‘They bring AIDS to us and say we give it to them’: Socio-structural context of female sex workers' vulnerability to HIV infection in Ibadan Nigeria

Sahara J

Volumn 7, Issue 2, 2010, Pages 52-61

  Alawode, Olayemi ^a   Muñoz, Jennifer ^a   Adedimeji, Adebola A ^b  

^a NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE   (United States)

^b YESHIVA UNIVERSITY   (United States)

Author keywords

Decriminalisation; HIV AIDS; Individual and structural factors; Nigeria; Sex workers

Indexed keywords

ACQUIRED IMMUNE DEFICIENCY SYNDROME; ADOLESCENT; ADULT; ARTICLE; ATTITUDE TO HEALTH; CLINICAL TRIAL; CONDOM; DISEASE TRANSMISSION; FEMALE; HIGH RISK BEHAVIOR; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INFORMATION PROCESSING; MULTICENTER STUDY; NIGERIA; PATIENT SELECTION; POVERTY; PREVALENCE; PROSTITUTION; QUALITATIVE RESEARCH; QUESTIONNAIRE; RISK FACTOR; SOCIAL STIGMA; UNSAFE SEX; UTILIZATION REVIEW;

ACQUIRED IMMUNODEFICIENCY SYNDROME; ADOLESCENT; ADULT; CONDOMS; FEMALE; FOCUS GROUPS; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HIV INFECTIONS; HUMANS; NIGERIA; PATIENT SELECTION; POVERTY; PREVALENCE; PROSTITUTION; QUALITATIVE RESEARCH; QUESTIONNAIRES; RISK FACTORS; RISK-TAKING; SOCIAL STIGMA; UNSAFE SEX;

EID: 77957911243     PISSN: 17290376     EISSN: 18134424     Source Type: Journal    
DOI: 10.1080/17290376.2010.9724957     Document Type: Article

References (76)

1. Adeyi, O., Kanki, P., Odutolu, O., & Idoko, JA. (2006). AIDS in Nigeria: A nation on the threshold. Cambridge, MA: Harvard Center for Population and Development Studies.
2. Adewuya, A. O., Afolabi, M. O., Ola, B. A., Ogundele, O. A., Ajibare, A. O., Oladipo, B. F., & Fakande, I. (2009). Post-traumatic stress disorder (PTSD) after stigma related events in HIV infected individuals in Nigeria. Social Psychiatry and Psychiatric Epidemiology, 44(9), 761-6.
3. Ahoyo, A. B., Alary, M., Méda, H., Ndour, M., Batona, G., Bitéra, R. et al. (2007). Female sex workers in Benin, 2002: Behavioural survery, HIV and other STI screening. Sante, 17(3), 143-51.
4. Asowa-Omorodion, F. I. (2000). Sexual and health behaviour of commercial sex workers in Benin-City, Edo State, Nigeria. Health Care for Women International 21(4), 335-45.
5. Babalola, S., Fatusi, A., & Anyanti, J. (2009). Media saturation, communication exposure and HIV stigma in Nigeria. Social Science & Medicine, 68(8), 1513-20.
6. Babalola, S. (2007). Readiness for HIV testing among young people in northern Nigeria: the roles of social norm and perceived stigma. AIDS & Behavior, 11(5), 759-69.
7. Bakare, R. A., Oni, A. A., Umar, U. S., Adewole, I. F., Shokunbi, W. A., Fayemiwo, S. A., & Fasina, N. A. (2002). Pattern of sexually transmitted diseases among commercial sex workers (CSWs) in Ibadan, Nigeria. African Journal of Medicine and Medical Science, 31(3), 243-7.
8. Bamgbose, O. (2002). Teenage prostitution and the future of female adolescence in Nigeria. International Journal of Offender Therapy and Comparative Criminology, 46, 369-85.
9. Berthé, A., Huygens, P., Ouattara, C., Sanon, A., Ouédraogo, A., & Nagot, N. (2008). Understanding and reaching young clandestine sex workers in Burkina Faso to improve response to HIV. Sante, 18(3), 163-73.
10. Campbell, C. (2003). Letting them die: Why HIV/AIDS prevention programmes fail. Oxford: James Currey/The International African Institute
11. Campbell, C. (2000). Selling sex in the time of AIDS: the psycho-social context of condom use by sex workers on a Southern African mine. Social Science & Medicine, 50(4), 479-94.
12. Cusik, L. (2006). Widening the harm reduction agenda: From drug use to sex work. International Journal of Drug Policy, 17, 3-11.
13. Cohen, J. (2004). HIV/AIDS in India: Sonagachi sex workers stymie HIV. Science, 304, 506.
14. D’Costa, L. J., Plummer, F. A., Bowmer, I., Fransen, L., Piot, P., Ronald, A. R., & Nsanze, H. (1985). Prostitutes are a major reservoir of sexually transmitted diseases in Nairobi, Kenya. Sexually Transmitted Diseases, 12(2), 64-7.
15. Danadona, R., Danadona, L., Kumar, G. A., Gutierrez, J. P., McPherson, S., Bertozzi, SM., and ASCI FPP Study Team (2005). HIV testing among female sex workers in Andhra Pradesh, India. AIDS, 19(17), 2033-6.
16. Desjarliais, R. R. (1997). Shelter blues: Sanity and selfhood among the homeless. Philadelphia: University of Pennsylvania Press.
17. Dunkle, K. L., Jewkes, R. K., Brown, H. C., Cray, G. E., McIntyre, J. A., & Harlow, S. D. (2004). Gender based violence, relationship, power and risk of HIV in women attending antenatal clinics in South Africa. Lancet, 363 (9419), 1415-1421.
18. Esu-Williams, E. (1995). Clients and commercial sex work. In HIV and AIDS: The Global Interconnection Elizabeth Reid (ed.). West Hartford, Connecticut: Kumarian Press.
19. Falola, T. (1984). Prostitution in Ibadan 1895-1950. Journal of Business and Social Studies New Series, 6(2), 40-54.
20. Forbi, J. C., & Odetunde, A. B. (2007): Human T-cell lymphotropic virus in a population of pregnant women and commercial sex workers in South Western Nigeria. African Health Sciences. 7(3), 129-32.
21. Forbi, J. C., Onyemauwa, N., Gyar, S. D., Oyeleye, A. O., Entonu, P., & Agwale, S. M. (2008). High prevalence of hepatitis B virus among female sex workers in Nigeria. Revista do Instituto de Medicina Tropical de São Paulo. 50(4), 219-21.
22. Ford, K., Wirawan, D. N., Fajans, P., Meliawan, P., MacDonald, K., & Thorpe, L. (1996). Behavioral interventions for reduction of sexually transmitted disease/ HIV transmission among female commercial sex workers and clients in Bali, Indonesia. AIDS, 10(2), 213-22.
23. Ford, R. (2006). Mini brothel plan to take sex off the street and into the suburbs. The Times (U. K), January 18.
24. Foss, A. M., Hossain, M., Vickerman, P. T., & Watts, C. H. (2007). A systematic review of published evidence on intervention impact on condom use in sub-Saharan Africa and Asia. Sexually Transmitted Infection, 83(7), 510-6.
25. Genberg, B. L., Hlavka, Z., Konda, K. A., Maman, S., Chariyalertsak, S., Chingono A. et al. (2009). A comparison of HIV/AIDS-related stigma in four countries: negative attitudes and perceived acts of discrimination towards people living with HIV/AIDS. Social Science & Medicine, 68(12), 2279-87.
26. Genderlift Foundation (2003). Five Hundred Thousand and Still Counting! A National Report on CSWs in Nigeria. Owerri: Genderlift.
27. Ghys, P. D., Diallo, M. O., Ettiègne-Traoré, V., Kalé, K., Tawil, O., Caraël, M. et al. (2002). Increase in condom use and decline in HIV and sexually transmitted diseases among female sex workers in Abidjan, Cote d’Ivoire, 1991-1998. AIDS, 25;16(2), 251-8.
28. Gysels, M., Pool, R., & Nnalusiba, B. (2002). Women who sell sex in a Uganda trading town: Life histories, survival, strategies and risk. Social Science & Medicine, 54(2), 179-92.
29. Hanenberg, R. S., Rojanapithayakorn, W., Kunasol, P., & Sokal, D. C. (1994). Impact of Thailand’s HIV-control programme as indicated by the decline of sexually transmitted diseases. Lancet, 344;, 243-245.
30. Ilesanmi, A., & Lewis, I. (1997). Adolescent prostitution. In L. Dare et al. (Eds), Status of adolescents and young adults in Nigeria (pp. 382-91). Lagos: CHESTRAD.
31. Imade, G. E., Sagay, A., Egah, D., Onwuliri, V., Grigg, M., Egbodo C. et al. (2008). Prevalence of HIV and other sexually transmissible infections in relation to lemon or lime juice douching among female sex workers in Jos, Nigeria. Sexual Health, 5(1), 55-60.
32. Imade, G. E., Sagay, A. S., Onwuliri, V. A., Egah, D. Z., Potts, M., & Short, R. V. (2005). Use of lemon or lime juice douches in women in Jos, Nigeria. Sexual Health, 2(4), 237-9.
33. Izugbara, C. O. (2007). Constituting the unsafe: Nigerian sex workers’ notions of unsafe sexual conduct. African Studies Review, 50 (3), 29-49.
34. Izugbara, C. O. (2005). Ashawo suppose shine her eyes: Female sex workers and sex work risks in Nigeria. Health, Risk & Society, 7 (2), 161-60.
35. Jana, S., Basu, I., Rotheram-Borus, J. M., & Newman, A. P. (2004). The SONAGACHI Project: A sustainable community intervention program. AIDS Education and Prevention, 16(5), 405-414.
36. Kaddour, A., Hafez, R., & Zurayk, H. (2005). Women’s perceptions of reproductive health in three communities around Beirut, Lebanon. Reproductive Health Matters, 13(25), 32-42.
37. Kates, J., & Wilson, A. (2005). The HIV/AIDS Epidemic in Nigeria. Kaiser Family Foundation [Online]. Accessed 10. 01. 08. Available: http://www. kff. org/ hivaids/upload/7363. pdf
38. Kimani, J., Kaul, R., Nagelkerke, N. J., Luo, M., MacDonald, K. S., Ngugi, E. et al. (2008): Reduced rates of HIV acquisition during unprotected sex by Kenyan female sex workers predating population declines in HIV prevalence. AIDS, 22(1), 131-7.
39. Lawoyin, T. O. (2004). Condom use with sex workers and abstinence behaviour among men in Nigeria. J. R. Soc Promot Health, 124(5), 230-3.
40. Lawoyin, T. O., Okhakume, S., Adejuwon, G., Osinowo, H. O., & Asekun-Olarinmoye, E. (2004). Male partners of brothel based sex workers in Ibadan: Implication for intervention of programme development. International AIDS Conference, Bangkok, Thailand, July 11-16, Abstract no WePeC6235.
41. Lowndes, C. M., Alary, M., Labbe, A. C., Ginitoungbe, C., Belleau, M., Mukenga, L. et al. (2007). Interventions among male clients of female sex workers in Benin, West Africa: an essential component of targeted HIV preventive interventions. Sexually Transmitted Infection; 83, 577-581.
42. Luchters, S., Chersich, M. F., Rinyiru, A., Barasa, M. S., King’ola, N., Mandaliya, K. et al. (2008). Impact of five years of peer mediated interventions on sexual behavior and sexually transmitted infections among female sex workers in Mombasa, Kenya. BMC Public Health, 29(8), 143.
43. Madhivanan, P., Hernandez, A., Gogate, A., Stein, E., Gregorich, S., Setia, M. (2005). Alcohol use by men is a risk factor for the acquisition of sexually transmitted infections and human immunodeficiency virus from female sex workers in Mumbai, India. Sexually Transmitted Diseases, 32(11), 685-690.
44. Maman, S., Abler, L., Parker, L., Lane, T., Chirowodza, A., Ntogwisangu, J., Srirak, N. (2009). The prevalence of the use of ‘dry sex’ traditional medicines, among Zambian women, and the profile of the users. Psychology Health & Medicine. 14(2), 227-38.
45. Mbirimtengerenji, N. D. (2007). Is HIV/AIDS epidemic outcome of poverty in sub-Saharan Africa? Croatian Medical Journal 48(5), 605-17.
46. Mbikusita-Lewanika, M., Stephen, H., & Thomas, J. (2009). The prevalence of the use of ‘dry sex’ traditional medicines, among Zambian women, and the profile of users. Psychology Health & Medicin. Mar; 14(2): 227-38
47. Murima, O., & Fritz, K. (2009). A comparison of HIV stigma and discrimination in five international sites: the influence of care and treatment resources in high prevalence settings. Social Science & Medicine, 68(12): 271-8.
48. National Agency for the Control of AIDS [NACA] (2008). Upscale of Antiretroviral Programmes [Online] Accessed 13. 08. 08. Available: http://www. naca. gov. ng/
49. National Population Commission/Federal Office of Statistics (2006). Nigerian Population Census, 2006. Abuja, Nigeria.
50. Nattrass, N. (2009). Poverty, sex and HIV. AIDS and Behavior, 13 (5): 833-40
51. Ngugi, E. N., Chakkalackal, M., Sharma, A., Bukusi, E., Njoroge, B., Kimani J. (2007). Sustained changes in sexual behavior of female sex workers after completion of a randomized HIV prevention trial. J Acquired Immune Deficiency Syndrome. 45(5), 588-94.
52. Ngugi, E. N., Wislon, D., Sebstad, J., Plummer, FA., & Moses, S. (1996). Focussed peer-mediated educational programmes among female sex workers to reduce sexually transmitted disease and human immunodeficiency virus transmission in Kenya and Zimbabwe. Journal of Infectious Diseases; 174 (Suppl 2), S240-S247.
53. Obermeyer, C. (1999). The cultural context of reproductive health: Implications for monitoring the Cairo agenda. International Family Planning Perspectives, 25, S50-S54.
54. Orubuloye, I. O., & Oguntimehin, F. (1999). Intervention for the control of STDs including HIV among commercial sex workers, commercial drivers and students in Nigeria. In IO Orubuloye, JC Caldwell & J. Ntozi (Eds), The continuing HIV/AIDS epidemic in Africa. Health Transition Centre/ National Centre for Epidemiology and Population Health: Australian National University, Canberra; 121-9
55. Orubuloye, I. O., Caldwell, J. C., & Caldwell, P. (1994). Commercial sex workers in Nigeria in the shadows of AIDS. In I. O. Orubuloye et al. (Eds), Sexual networking and AIDS in sub-Saharan Africa: Behaviour Research and the Social Context (pp. 101-116). Canberra: Australian National University.
56. Oyefara, J. L. (2007). Food insecurity, HIV/AIDS pandemic and sexual behaviour of female commercial sex workers in Lagos metropolis, Nigeria. Journal of Social Aspects of HIV/AIDS, 4 (2), 626-634
57. Panchanadeswaran, S., Johnson, S. C., Sivaram, S., Srikrishnan, A. K., Latkin, C., Bentley, M. E. et al. (2008). Intimate partner violence is as important as client violence in increasing street-based female sex workers vulnerability to HIV in India. International Journal of Drug Policy, 19, 106-112.
58. Pennington, Onifade. 2006. “Our Girls Are Wasting Away. ” The Tide (Port Harcourt), March 6.
59. Rojanapithayakorn, W. (2006). The 100% condom use programme in Asia. Reproductive Health Matters, 14(28), 41-52.
60. Schensul, S. L., Mekki-Berrada, A., Nastasi, B. K., Singh, R., Burleson, J. A., & Bojko, M. (2006). Men’s extramarital sex, marital relationships and sexual risk in urban poor communities in India. Journal of Urban Health. 83(4), 614-24.
61. Shahmanesh, M., Patel, V., Mabey, D., & Cowan, F. (2008). Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections among female sex workers in resource poor settings: a systematic review. Tropical Medicine & International Health. 13(5), 659-79.
62. Shahmanesh, M., & Wayal, S. (2004). Targeting commercial sex workers in Goa, India: time for a strategic rethink? Lancet, 364, 127-1298.
63. Sumartojo, E. (2000). Structural factors in HIV prevention: concepts, examples and implications for research. AIDS, 14 (Suppl 1) S, 3-10.
64. Sussman, E. (2002). Sex workers believe in God, not condoms. Available: http:// www. aegis. com/news/ads/2002/AD021289. html. Accessed July 22, 2009
65. Tinuola, F. R. (2008). Leave me alone and let me enjoy sex, no bi my right? Experiences with commercial sex workers in Southwest Nigeria. Sexologies, 17(Suppl. 1), S72-73.
66. Umar, U. S., Adekunle, A. O., & Bakare, R. A. (2001). Pattern of condom use among commercial sex workers in Ibadan, Nigeria. Africal Journal of Medicine & Medical Science, 30(4), 285-90.
67. UNAIDS (2007). Report on the Global AIDS Epidemic. Geneva. Available: http://data. unaids. org/pub/EPISlides/2007/2007_epiupdate_en. pdf. Accessed on July 23, 2009
68. UNAIDS (2008). Report on the Global AIDS Epidemic. Geneva. Available: http://www. unaids. org/en/KnowledgeCentre/HIVData/GlobalReport/2008/ default. asp. Accessed on July 23, 2009.
69. United Nations Development Programme [UNDP] (2004). HIV and AIDS: A challenge to sustainable human development. UNDP Country Office, Nigeria. Available: http://hdr. undp. org/en/reports/nationalreports/africa/nigeria/ name, 3289, en. html
70. Varga, C. A. (1997). The condom conundrum: Barriers to condom use among commercial sex workers in Durban, South Africa. African Journal of Reproductive Health, 1(1), 74-88.
71. Vickerman, P., Terris-Prestholt, F., Delany, S., Kumaranayake, L., Rees, H., & Watts, C. (2006). 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(10 Suppl):, 122-32.
72. Wechsberg, W. M., Luseno, W. K., & Lam, W. K. (2005). Violence against substance-abusing South African sex workers: intersection with culture and HIV risk. AIDS Care, 17 (Suppl 1), S55-64.
73. Wojcicki, JM., & Malala, J. (2001). Condom use, power and HIV/AIDS risk: sexworkers bargain for survival in Hillbrow/Joubert Park/Berea, Johannesburg. Social Science & Medicine, 53(1), 99-121.
74. Wood, K., & Jewkes, R. (1998). ‘Love is a dangerous thing’: Micro-dynamics of violence in sexual relationships of young people in Umtata. Medical Research Council Technical Report. Pretoria: MRC.
75. World Bank (2009). Nigerian Statistics. Available: http://go. worldbank. org/ KH5XDF7BF0. Accessed July 18, 2009.
76. Worth, D. (1989). Sexual decision-making and AIDS: Why condom promotion among vulnerable women is likely to fail. Studies in Family Planning, 20, 297-307.