Transactional sex and HIV: Understanding the gendered structural drivers of HIV in fishing communities in southern Malawi

Journal of the International AIDS Society

Volumn 15, Issue , 2012, Pages

  MacPherson, Eleanor E ^a,b   Sadalaki, John ^b   Njoloma, Macdonald ^b   Nyongopa, Victoria ^b   Nkhwazi, Lawrence ^b   Mwapasa, Victor ^c   Lalloo, David G ^a   Desmond, Nicola ^a,b   Seeley, Janet ^d,e   Theobald, Sally ^b  

^a LIVERPOOL SCHOOL OF TROPICAL MEDICINE   (United Kingdom)

^b MALAWI LIVERPOOL WELLCOME TRUST CLINICAL RESEARCH PROGRAMME   (Malawi)

^c UNIVERSITY OF MALAWI   (Malawi)

^d UGANDA VIRUS RESEARCH INSTITUTE   (Uganda)

^e UNIVERSITY OF EAST ANGLIA   (United Kingdom)

Author keywords

Fishing communities; Gender power relations; HIV; Transactional sex

Indexed keywords

EID: 84880118522     PISSN: None     EISSN: 17582652     Source Type: Journal    
DOI: 10.7448/IAS.15.3.17364     Document Type: Article

References (37)

1. Coates TJ, Richter L, Caceres C. Behavioural strategies to reduce HIV transmission: how to make them work better. Lancet. 2008;372:669-84.
2. Kissling E, Allison EH, Seeley JA, Russell S, Bachmann M, Musgrave SD, et al. Fisherfolk are among groups most at risk of HIV cross-country analysis of prevalence and numbers infected. AIDS. 2005;19:1939-46.
3. Gupta GR, Parkhurst JO, Ogden JA, Aggleton P, Mahal A. Structural approaches to HIV prevention. Lancet. 2008;372:764-75.
4. Dunkle KL, Jewkes RK, Brown HC, Gray GE, McIntryre JA, Harlow SD. Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa. Lancet. 2004;363:1415-21.
5. Norris AH, Kitali AJ,Worby E. Alcohol and transactional sex: how risky is the mix? Soc Sci Med. 2009;69:1167-76.
6. Côté AM, Sobela F, Dzokoto A, Nzambi K, Asamoah-Adu C, Labbé AC, et al. Transactional sex is the driving force in the dynamics of HIV in Accra, Ghana. AIDS. 2004;18:917-25.
7. Leclerc-Madlala S. Transactional sex and the pursuit of modernity. Soc Dyn. 2003;29:213-33.
8. Silberschmidt M, Rasch V. Adolescent girls, illegal abortions and ''sugardaddies'' in Dar es Salaam vulnerable victims and active social agents. Soc Sci Med. 2001;52:1815-26.
9. Moore AM, Biddlecom AE, Zulu EM. Prevalence and meanings of exchange of money or gifts for sex in unmarried adolescent sexual relationships in sub- Saharan Africa. Afr J Reprod Health. 2007;11:44-61.
10. Hunter M. The materiality of everyday sex: thinking beyond 'prostitution'. Afr Stud. 2002;61:99-120.
11. Morojele NK, Kachieng'a MA, Mokoko E, Nkoko MA, Parry CD, Nkowane AM, et al. Alcohol use and sexual behaviour among risky drinkers and bar and shebeen patrons in Gauteng province, South Africa. Soc Sci Med. 2006;62: 217-27.
12. Kaufman CE, Stavrou SE. ''Bus Fare, Please'': the economics of sex and gifts among adolescents in urban South Africa. Population council policy research division working papers; 2002.
13. Nyanzi S, Pool R, Kinsman J. The negotiation of sexual relationships among school pupils in south-western Uganda. AIDS Care. 2001;13:83-98.
14. Dunkle KL, Jewkes RK, Brown HC, Gray GE, McIntryre JA, Harlow SD. Transactional sex among women in Soweto, South Africa: prevalence, risk factors and association with HIV infection. Soc Sci Med. 2004;59: 1581-92.
15. Luke N, Kurz K. Cross-generational and transactional sexual relations in sub-Saharan Africa. Washington, DC: International Center for Research on Women (ICRW); 2002.
16. Masvawure T. 'I just need to be flashy on campus': female students and transactional sex at a university in Zimbabwe. Cult Health Sex. 2010;12:857-70.
17. Swidler A, Watkins SC. Ties of dependence AIDS and transactional sex in rural Malawi. Stud Fam Plann. 2007;38:147-62.
18. Epstein H. AIDS and the irrational. BMJ. 2008;337:1265-7.
19. Tanser F, Bärnighausen T, Hund L, Garnett GP, McGrath N, Newell ML. Effect of concurrent sexual partnerships on rate of new HIV infections in a highprevalence, rural South African population a cohort study. Lancet. 2011; 378:247-55.
20. Campbell C, Currey J. Letting them die: why HIV/AIDS prevention programmes fail. Oxford: Indiana University Press; 2003. p. 121-32.
21. Farmer PE, Nizeye B, Stulac S, Keshavjee S. Structural violence and clinical medicine. PLoS Med. 2006;3:e449.
22. Seeley JA, Allison EH. HIV/AIDS in fishing communities: challenges to delivering antiretroviral therapy to vulnerable groups. AIDS Care. 2005; 17:688-97.
23. Merten S, Haller T. Culture, changing livelihoods, and HIV/AIDS discourse: reframing the institutionalization of fish-for-sex exchange in the Zambian Kafue Flats. Cult Health Sex. 2007;9:69-83.
24. Asiki G, Mpendo J, Abaasa A, Agaba C, Nanvubya A, Nielsen L, et al. HIV and syphilis prevalence and associated risk factors among fishing communities of Lake Victoria, Uganda. Sex Transm Infect. 2011;87:511-15.
25. Kwena ZA, Bukusi EA, Ng'ayo MO, Buffardi AL, Nguti R, Richardson B, et al. Prevalence and risk factors for sexually transmitted infections in a high-risk occupational group: the case of fishermen along Lake Victoria in Kisumu, Kenya. Int J STD AIDS. 2010;21:708-13.
26. Mataure P, McFarland W, Fritz K, Kim A, Woelk G, Ray S, et al. Alcohol use and high-risk sexual behavior among adolescents and young adults in Harare, Zimbabwe. AIDS Behav. 2002;6:211-9.
27. Béné C, Merten S.Women and fish-for-sex: transactional sex, HIV/AIDS and gender in African fisheries. World Dev. 2008;36:875-99.
28. Government of Malawi. The fish sector and its importance in Malawi. ESA Meeting on Trade and Sustainable Approaches to Fisheries Negotiations under WTO/EPA, The Commonwealth Secretariat, Port Louis, Mauritius, 2007 May 2-4; 2007.
29. Republic of Malawi Ministry of Health. HIV and Syphilis Sero-Survey and National HIV Prevalence and AIDS Estimates Report 2007. HIV and Syphilis Sero-Survey and National HIV Prevalence and AIDS Estimates Report 2007. National AIDS Commission Malawi; 2007.
30. Malawi: country profile human development indicators [cited 4 January 2012]. Available from: http://hdrstats.undp.org/en/countries/profiles/MWI. html.
31. National Statistical Office. Malawi Demographic and Health Survey 2004; 2005.
32. Pope C, Mays N. Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. BMJ. 1995;311:42-5.
33. Richie J, Lewis J, Elam G. Designing and selecting samples. In: Richie J, Lewis J, editors. A guide for social science students and researchers. Thousand Oaks, CA: Sage; 2003. p. 77-109.
34. Ritchie J, Spencer L, O'Connor W. Carrying out qualitative analysis. In: Richie J, Lewis J, editors. A guide for social science students and researchers. Thousand Oaks, CA: Sage; 2003. p. 219-62.
35. Pretty JN. Participatory inquiry for sustainable agriculture. IIED; 1993.
36. Harcourt C, Donovan B. The many faces of sex work. BMJ. 2005;81:201.
37. Kabeer N. Conflicts over credit: re-evaluating the empowerment potential of loans to women in rural Bangladesh. World Dev. 2001;29:63-84.