation of sex-for-crack exchanges (1993), Lexington Books, New York
32. Rees H., Beksinska H.E., Dickson-Tetteh K., Ballard R.C., and Htun Y. Commercial sex workers in Johannesburg: Risk behaviour and HIV status. South African Journal of Science 96 (2000) 283-284
33. Rhodes T., Singer M., Bourgois P., Friendman S., and Strathdee S. The social and structural production of HIV risk among injecting drug users. Social Science & Medicine 61 (2005) 1026-1044
34. Scheper-Hughes N., and Lock M. The mindful body: a prolegomenon to future work in medical anthropology. In: Brown P. (Ed). Understanding and applying medical anthropology (1998), Mayfield, Mountain View, Calif. 208-225
35. Semaan S., Des Jarlais D., and Malow R. Behavior change and health-related interventions for heterosexual risk reduction among drug users. Substance Use and Misuse 41 (2006) 1349-1378
36. Siegfried N., Parry C., and Morojele N. Position paper: Non-injecting drug use and HIV/AIDS in South Africa (2001), Global Research Network on HIV Prevention in Drug-using Populations, Cape Town
37. Statistics South Africa. Census in brief. Available from: (2001). http://www.statssa.gov.za (Accessed 2.10.06)
38. Statistics South Africa. Mid-year population estimates, South Africa, 2006. Available from: (2006). http://www.statssa.gov.za Accessed 2.10.06
39. Sterk C.E. Fast lives: Women who use crack cocaine (1999), Temple University Press, Philadelphia
40. Sterk C.E. Tricking and tripping: Prostitution in the era of AIDS (2000), Social Change Press, Putnam Valley
41. Stimson G.V., Fitch C., Des Jarlais D., Poznyak V., Perlis T., Oppenheimer E., et al. Rapid assessment and response studies of injection drug use: knowledge gain, capacity building, and intervention development in a multi-site study. American Journal of Public Health 96 2 (2006) 288-295
42. UNAIDS. 2006 Report on the global AIDS epidemic (2006), Switzerland, Geneva
43. United Nations Office on Drugs and Crime (UNODC). 2006 world drug report (2006), UNODC
44. Vickerman P., Terris-Prestholt F., Delany S., Kumaranayake L., Rees H., and Watts C. Are targeted HIV prevention activities cost-effective in high prevalence settings? Results from a sexually transmitted infection treatment project for sex workers in Johannesburg, South Africa. Sexually Transmitted Diseases 33 Suppl. 10 (October 2006) S122-S132
45. Wechsberg W.M., Luseno W.K., Lam W.K., Parry C., and Morojele N.K. Substance use, sexual risk, and violence: HIV prevention intervention with sex workers in Pretoria. AIDS and Behaviour 10 (2006) 131-137
46. Wodak A., and Cooney A. Effectiveness of sterile needle and syringe programmes. International Journal of Drug Policy 16 Suppl. 1 (2005) S31-S44