Transactional relationships and sex with a woman in prostitution: prevalence and patterns in a representative sample of South African men

 

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dc.contributor.author Jewkes, Rachel en_ZA
dc.contributor.author Morrell, Robert en_ZA
dc.contributor.author Sikweyiya, Yandisa en_ZA
dc.contributor.author Dunkle, Kristin en_ZA
dc.contributor.author Penn-Kekana, Loveday en_ZA
dc.date.accessioned 2015-11-18T03:48:43Z
dc.date.available 2015-11-18T03:48:43Z
dc.date.issued 2012 en_ZA
dc.identifier.citation Jewkes, R., Morrell, R., Sikweyiya, Y., Dunkle, K., & Penn-Kekana, L. (2012). Transactional relationships and sex with a woman in prostitution: prevalence and patterns in a representative sample of South African men. BMC public health, 12(1), 325. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/15055
dc.identifier.uri http://dx.doi.org/10.1186/1471-2458-12-325
dc.description.abstract BACKGROUND: Sex motivated by economic exchange is a public health concern as a driver of the Sub-Saharan African HIV epidemic. We describe patterns of engagement in transactional sexual relationships and sex with women in prostitution of South African men, and suggest interpretations that advance our understanding of the phenomenon. METHODS: Cross-sectional study with a randomly-selected sample of 1645 sexually active men aged 18-49years who completed interviews in a household study and were asked whether they had had sex with a woman in prostitution, or had had a relationship or sex they took to be motivated by the expectation of material gain (transactional sex). RESULTS: 18% of men had ever had sex with a woman in prostitution, 66% at least one type of transactional sexual relationship, only 30% of men had done neither. Most men had had a transactional relationship/sex with a main partner (58% of all men), 42% with a concurrent partner (or makhwapheni) and 44% with a once off partner, and there was almost no difference in reports of what was provided to women of different partner types. The majority of men distinguished the two types of sexual relationships and even among men who had once-off transactional sex and gave cash (n=314), few (34%) reported that they had had sex with a 'prostitute'. Transactional sex was more common among men aged 25-34years, less educated men and low income earners rather than those with none or higher income. Having had sex with a woman in prostitution varied little between social and demographic categories, but was less common among the unwaged or very low earners. CONCLUSIONS: The notion of 'transactional sex' developed through research with women does not translate easily to men. Many perceive expectations that they fulfil a provider role, with quid pro quo entitlement to sex. Men distinguished these circumstances of sex from having sex with a woman in prostitution. Whilst there may be similarities, when viewed relationally, these are quite distinct practices. Conflating them is sociologically inappropriate. Efforts to work with men to reduce transactional sex should focus on addressing sexual entitlement and promoting gender inequity. en_ZA
dc.language.iso eng en_ZA
dc.publisher BioMed Central Ltd en_ZA
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_ZA
dc.source BMC Public Health en_ZA
dc.source.uri http://www.biomedcentral.com/bmcpublichealth/ en_ZA
dc.subject.other transactional sexual relationships en_ZA
dc.subject.other women in prostitution en_ZA
dc.subject.other transactional sexual relationships en_ZA
dc.subject.other South African men en_ZA
dc.title Transactional relationships and sex with a woman in prostitution: prevalence and patterns in a representative sample of South African men en_ZA
dc.type Journal Article en_ZA
dc.rights.holder 2012 Jewkes et al.; licensee BioMed Central Ltd. en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty The Enterprise en_ZA
dc.publisher.department Research Office en_ZA
uct.type.filetype Text
uct.type.filetype Image


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This is an Open Access article distributed under the terms of the Creative Commons Attribution License Except where otherwise noted, this item's license is described as This is an Open Access article distributed under the terms of the Creative Commons Attribution License