Forced sexual experiences as risk factor for self-reported HIV infection among southern African lesbian and bisexual women

 

Show simple item record

dc.contributor.author Sandfort, Theo G M en_ZA
dc.contributor.author Baumann, Linda R M en_ZA
dc.contributor.author Matebeni, Zethu en_ZA
dc.contributor.author Reddy, Vasu en_ZA
dc.contributor.author Southey-Swartz, Ian en_ZA
dc.date.accessioned 2015-12-28T06:48:16Z
dc.date.available 2015-12-28T06:48:16Z
dc.date.issued 2013 en_ZA
dc.identifier.citation Sandfort, T. G., Baumann, L. R., Matebeni, Z., Reddy, V., & Southey-Swartz, I. (2012). Forced sexual experiences as risk factor for self-reported HIV infection among southern African lesbian and bisexual women. PloS one, 8(1), e53552. doi:10.1371/journal.pone.0053552 en_ZA
dc.identifier.uri http://hdl.handle.net/11427/16057
dc.identifier.uri http://dx.doi.org/10.1371/journal.pone.0053552
dc.description.abstract Even though women who have sex with women are usually understood to be at no or very low risk for HIV infection, we explored whether lesbian and bisexual women in a geographical area with high HIV prevalence (Southern Africa) get tested for HIV and whether, among those women who get tested, there are women who live with HIV/AIDS. The study was conducted in collaboration with community-based organizations in Botswana, Namibia, South Africa and Zimbabwe. Data were collected via written surveys of women who in the preceding year had had sex with a woman (18 years and older; N = 591). Most participating women identified as lesbian and black. Almost half of the women (47.2%) reported ever having had consensual heterosexual sex. Engagement in transactional sex (lifetime) was reported by 18.6% of all women. Forced sex by men or women was reported by 31.1% of all women. A large proportion of the women reported to ever have been tested for HIV (78.3%); number of lifetime female and male partners was independently associated with having been tested; women who had engaged in transactional sex with women only or with women and men were less likely to have been tested. Self-reported HIV prevalence among tested women who knew their serostatus was 9.6%. Besides age, the sole independent predictor of a positive serostatus was having experienced forced sex by men, by women, or by both men and women. Study findings indicate that despite the image of invulnerability, HIV/AIDS is a reality for lesbian and bisexual women in Southern Africa. Surprisingly, it is not sex with men per se, but rather forced sex that is the important risk factor for self-reported HIV infection among the participating women. HIV/AIDS policy should also address the needs of lesbian, bisexual and other women who have sex with women. en_ZA
dc.language.iso eng en_ZA
dc.publisher Public Library of Science en_ZA
dc.rights This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/4.0 en_ZA
dc.source PLoS One en_ZA
dc.source.uri http://journals.plos.org/plosone en_ZA
dc.subject.other HIV en_ZA
dc.subject.other Homosexuals en_ZA
dc.subject.other AIDS en_ZA
dc.subject.other Recreational drug use en_ZA
dc.subject.other Bisexuals en_ZA
dc.subject.other Africans en_ZA
dc.subject.other Human sexual behavior en_ZA
dc.subject.other HIV infections en_ZA
dc.title Forced sexual experiences as risk factor for self-reported HIV infection among southern African lesbian and bisexual women en_ZA
dc.type Journal Article en_ZA
dc.rights.holder © 2013 Sandfort et al en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Humanities en_ZA
dc.publisher.department Institute for Humanities in Africa en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Sandfort, T. G. M., Baumann, L. R. M., Matebeni, Z., Reddy, V., & Southey-Swartz, I. (2013). Forced sexual experiences as risk factor for self-reported HIV infection among southern African lesbian and bisexual women. <i>PLoS One</i>, http://hdl.handle.net/11427/16057 en_ZA
dc.identifier.chicagocitation Sandfort, Theo G M, Linda R M Baumann, Zethu Matebeni, Vasu Reddy, and Ian Southey-Swartz "Forced sexual experiences as risk factor for self-reported HIV infection among southern African lesbian and bisexual women." <i>PLoS One</i> (2013) http://hdl.handle.net/11427/16057 en_ZA
dc.identifier.vancouvercitation Sandfort TGM, Baumann LRM, Matebeni Z, Reddy V, Southey-Swartz I. Forced sexual experiences as risk factor for self-reported HIV infection among southern African lesbian and bisexual women. PLoS One. 2013; http://hdl.handle.net/11427/16057. en_ZA
dc.identifier.ris TY - Journal Article AU - Sandfort, Theo G M AU - Baumann, Linda R M AU - Matebeni, Zethu AU - Reddy, Vasu AU - Southey-Swartz, Ian AB - Even though women who have sex with women are usually understood to be at no or very low risk for HIV infection, we explored whether lesbian and bisexual women in a geographical area with high HIV prevalence (Southern Africa) get tested for HIV and whether, among those women who get tested, there are women who live with HIV/AIDS. The study was conducted in collaboration with community-based organizations in Botswana, Namibia, South Africa and Zimbabwe. Data were collected via written surveys of women who in the preceding year had had sex with a woman (18 years and older; N = 591). Most participating women identified as lesbian and black. Almost half of the women (47.2%) reported ever having had consensual heterosexual sex. Engagement in transactional sex (lifetime) was reported by 18.6% of all women. Forced sex by men or women was reported by 31.1% of all women. A large proportion of the women reported to ever have been tested for HIV (78.3%); number of lifetime female and male partners was independently associated with having been tested; women who had engaged in transactional sex with women only or with women and men were less likely to have been tested. Self-reported HIV prevalence among tested women who knew their serostatus was 9.6%. Besides age, the sole independent predictor of a positive serostatus was having experienced forced sex by men, by women, or by both men and women. Study findings indicate that despite the image of invulnerability, HIV/AIDS is a reality for lesbian and bisexual women in Southern Africa. Surprisingly, it is not sex with men per se, but rather forced sex that is the important risk factor for self-reported HIV infection among the participating women. HIV/AIDS policy should also address the needs of lesbian, bisexual and other women who have sex with women. DA - 2013 DB - OpenUCT DO - 10.1371/journal.pone.0053552 DP - University of Cape Town J1 - PLoS One LK - https://open.uct.ac.za PB - University of Cape Town PY - 2013 T1 - Forced sexual experiences as risk factor for self-reported HIV infection among southern African lesbian and bisexual women TI - Forced sexual experiences as risk factor for self-reported HIV infection among southern African lesbian and bisexual women UR - http://hdl.handle.net/11427/16057 ER - en_ZA


Files in this item

This item appears in the following Collection(s)

Show simple item record

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.