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

dc.contributor.authorJewkes, Rachelen_ZA
dc.contributor.authorMorrell, Roberten_ZA
dc.contributor.authorSikweyiya, Yandisaen_ZA
dc.contributor.authorDunkle, Kristinen_ZA
dc.contributor.authorPenn-Kekana, Lovedayen_ZA
dc.date.accessioned2015-11-18T03:48:43Z
dc.date.available2015-11-18T03:48:43Z
dc.date.issued2012en_ZA
dc.description.abstractBACKGROUND: 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.identifier.apacitationJewkes, 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. <i>BMC Public Health</i>, http://hdl.handle.net/11427/15055en_ZA
dc.identifier.chicagocitationJewkes, Rachel, Robert Morrell, Yandisa Sikweyiya, Kristin Dunkle, and Loveday Penn-Kekana "Transactional relationships and sex with a woman in prostitution: prevalence and patterns in a representative sample of South African men." <i>BMC Public Health</i> (2012) http://hdl.handle.net/11427/15055en_ZA
dc.identifier.citationJewkes, 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.ris TY - Journal Article AU - Jewkes, Rachel AU - Morrell, Robert AU - Sikweyiya, Yandisa AU - Dunkle, Kristin AU - Penn-Kekana, Loveday AB - 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. DA - 2012 DB - OpenUCT DO - 10.1186/1471-2458-12-325 DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2012 T1 - Transactional relationships and sex with a woman in prostitution: prevalence and patterns in a representative sample of South African men TI - Transactional relationships and sex with a woman in prostitution: prevalence and patterns in a representative sample of South African men UR - http://hdl.handle.net/11427/15055 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15055
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2458-12-325
dc.identifier.vancouvercitationJewkes R, Morrell R, Sikweyiya Y, Dunkle K, Penn-Kekana L. Transactional relationships and sex with a woman in prostitution: prevalence and patterns in a representative sample of South African men. BMC Public Health. 2012; http://hdl.handle.net/11427/15055.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentResearch Officeen_ZA
dc.publisher.facultyThe Enterpriseen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2012 Jewkes et al.; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC Public Healthen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpublichealth/en_ZA
dc.subject.othertransactional sexual relationshipsen_ZA
dc.subject.otherwomen in prostitutionen_ZA
dc.subject.othertransactional sexual relationshipsen_ZA
dc.subject.otherSouth African menen_ZA
dc.titleTransactional relationships and sex with a woman in prostitution: prevalence and patterns in a representative sample of South African menen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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