Intimate relationships of Devadasi sex workers in South India: An exploration of risks of HIV/STI transmission

Global Public Health

Volumn 9, Issue 10, 2014, Pages 1198-1210

  Ramanaik, Satyanarayana ^a,b,c   Thompson, Laura H ^b   du Plessis, Elsabé ^b   Pelto, Pertti ^d   Annigeri, Vinod ^c   Doddamane, Mahesh ^a   Bhattacharjee, Parinita ^a,b   Shaw, Souradet Y ^b   Deering, Kathleen ^e   Khan, Shamshad ^f   Halli, Shiva S ^b   Lorway, Robert ^b  

^a KARNATAKA HEALTH PROMOTION TRUST   (India)

^b UNIVERSITY OF MANITOBA   (Canada)

^c Centre for Multi Disciplinary Development Research   (India)

^d UNIVERSITY OF CONNECTICUT   (United States)

^e BRITISH COLUMBIA CENTRE FOR EXCELLENCE IN HIV AIDS   (Canada)

^f UNIVERSITY OF TEXAS AT SAN ANTONIO   (United States)

Author keywords

couple based research; Devadasi; HIV prevention; India; intimate partner

Indexed keywords

ADULT; ARTICLE; CLINICAL ARTICLE; CONDOM USE; DISEASE TRANSMISSION; EDUCATION; EMOTION; FAMILY PLANNING; FEMALE; FINANCIAL MANAGEMENT; HUMAN; INDIA; INTERVIEW; INTIMACY; MARRIAGE; MOTIVATION; PROSTITUTION; RISK ASSESSMENT; SAFE SEX; SEXUAL PRACTICE; SOCIAL SUPPORT; THEMATIC ANALYSIS; ADOLESCENT; CONDOM; FAMILY SIZE; HIGH RISK BEHAVIOR; HIV INFECTIONS; HUMAN RELATION; MALE; MIDDLE AGED; PILOT STUDY; PSYCHOLOGY; QUALITATIVE RESEARCH; SEXUAL BEHAVIOR; SEXUALITY; TRANSMISSION; TRUST; UTILIZATION; YOUNG ADULT;

ADOLESCENT; ADULT; CONDOMS; FAMILY CHARACTERISTICS; FEMALE; HIV INFECTIONS; HUMANS; INDIA; INTERPERSONAL RELATIONS; INTERVIEWS AS TOPIC; MALE; MIDDLE AGED; PILOT PROJECTS; QUALITATIVE RESEARCH; RISK-TAKING; SAFE SEX; SEX WORKERS; SEXUAL BEHAVIOR; SEXUAL PARTNERS; TRUST; YOUNG ADULT;

EID: 84912083182     PISSN: 17441692     EISSN: 17441706     Source Type: Journal    
DOI: 10.1080/17441692.2014.948480     Document Type: Article

References (38)

1. Arora, P., Cyriac, A., & Jha, P. (2004). India's HIV-1 epidemic. Canadian Medical Association Journal, 171, 1337–1338. doi:10.1503/cmaj.045032
2. Balaiah, D., Naik, D. D., Ghule, M., & Tapase, P. (2005). Determinants of spacing contraceptive use among couples in Mumbai: A male perspective. Journal of Biosocial Science, 37, 689–704. doi:10.1017/S0021932005007145
3. Banandur, P., Ramanaik, S., Manhart, L. E., Buzdugan, R., Mahapatra, B., Isac, S., Blanchard, J. F. (2012). Understanding out-migration among female sex workers in South India. Sexually Transmitted Diseases, 39, 776–783. doi:10.1097/OLQ.0b013e3182641d90
4. Bhattacharya, S. (2004). Brothels and brothel clients in Pune City. In R. K. Varma, P. J. Pelto, S. L. Schensul, & A. Joshi (Ed.), Sexuality in the time of AIDS: Contemporary perspectives from communities in India (pp. 177–194). New Delhi: Sage.
5. Blanchard, J. F., Halli, S., Ramesh, B. M., Bhattacharjee, P., Washington, R. G., O'Neil, J., & Moses, S. (2007). Variability in the sexual structure in a rural Indian setting: Implications for HIV prevention strategies. Sexually Transmitted Infections, 83(Suppl 1), i30–i36. doi:10.1136/sti.2006.023572
6. Blanchard, J. F., O'Neil, J., Ramesh, B. M., Bhattacharjee, P., Orchard, T., & Moses, S. (2005). Understanding the social and cultural contexts of female sex workers in Karnataka, India: Implications for prevention of HIV infection. Journal of Infectious Diseases, 191(Suppl 1), S139–S146. doi:10.1086/425273
7. Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: Sage.
8. d'Cruz-Grote, D. (1996). Prevention of HIV infection in developing countries. Lancet, 348, 1071–1074. doi:10.1016/S0140-6736(95)11031-3
9. Dasgupta, N. (2000). The female slaves of God. In C. M. Agarwal (Ed.), Nari: Facets of Indian womanhood (pp. 150–163). New Delhi: Indian Publishers’ Distributors.
10. Deering, K. N. (in press). Fertility intentions, power relations and unexplored routes of HIV risk through intimate and other non-paying partnerships of female sex workers in South India. Manuscript submitted for publication.
11. Deering, K. N., Bhattacharjee, P., Bradley, J., Moses, S. S., Shannon, K., Shaw, S. Y., Alary, M. (2011a). Condom use within non-commercial partnerships of female sex workers in southern India. BMC Public Health, 11(Suppl 6), S11. doi:10.1186/1471-2458-11-S6-S11
12. Deering, K. N., Boily, M. C., Lowndes, C. M., Shoveller, J., Tyndall, M. W., Vickerman, P., Alary, M. (2011b). A dose-response relationship between exposure to a large-scale HIV preventive intervention and consistent condom use with different sexual partners of female sex workers in southern India. BMC Public Health, 11(Suppl 6), S8. doi:10.1186/1471-2458-11-s6-s8
13. El-Bassel, N., Witte, S., Bilbert, L., Sormanti, M., Moreno, C., Pereira, L., Steinglass, P. (2002). HIV prevention for intimate couples: A relationship-based model. Families, Systems, & Health, 19, 379–395. doi:10.1037/h0089467
14. El-Bassel, N., Witte, S. S., Gilbert, L., Wu, E., Chang, M., Hill, J., & Steinglass, P. (2003). The efficacy of a relationship-based HIV/STD prevention program for heterosexual couples. American Journal of Public Health, 93, 963–969. doi:10.2105/AJPH.93.6.963
15. Ghimire, L., Smith, W. C., van Teijlingen, E. R., Dahal, R., & Luitel, N. P. (2011). Reasons for non-use of condoms and self-efficacy among female sex workers: A qualitative study in Nepal. BMC Womens Health, 11(1), 42. doi:10.1186/1472-6874-11-42
16. Hogle, J. A., Green, E., Nantulya, V., Stoneburner, R., & Stover, J. (Eds.). (2002). What happened in Uganda? Declining HIV prevalence, behavior change, and the national response. (Project Lessons Learned Case Study). Washington, DC: USAID. Retrieved from http://www.unicef.org/lifeskills/files/WhatHappenedInUganda.pdf
17. Johnson, J. C. (1990). Selecting ethnographic informants. Newbury Park, CA: Sage.
18. KHPT. (2008). Community mobilization of female sex workers: Module 2, a strategic approach to empower female sex workers in Karnataka. Bangalore: Author. Retrieved from http://www.khpt.org/Community_Mobilization.pdf
19. KHPT. (2013). Integrated behavioral and biological assessment; Repeat surveys to assess changes in behaviors and prevalence of HIV/STIs in populations at risk of HIV. Karnataka State Summary Report. Bangalore: Author.
20. Lowndes, C. M., Alary, M., Belleau, M., Bosu, W. K., Kintin, D. F., Nnorom, J. A., Wilson, D. (2008). West Africa HIV/AIDS epidemiology and response synthesis. Characterisation of the HIV epidemic and response in West Africa: Implications for prevention. (World Bank Global HIV/AIDS Program Report). Washington, DC: World Bank. Retrieved from World Bank website: http://siteresources.worldbank.org/INTHIVAIDS/Resources/375798-1132695455908/WestAfricaSynthesisNov26.pdf
21. Lowndes, C. M., Alary, M., Meda, H., Gnintoungbe, C. A., Mukenge-Tshibaka, L., Adjovi, C., Anagonou, S. (2002). Role of core and bridging groups in the transmission dynamics of HIV and STIs in Cotonou, Benin, West Africa. Sexually Transmitted Infections, 78(Suppl 1), i69–i77. doi:10.1136/sti.78.suppl_1.i69
22. Medley, A., Baggaley, R., Bachanas, P., Cohen, M., Shaffer, N., & Lo, Y. R. (2013). Maximizing the impact of HIV prevention efforts: Interventions for couples. AIDS Care, 25, 1569–1580. doi:10.1080/09540121.2013.793269
23. Mishra, S., Ramanaik, S., Blanchard, J. F., Halli, S., Moses, S., Raghavendra, T., Becker, M. (2012). Characterizing sexual histories of women before formal sex-work in south India from a cross-sectional survey: Implications for HIV/STI prevention. BMC Public Health, 12, 829. doi:10.1186/1471-2458-12-829
24. Murray, L., Moreno, L., Rosario, S., Ellen, J., Sweat, M., & Kerrigan, D. (2007). The role of relationship intimacy in consistent condom use among female sex workers and their regular paying partners in the Dominican Republic. AIDS Behavior, 11, 463–470. doi:10.1007/s10461-006-9184-5
25. O'Neil, J., Orchard, T., Swarankar, R. C., Blanchard, J. F., Gurav, K., & Moses, S. (2004). Dhandha, dharma and disease: Traditional sex work and HIV/AIDS in rural India. Social Science & Medicine, 59, 851–860. doi:10.1016/j.socscimed.2003.11.032
26. Orchard, T. R. (2004). A painful power: Coming of age, sexuality and relationships, social reform, and HIV/AIDS among Devadasi sex workers in rural Karnataka, India (Unpublished doctoral dissertation). Department of Anthropology, University of Manitoba.
27. Orchard, T. R. (2007a). Girl, woman, lover, mother: Towards a new understanding of child prostitution among young Devadasis in rural Karnataka, India. Social Science & Medicine, 64, 2379–2390. doi:10.1016/j.socscimed.2007.02.031
28. Orchard, T. R. (2007b). In this life: The impact of gender and tradition on sexuality and relationships for Devadasi sex workers in rural India. Sexuality & Culture, 11(1), 3–27. doi:10.1007/BF02853933
29. QSR. (2011). NVivo qualitative data analysis software (version 9). QSR International Pty Ltd.
30. Ramesh, B. M., Moses, S., Washington, R., Isac, S., Mohapatra, B., Mahagaonkar, S. B., Blanchard, J. F. (2008). Determinants of HIV prevalence among female sex workers in four south Indian states: Analysis of cross-sectional surveys in twenty-three districts. AIDS, 22(Suppl 5), S35–S44. doi:10.1097/01.aids.0000343762.54831.5c
31. Reza-Paul, S., Beattie, T., Syed, H. U., Venukumar, K. T., Venugopal, M. S., Fathima, M. P., Moses, S. (2008). Declines in risk behaviour and sexually transmitted infection prevalence following a community-led HIV preventive intervention among female sex workers in Mysore, India. AIDS, 22(Suppl 5), S91–S100. doi:10.1097/01.aids.0000343767.08197.18
32. Sarkar, N. (2008). Barriers to condom use. The European Journal of Contraception and Reproductive Health Care, 13(2), 114–122. doi:10.1080/13625180802011302
33. Shah, C., Solanki, V., & Mehta, H. B. (2011). Attitudes of adolescent girls towards contraceptive methods. Australasian Medical Journal, 4(1), 43–48. doi:10.4066/AMJ.2011.499
34. Syvertsen, J. L., Robertson, A. M., Abramovitz, D., Rangel, M. G., Martinez, G., Patterson, T. L., Strathdee, S. A. (2012). Study protocol for the recruitment of female sex workers and their non-commercial partners into couple-based HIV research. BMC Public Health, 12, 136. doi:10.1186/1471-2458-12-136
35. Syvertsen, J. L., Robertson, A. M., Palinkas, L. A., Rangel, M. G., Martinez, G., & Strathdee, S. A. (2013). ‘Where sex ends and emotions begin’: Love and HIV risk among female sex workers and their intimate, non-commercial partners along the Mexico-US border. Culture, Health & Sexuality, 15, 540–554. doi:10.1080/13691058.2013.773381
36. Tarachand, K. C. (1991). Devadasi custom. Rural social structure and flesh markets. New Delhi: Reliance Publishing House.
37. Varma, S. C. P., Callahan, C., Reich, W., & Cottler, L. B. (2010). Perceptions of HIV risk among monogamous wives of alcoholic men in south India: A qualitative study. Journal of Women's Health, 19, 816–821. doi:10.1089/jwh.2008.0884
38. 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(1), 99–121. doi:10.1016/S0277-9536(00)00315-4