Gender and Sex Trading Among Active Methamphetamine Users in Cape Town, South Africa

Lion, Ryan R; Watt, Melissa H.; Wechsberg, Wendee M.; Meade, Christina S.

doi:10.1080/10826084.2016.1264964

Cited by 10 publications

(15 citation statements)

References 76 publications

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“…Our finding suggests that men without reliable or sufficient food may exchange sex for money or resources to secure food. Transactional sex is more frequently documented among women (30), but has been observed among men in low-income settings (31,45) and among MSM (46,47) in sub-Saharan Africa. Although, we do not have data on the sexual orientation of the young men in our sample, some (n=12) indicated engaging in transactional sex with a man.…”

Section: Discussionmentioning

confidence: 99%

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Understanding HIV Risk Behaviors Among Young Men in South Africa: A Syndemic Approach

et al. 2018

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Young men in South Africa experience several adverse socio-structural and psychosocial factors that may contribute HIV risk behaviors. This study applied a syndemic framework to explore whether these syndemic factors are interconnected and work in synergy to increase HIV risk behaviors. Five syndemic factors were assessed including: binge drinking, polydrug use, depressive symptoms, violence and food insecurity on two HIV risk behaviors: multiple sex partners and transactional sex. Participants were (N = 1233) young men aged 18-29 years from a township in Cape Town, South Africa. Bivariate logistic regression analysis demonstrated that many of the syndemic factors were related to one another. Pairwise interactions (on an additive scale) among the syndemic factors revealed significant positive interactions between binge drinking and violence on greater odds of reporting multiple sex partners (aOR = 5.10, 95% CI 3.10, 8.29; p = < .001) compared to reporting neither factor. Also, food insecurity and violence (aOR = 2.89, 95% CI 1.63, 5.11; p = < .001) as well as food insecurity and polydrug use (aOR = 2.73, 95% CI 1.54, 4.84; p = < .001) were significantly associated with greater odds of transactional sex compared to reporting neither factor. Our findings highlight a synergistic relationship between some adverse socio-structural and psychosocial factors on HIV risk behaviors. HIV prevention programs that address multiple syndemic factors simultaneously may achieve greater impact on HIV risk reduction.

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Section: Discussionmentioning

confidence: 99%

“…Research on the association between poverty-related factors and transactional sex has been conducted mostly among women (30,31), but may also be relevant among men. Indeed, Kalichman et al (2012) found a significant relationship between food insufficiency and transactional sex among men in South Africa (32).…”

Section: Introductionmentioning

confidence: 99%

Understanding HIV Risk Behaviors Among Young Men in South Africa: A Syndemic Approach

et al. 2018

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“…Other Studies with Some Data on Women as Buyers of Sex from Men Seven public health-oriented studies that examined various groups' sexual behaviors, including transactional sex, provided some data on women as buyers of sex from men (Choudhry, Ostergren, Ambresin, Kyagaba, & Agardh, 2014;Embleton et al, 2015;Haley, Roy, Leclerc, Boudreau, & Boivin, 2004;Lion, Watt, Wechsberg, & Meade, 2017;Meekers & Calvès, 1997;Reilly, Neaigus, Wendel, Marshall Iv, & Hagan, 2014;Wagner, Pitpitan, Chavarin, Magis-Rodriguez, & Patterson, 2013).…”

Section: Berg Molin and Nanavatimentioning

confidence: 99%

Women Who Trade Sexual Services from Men: A Systematic Mapping Review

Berg

Molin

Nanavati

2019

The Journal of Sex Research

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Self-portrait of a young man for rent', by Sterry (2002), is a memoir of the author's experiences working as a teenage gigolo with a primarily female clientele in the early 1970s. Sterry recounts the circumstances leading up to his situation, characterized by desperation, need for love, and sexual assault. According to a recent comparative study (McCarthy, Benoit, & Jansson, 2014), both immediate circumstances like limited education, and negative experiences from early life, especially childhood poverty, abuse and family instability, are independently associated with adult sex work. According to reviews, paid male sexual services are largely invisible in the global sex trade, but in growing demand. Dennis (2008) concluded that in Western countries, more adolescent boys than adolescent girls participate in sex exchange for money, and men comprise about 20-30% of the individuals arrested as vendors of sexual services each year. Recently, a content analysis of 499 male escort websites across 60 countries found that while most escorts advertise to other men, 11% of the sites were specifically for female clients and 10% for heterosexual couples (Kumar, Minichiello, Scott, & Harrington, 2017). Another website survey found comparable numbers (Scott & Minichiello, 2017). Similarly, Lee-Gonyea, Castle, and Gonyea's (2009) review identified 17% of websites that advertised male escorts as catering to female clientele only and an ongoing study conducted in the UK found that 66% of escorts advertised to female clients (Smith & Kingston, in Kumar et al., 2017). Indications of a growing market for women who seek paid sexual services with men are not only found online. Since the 1990s, Japan has seen a rapid increase in the number of host clubsvenues where men work as hosts to 'entertain' a mostly migrant female clientelewith over 200 clubs in Tokyo alone (Mahdavi, 2018). The entertainment varies by club and location, but most hosts describe it as selling romance, love and sex to their clients (

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“…There is some indication that unaddressed factors including injection and non-injection drug use may be impairing Uganda's HIV prevention efforts [5,6]. Countries in SSA have seen rapid increases in injection drug use since 2008 including heroin and cocaine [7][8][9][10], and these drugs are also present and increasingly used in Uganda [11][12][13]. Heroin and cocaine injection are highly prevalent in the coastal areas of Tanzania and Kenya which have long acted as transshipment points but have increasingly opened local markets.…”

Section: Introductionmentioning

confidence: 99%

Injection and sexual risk among people who use or inject drugs in Kampala, Uganda: An exploratory qualitative study

Dickson‐Gómez

Wamala²,

Christenson

et al. 2020

PLoS ONE

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Background Countries in Sub-Saharan Africa (SSA) have seen rapid increases in injection drug use since 2008. In Uganda, the Global Sate of Harm report and studies conducted by Makerere University Crane Surveys have estimated HIV prevalence among people who inject drugs (PWID) at approximately 17%. The objective of the research was to document injection and other drug-related risks among people who use drugs in Uganda to develop comprehensive HIV/HCV prevention interventions. Methods Between August and September 2018, we conducted qualitative interviews among male and female people who use drugs. Interview topics included the availability and accessibility of clean syringes, injection risks, overdose, sexual-risk behaviors, and the availability and accessibility of harm reduction and drug treatment services. Results Participants reported several injection-related risks including sharing and reusing syringes, pooling and mixing drugs in the same container, measuring drugs using syringes, getting prefilled injections from dealers, being injected by other people who inject drugs, and using contaminated water or blood to dilute drugs. Participants reported a scarcity of harm reduction services, although a few appear to have participated in the syringe exchange pilot conducted by the Uganda Harm Reduction Network (UHRN). Even fewer reported knowing organizations that helped people who use drugs abstain from or reduce their use. Medication assisted therapy (MAT) and naloxone to reverse overdoses are not currently available.

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Gender and Sex Trading Among Active Methamphetamine Users in Cape Town, South Africa

Cited by 10 publications

References 76 publications

Understanding HIV Risk Behaviors Among Young Men in South Africa: A Syndemic Approach

Understanding HIV Risk Behaviors Among Young Men in South Africa: A Syndemic Approach

Women Who Trade Sexual Services from Men: A Systematic Mapping Review

Injection and sexual risk among people who use or inject drugs in Kampala, Uganda: An exploratory qualitative study

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