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The study explored constructions of sexuality among young people of Venda in Limpopo, South Africa, and cultural practices that can be used to develop context-specific HIV prevention programmes. HIV prevention can be promoted by including some cultural practices in prevention programmes and changing some aspects of culture that may contribute negatively to health. Six focus group discussions were held with school-going young people (Grades 10 to 12) in urban and rural areas to explore their constructions of sexuality and HIV risk. Four focus group discussions were held with community leaders in the same areas to explore their constructions of young people’s sexuality and cultural practices relevant to HIV prevention. Through discourse analysis, the following dominant discourses that influence young people’s sexual risk behaviour were identified: rite of passage, the male sexual drive discourse (sex is natural and unavoidable); discourse of hegemonic masculinity (sex to prove masculinity); sex as a commodity; non-adherence to cultural practices; and HIV is normalised (AIDS is like flu). Some alternative constructions and shifts in gender norms were noticed, especially among female participants. The constructions of young people were not culture-specific but similar to those identified in other South African cultures. Community leaders identified a few cultural practices that could be considered in HIV prevention, for example, reinstating the rite of passage to provide age-appropriate sex and HIV education (behavioural intervention), and promoting traditional male circumcision (biological intervention). Cultural practices that contribute negatively to health should be challenged such as current constructions of gender roles (masculinity and femininity) and the practice that parents do not talk to young people about sex (both structural interventions).
This book provides an overview of the current epidemiology of the HIV epidemic among young people in Eastern and Southern Africa (ESA) and examines the efforts to confront and reduce the high level of new HIV infections amongst young people. Taking a multi-dimensional approach to prevention, the contributors discuss the many challenges facing these efforts, in view of the slow progress in curbing the incidence of HIV amongst young people, focusing particularly on the structural and social drivers of HIV. Through an examination of these issues, chapters in this book provide valuable insights on how to mitigate HIV risk among young people and what can be regarded as the catalysts to mounting credible policy and programmatic responses required to achieve epidemic control in the region. The contributors draw on examples from a range of primary and secondary data sources to illustrate promising practices and challenges in HIV prevention, demonstrating links between conceptual approaches to prevention and lessons learnt from implementation projects in the region. Bringing together social scientists and public health experts who are actively engaged in finding effective solutions, the book discusses 'which interventions works', 'why they work', and the limitations and gaps in our knowledge to curb the pandemic amongst young people. As such it is an important read for researchers focusing on HIV/AIDS and public health. The Open Access version of this book, available at https: //www.taylorfrancis.com/books/e/10.4324/9780429462818 has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.
This innovative ethnography of young people's sexual relationships in rural Africa combines the validity of detailed qualitative research with the representativeness of a large scale study, providing a rich analysis with which to question and interpret survey data on adolescent sexual health. It describes the variety of young people's sexual relationships, the contradictory norms and expectations that lead them to be concealed, the ubiquity of material exchange for sex, and poor understandings of contraception and HIV/AIDS.
This innovative book outlines the great complexity, variety and difference of male identities in Islamic societies. From the Taliban orphanages of Afghanistan to the cafés of Morocco, from the experience of couples at infertility clinics in Egypt to that of Iraqi conscripts, it shows how the masculine gender is constructed and negotiated in the Islamic Ummah. It goes far beyond the traditional notion that Islamic masculinities are inseparable from the control of women, and shows how the relationship between spirituality and masculinity is experienced quite differently from the prevailing Western norms. Drawing on sources ranging from modern Arabic literature to discussions of Muhammad‘s virility and Abraham‘s paternity, it portrays ways of being in the world that intertwine with non-Western conceptions of duty to the family, the state and the divine.
Much has happened since the first appearance of AIDS in 1981: it has been identified, studied, and occasionally denied. The virus has shifted host populations and spread globally. Medicine, the social sciences, and world governments have joined forces to combat and prevent the disease. And South Africa has emerged as ground zero for the pandemic. The editors of HIV/AIDS in South Africa 25 Years On present the South African crisis as a template for addressing the myriad issues surrounding the epidemic worldwide, as the book brings together a widely scattered body of literature, analyzes psychosocial and sexual aspects contributing to HIV transmission and prevention, and delves into complex intersections of race, gender, class, and politics. Including largely overlooked populations and issues (e.g., prisoners, persons with disabilities, stigma), as well as challenges shaping future research and policy, the contributors approach their topics with rare depth, meticulous research, carefully drawn conclusions, and profound compassion. Among the topics covered: The relationship between HIV and poverty, starting from the question, "Which is the determinant and which is the consequence?" Epidemiology of HIV among women and men: concepts of femininity and masculinity, and gender inequities as they affect HIV risk; gender-specific prevention and intervention strategies. The impact of AIDS on infants and young children: risk and protective factors; care of children by HIV-positive mothers; HIV-infected children. Current prevention and treatment projects, including local-level responses, community-based work, and VCT (voluntary counseling and testing) programs. New directions: promoting circumcision, vaccine trials, "positive prevention." South Africa’s history of AIDS denialism. The urgent lessons in this book apply both globally and locally, making HIV/AIDS in South Africa 25 Years On uniquely instructive and useful for professionals working in HIV/AIDS and global public health.
The aim of this study is to determine sociocultural influences of HIV risk knowledge and behavior among African-American adolescent and emerging adult women in Tuscaloosa, Alabama. Bridging multiple worlds, cultural consensus, and cultural consonance theories were combined to discover sociocultural influences of HIV risk. Sociocultural descriptions of HIV risk converge and diverge with the public health model of HIV prevention. This following was hypothesized: (1) girls aged 14-18 will share a cultural model of HIV risk; (2) greater social integration and support will correlate with lower retrospective culturally-defined HIV risk scores among women age 18-24; (3) greater social support and lower culturally-defined HIV risk scores will be mediated by greater number of important individuals and social worlds, and will be moderated by (a) location and (b) SES; (4) location will reveal variance in culturally-defined HIV risk scores among participants 18-24 based on location; and (5) lower culturally-defined HIV risk scores in high school will be correlated with current decreased perceived stress, with this relationship being mediated by (a) greater worlds, (b) greater number of important people, (c) greater past social support, and (d) greater present social support. In-depth interviews, focus groups, participant observation, and informal discussions ethnographically describe African-American adolescent life in Alabama. Cultural consensus analysis is used to determine if the cultural model is shared, while techniques informed by cultural consonance analysis determined how individuals enact the model. Statistical testing include correlation, ANOVA, mediation, and moderation analysis. Results show a shared cultural model of HIV risk consisting of characteristics, behaviors, iii social worlds, and important people describing low and high risk. Relationships between social support and culturally-defined HIV risk scores are moderated by SES. In addition, location of recruitment and interview showed differing mean culturally-defined HIV risk scores, with highest mean scores found in lowest and highest SES settings, and lowest mean scores in the middle SES setting. Lastly, risk scores mediated the relationship between total past social support and current perceived social stress, and total important people in high school and current perceived stress.