"Taking care of business": Alcohol as currency in transactional sexual relationships among players in Cape Town, South Africa

Qualitative Health Research

Volumn 21, Issue 1, 2011, Pages 41-50

  Townsend, Loraine ^a   Ragnarsson, Anders ^b   Mathews, Catherine ^a   Johnston, Lisa Grazina ^c   Ekström, Anna Mia ^b   Thorson, Anna ^b   Chopra, Mickey ^d  

^a SOUTH AFRICAN MEDICAL RESEARCH COUNCIL   (South Africa)

^b KAROLINSKA INSTITUTE   (Sweden)

^c TULANE UNIVERSITY   (United States)

^d UNITED NATIONS   (United States)

Author keywords

Africa; alcohol; alcoholism; behavior change; HIV AIDS prevention; masculinity; sexual health; sexuality; South

Indexed keywords

ALCOHOL INTOXICATION; ALCOHOLIC BEVERAGE; ARTICLE; DISEASE TRANSMISSION; HIGH RISK BEHAVIOR; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; MALE; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; SEXUALITY; SOUTH AFRICA; UNSAFE SEX; VIROLOGY;

ALCOHOLIC BEVERAGES; ALCOHOLIC INTOXICATION; HIV INFECTIONS; HUMANS; MALE; QUALITATIVE RESEARCH; RISK-TAKING; SEXUAL PARTNERS; SOUTH AFRICA; UNSAFE SEX;

EID: 78650648726     PISSN: 10497323     EISSN: 15527557     Source Type: Journal    
DOI: 10.1177/1049732310378296     Document Type: Article

References (42)

1. Chopra, M., Townsend, L., Johnston, L.G., Mathews, C., Tomlinson, M., O'Bra, H., & Kendall, C. (2009). Estimating HIV prevalence and risk behaviors among high-risk heterosexual men with multiple sex partners: Use of respondent-driven sampling. Journal of Acquired Immune Deficiency Syndrome, 51, 70-75. doi:10.1097/QAI.0b013e31819907de
2. Downing-Matibag, T., & Geisinger, B. (2009). Hooking up and sexual risk taking among college students: A health belief model perspective. Qualitative Health Research, 19, 1196-1209. doi:10.1177/1049732309344206
3. Dunkle, K.L., Jewkes, R., Nduna, M., Jama, N., Levin, J., Sikweyiya, Y., & Koss, M.P. (2007). 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. Social Science & Medicine, 65, 1235-1248. doi:10.1016/j.socscimed.2007.04.029
4. Fisher, J.C., Bang, H., & Kapiga, H. (2007). The association between HIV infection and alcohol use: A systematic review and meta-analysis of African studies. Sexually Transmitted Infections, 34, 856-862. doi:10.1097/OLQ. 0b013e318067b4fd
5. Graneheim, U.H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105-112. doi:10.1016/j.nedt.2003.10. 001
6. Hawkins, K., Mussa, F., & Abuxahama, S. (2005). " Milking the Cow." Young women's constructions of identity, gender, power and risk in transactional and cross-generational sexual relationships: Maputo, Mozambique. Swansea, UK: Centre for Development Studies.
7. Heckathorn, D. (1997). Respondent driven sampling: A new approach to the study of hidden populations. Social Problems, 44, 174-199. Retrieved from http://www.jstor.org/stable/3096941
8. Heckathorn, D. (2002). Respondent driven sampling II: Deriving valid population estimates from chain-referral samples of hidden populations. Social Problems, 49, 11-34. Retrieved from http://www.jstor.org/stable/3097114
9. Heckathorn, D.D. (2007). Extensions of respondent-driven sampling: Analyzing continuous variables and controlling for differential recruitment. Sociological Methodology, 37, 151-207. doi:10.1111/j.1467-9531.2007.00188.x
10. Hunter, M. (2007). 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, 689-700. doi:10.1016/j.socscimed. 2006.09.015
11. Information and Knowledge Management Department. (2005). A population profile of Khayelitsha. Socio-economic information from the 2001 census. Retrieved from http://www.capetown.gov.za/en/stats/CityReports/Documents/ Population%20Profiles/A-Population-Profile-of-Khayelitsha-1052006142120-359.pdf
12. Jewkes, R., Levin, J., & Penn-Kekaka, L. (2002). Risk factors for domestic violence: Findings from a South African cross-sectional study. Social Science & Medicine, 55, 1603-1617. doi:10.1016/S0277-9536(01)00294-5
13. Joint United Nations Program on HIV/AIDS. (2008). Report on the global AIDS epidemic. Geneva, Switzerland: Author.
14. Kalichman, S.C., Simbayi, L.C., Kaufman. M., Cain, D., & Jooste, S. (2007). Alcohol use and sexual risks for HIV/ AIDS in sub-Saharan Africa: A systematic review of empirical findings. Prevention Science, 8, 141-151. doi:10.1007/ s11121-006-0061-2
15. Kaufman, C.E., & Stavrou, S.E. (2004). Bus fare please: The economics of sex and gifts among young people in urban South Africa. Culture, Health & Sexuality 6, 377-391. Retrieved from http://www.jstor.org/stable/4005305
16. Kelly, J. (2004). Popular opinion leaders and HIV peer education: Resolving discrepant findings, and implications for the implementation of effective community programmes. AIDS Care, 16, 139-150. doi:10.1080/ 09540120410001640986
17. Kendall, C., Kerr, L.R.F.S., Gondim, R.C., Werneck, G.L., Macena, R.H.M., Pontes, M.K., & McFarland, W. (2008). An empirical comparison of respondent-driven sampling, time location sampling, and snowball sampling for behavioral surveillance in men who have sex with men, Fortaleza, Brazil. AIDS & Behavior, 12, S97 - S104. doi:10.1007/ s10461-008-9390-4
18. Kongnyuy, E., & Wiysonge, C.S. (2007). Alcohol use and extramarital sex among men in Cameroon. BMC International Health & Human Rights, 6. doi:10.1186/1472-698X-7-6 (Pubitemid 47340855)
19. Leclerc-Madlala, S. (2003). Transactional sex and the pursuit of modernity. Social Dynamics, 29, 213-233. doi:10.1080/02533950308628681
20. Longfield, K., Glick, A., Waithaka, M., & Berman, J. (2004). Relationships between older men and younger women: Implications for STIs/HIV in Kenya. Studies in Family Planning, 35, 125-134. Retrieved from http://www.jstor.org/stable/3181140
21. Luke, N. (2003). Age and economic asymmetries in the sexual relationships of adolescent girls in sub-Saharan Africa. Studies in Family Planning, 34, 67-86. Retrieved from http://www.jstor.org/stable/3181180
22. Malekinejad, M., Johnston, J.G., Kendall, C., Kerr, L.R.F.S., Rifkin, M.R., & Rutherford, G.W. (2008). Using respondent-driven sampling methodology for HIV biological and behavioral surveillance in international settings: A systematic review. AIDS & Behavior, 12, S105 - S130. doi:10.1007/ s10461-008-9421-1
23. Morojele, N.K., Kachieng'a, M.A., Mokoko, E., Nkoko, M.A., Parry, C.D.H., Nkowane, A.M.,... Saxena, S. (2006). Alcohol use and sexual behaviour among risky drinkers and bar and shebeen patrons in Gauteng Province, South Africa. Social Science & Medicine, 62, 217-227. doi:10.1016/j. socscimed.2005.05.031
24. Parry, C.D. (2005). South Africa: Alcohol today. Addiction, 100, 426-429. doi:10.1111/j.1360-0443.2005.01015.x
25. Pronyk, P.M., Hargreaves, J.R., Kim, J.C., Morison, L., Phetla, G., Watts, C.,... Porter, J.D.H. (2006). Effect of a structural intervention for the prevention of intimate-partner violence and HIV in rural South Africa: A cluster randomized trial. Lancet, 368, 1973-1983. doi:10.1016/ S0140-6736(06)69744-4
26. Ragnarsson, A., Townsend, L., Thorson, A., Chopra, M., & Ekström, A.M. (2009). Social networks and concurrent sexual relationships-A qualitative study among men in an urban South African community. AIDS Care, 21, 1253-1258. doi:10.1080/09540120902814361
27. Schneider, M., Norman, R., Parry, C., Bradshaw, D., Plüddemann, A., & the South African Comparative Risk Assessment Collaborating Group. (2007). Estimating the burden of disease attributable to alcohol use in South Africa in 2000. South African Medical Journal, 97, 664-672. Retrieved from http://www.2.samj.org.za/index.php/samj/article/viewFile/658/155
28. Shaikh, N., Abdullah, F., Lombard, C.J., Smit, L., Bradshaw, D., & Makubalo, L. (2006). Masking through averages- Intraprovincial heterogeneity in HIV prevalence within the Western Cape. South African Medical Journal, 96, 538-543. Retrieved from http://www.2.samj.org.za/index.php/samj/article/ viewFile/1136/582
29. Silberschmidt, M., & Rasch, V. (2001). Adolescent girls, illegal abortions and ''sugar-daddies'' in Dar es Salaam: Vulnerable victims and active social agents. Social Science & Medicine, 52, 1815-1826 doi:10.1016/S0277- 9536(00)00299-9
30. Simbayi, L.C., Mwaba, K., & Kalichman, S.C. (2006). Perceptions of the combination of HIV/AIDS and alcohol as a risk factor among STI clinic attenders in South Africa: Implications for HIV prevention. Social Behavior and Personality, 34, 535-544. doi:10.2224/sbp.2006.34.5.535
31. South African Department of Health. (1998). South African demographic and health survey. Pretoria, South Africa: Author.
32. South African Department of Health. (2008). The national HIV and syphilis prevalence survey South Africa 2007. Pretoria, South Africa: Author.
33. Urban Renewal Directorate. (2005). Lessons learnt from Khayelitsha business development. Cape Town, South Africa: Author.
34. Wechsberg, W.M., Luseno, W.K., Karg, R.S., Young, S., Rodman, N., Myers, B., & Parry, C.D.H. (2008). Alcohol, cannabis, and methamphetamine use and other risk behaviors among Black and coloured South African women: A small randomized trial in the Western Cape. International Journal of Drug Policy, 19, 130-139. doi:10.1016/j.drugpo.2007.11.018
35. Weir, S., Pailman, C., Mahlalela, X., Coetzee, N., Meidant, F., & Boerma, J.T. (2003). From people to places: Focusing AIDS prevention efforts where it matters most. AIDS, 17, 895-903. Retrieved from http://journals.lww. com/aidsonline/Abstract/2003/04110/From-people-to-places-focusing-AIDS- prevention.15.aspx
36. Weir, S.S., Morroni, C., Coetzee, N., Spencer, J., & Boerma, J.T. (2002). A pilot study of a rapid assessment method to identify places for AIDS prevention in Cape Town, South Africa. Sexually Transmitted Infections, 78 (Suppl. 1). 106-113. doi:10.1136/sti.78.suppl-1.i106
37. Weiser, S.D., Leiter, K., Heisler, M., McFarland, W., Percyde Korte, F., DeMonner, S.M.,... Bangsberg, D.R. (2006). A population-based study on alcohol and high-risk sexual behaviors in Botswana. PloS Medicine, 3, e392. doi:10.1371/ journal.pmed.0030392
38. Wojcicki, J.M. (2002). Commercial sex work or ukuphanda? Sex-for-money exchange in Soweto and Hammanskraal area, South Africa. Culture, Medicine and Psychiatry, 26, 339-370. doi:10.1023/A:1021291922026
39. Wojcicki, J.M., & Malala, J. (2001). Condom use, power and HIV/AIDS risk: Sex-workers bargain for survival in Hillbrow/ Joubert Park/Berea, Johannesburg. Social Science & Medicine, 53, 99-121. doi:10.1016/S0277- 9536(00)00315-4
40. Wood, K., & Jewkes, R. (2001). Dangerous love: Reflections on violence among Xhosa township youth. In R. Morrell (Ed.), Changing men in South Africa (pp. 317-336). Pietermaritzburg, South Africa: University of Natal Press.
41. World Health Organization, & Joint United Nations Program on HIV/AIDS. (2000). Guidelines for second generation HIV surveillance. Geneva, Switzerland: Author.
42. Zablotska, I.B., Gray, R.H., Serwadda. D., Nalugoda, F., Kigozi, G., Sewankambo, N.,... Wawer, M. (2006). Alcohol use before sex and HIV acquisition: A longitudinal study in Rakai, Uganda. AIDS, 20, 1191-1196. doi:10.1097/01. aids.0000226960.25589.72