Sex, drugs, and HIV: Rapid assessment of HIV risk behaviors among street-based drug using sex workers in Durban, South Africa

Needle, Richard; Kroeger, Karen; Belani, Hrishikesh; Achrekar, Angeli; Parry, Charles D. H.; Dewing, Sarah

doi:10.1016/j.socscimed.2008.06.031

Cited by 61 publications

(58 citation statements)

References 22 publications

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“…[7,22,36–38] The prospect of receiving more money and avoiding violence creates pressure that incentivizes FSWs engagement in risky sex. [11,19,21,36,38,39] A study by Malta et al [40], conducted in Brazil showed that in moments of pressure and uncertainty, FSWs relied on physical assessments to determine HIV serostatus, despite high levels of HIV knowledge. Similarly the FSWs in our sample described similar behaviour as seen among their peers despite the knowledge of risks associated.…”

Section: Discussionmentioning

confidence: 99%

“…Some clients did not carry condoms, and at times threatened violence if FSWs insisted on condom use, as found in other studies. [5–7,22,33,39,40] LDTDs are known to have high HIV rates, largely due to irregular condom use with FSWs. [21,22,40] As seen in other studies some LDTDs are more likely to report condom use with a one-night stand as opposed to regular FSWs with whom they have an attachment.…”

Section: Discussionmentioning

confidence: 99%

“…[30,41] In this study some FSWs mentioned that they come across clients who refused to utilize free Choice condoms provided by the South African government at public health facilities, insisting on commercialized brands costly for FSWs to buy. [39] A study by Baker et al [42] explored custom-fitted male condoms as a sexual health intervention in Cape Town, and outlined concerns expressed by heterosexual males with regard to use of free government ( Choice ) condoms, possibly relevant to truck drivers in our study. Data showed that 67% of heterosexual males complained largely of condom fit, function, breakage as well as slippage.…”

Section: Discussionmentioning

confidence: 99%

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Sexual transactions between long distance truck drivers and female sex workers in South Africa

Makhakhe

Lane

McIntyre

et al. 2017

Global Health Action

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Background: Female sex workers (FSWs) and long distance truck drivers (LDTDs) are considered key populations at high risk for HIV transmission due to high prevalence. The intersection of these mobile populations presents unique challenges in the fight against HIV and the movement towards reducing new infections. Objective: The purpose of this study was to explore the nature of sex trade along a particular transport route. Sexual transactions and the vulnerabilities that exist between these two groups with regards to HIV/AIDS are described, with the purpose of furthering the agenda for targeted interventions. Methods: Qualitative in-depth interviews were conducted with 14 participants, seven FSWs and seven LDTDs. We recruited FSWs through snowballing, and LDTDs through intercepts at truck stops. Semi-structured interview guides were used for data collection, and thematic analysis was conducted. Results: The sex trade in this study is characterized by competition, fuelled by money-driven and age-disparate rivalry. Despite widespread HIV knowledge, FSWs contend with persistent challenges regarding condom use negotiation, induced by more money in the exchange for unsafe sex. Despite the placement of wellness centres in truck stops along the highway, LDTDs face stigma related challenges with regards to testing for HIV and personal acknowledgement of their involvement in the sex trade. Conclusion: The nature of the sex trade along the highway continues to be risky despite the availability of HIV testing and antiretroviral treatment (ART). The sex trade is perceived to be increasing along trucking routes, in spite of measures instituted to limit access to FSWs. FSWs struggle to cope with the pressure of unprotected sex because of the need to generate more income, as well as avoid incidents of violence and threats. Interventions along transport routes need to be inclusive of FSWs who could play a vital role in stigma reduction amongst LDTDs through peer education.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Sexual transactions between long distance truck drivers and female sex workers in South Africa

Makhakhe

Lane

McIntyre

et al. 2017

Global Health Action

View full text Add to dashboard Cite

show abstract

“…In most sex work settings, competition for clients is intense, resulting in workers going along with each client's demands for fear of losing the client or earning less. 33,36,47,123,125,[129][130][131] Time and availability of condoms are the third and fourth themes. Sex workers have described their encounters, especially with casual partners, as brief, with minimal conversation or negotiation.…”

Section: Commercial Sexual Relationshipsmentioning

confidence: 99%

Condoms in sub-Saharan Africa

Maticka‐Tyndale¹

2012

Sex. Health

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Abstract. Sub-Saharan Africa (SSA) is the region with the world's highest rates of HIV and other sexually transmissible infections (STIs), yet numerous studies show that condom use is generally rare. This suggests a need for a better understanding of how condoms fit within sexual practices and relationships in SSA. This paper seeks to address this need by reviewing research published between the late 1980s and 2011 on use and factors influencing use of male condoms in SSA. What is evident from this research is that condom use involves complex social and interpersonal dynamics, with structural and cultural conditions exerting an influence through framing social cognitions and setting boundaries on autonomy that make the apparently irrational choice of eschewing condoms a rational decision. The influences of poverty; relationships with parents, peers and partners; limited, insufficient or absent information especially in rural areas and among men who have sex with men; gender and sexual norms, and the dynamics of gendered power; and beliefs and attitudes about HIV, condoms and sexuality all have been shown to work against condom use for a large proportion of Africa's people. However, promising results are shown in trends towards increased condom use among single women in numerous countries, increasing acceptance and use of condoms among some university students, successes in producing potentially sustainable condom use resulting from select interventions, and resistance to succumbing to the dominant gender-power dynamics and structural-cultural impediments that women in groups have mobilised.

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“…Beyond this HIV disparity, the psychosocial problems such as depression, internalized homonegativity (IH) (Ross and Anderson, 2014), childhood sexual abuse (CSA), antigay violence (Anderson et al), and substance abuse were found to be prevalent and independently associated with HIV among MSM across countries in SSA [2,9,36,38,45]. Although syndemic theory has yet to be applied in the study of MSM in SSA, synthesis of the evidence has not only confirmed the existence of the HIV disparity but also strongly suggests the existence of a disproportionate level of multiple health problems that could plausibly affect the syndemic production of HIV among MSM.…”

Section: Hiv Disparities and Syndemic Conditions Among Msm In Ssa: Pamentioning

confidence: 99%

Resilience Factors as a Buffer against the Effects of Syndemic Conditions on HIV Risk and Infection among Tanzanian MSM

Adeboye¹,

Ross²,

Wilkerson³

et al. 2017

J Health Edu Res Dev

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Background: In the extremely homophobic conditions in Tanzania and other countries in sub-Saharan Africa (SSA), men who have sex with men (MSM) experience disproportionate amounts of both HIV infection and psychosocial health problems, but no research has been conducted to examine the synergistic or additive effects of these adversities on their experiences. While the predominantly deficit-based research approach has identified various HIV risks and vulnerabilities, any naturally occurring protective and resilience factors that these men naturally employ to these health-related adversities remain undetermined.

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Sex, drugs, and HIV: Rapid assessment of HIV risk behaviors among street-based drug using sex workers in Durban, South Africa

Cited by 61 publications

References 22 publications

Sexual transactions between long distance truck drivers and female sex workers in South Africa

Sexual transactions between long distance truck drivers and female sex workers in South Africa

Condoms in sub-Saharan Africa

Resilience Factors as a Buffer against the Effects of Syndemic Conditions on HIV Risk and Infection among Tanzanian MSM

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