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“Because he has bought for her, he wants to sleep with her”: Alcohol as a currency for sexual exchange in South African drinking venues

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  • Watt, Melissa H.
  • Aunon, Frances M.
  • Skinner, Donald
  • Sikkema, Kathleen J.
  • Kalichman, Seth C.
  • Pieterse, Desiree

Abstract

Previous research has documented the practice of transactional sex in sub-Saharan Africa and its association with gender-based violence, gender inequalities and HIV risk. At the same time, it has been suggested that women may use transactional sex to obtain a greater sense of control over their lives and their sexualities, and to garner access to resources. The aim of this study was to better understand the practice of exchanging alcohol for sex in alcohol-serving venues in a township in Cape Town, South Africa. Data were collected between June 2009 and October 2010. Six venues were included and observations were conducted in each for four one-week periods over the course of a year. In-depth qualitative interviews included 31 women and 13 men whom interviewers had observed as regular venue customers. Follow-up interviews were conducted with 24 respondents to explore emerging themes. Interviews were recorded and transcribed. Using a grounded theory approach, Atlas.ti was used to code transcripts, field notes, and analytical memos written about each document. Results revealed that alcohol was commonly used as a currency of sexual exchange in this setting, and both women and men understood that accepting alcohol from a man implied consent for sexual favors. Women reported a sense of agency in participating in the transactional sex dynamic, especially when they were able to manipulate it to meet their own ends without fulfilling the men’s sexual expectations. At the same time, data revealed that the norm of transactional sex reinforced the undervaluing and commoditization of women. As identified elsewhere, transactional sex put both women and men at greater risk of HIV through multiple partners and inconsistent use of condoms, and the possibility of rape. Interventions are needed to address sexual risk behaviors and substance use within this context to prevent new HIV infections.

Suggested Citation

  • Watt, Melissa H. & Aunon, Frances M. & Skinner, Donald & Sikkema, Kathleen J. & Kalichman, Seth C. & Pieterse, Desiree, 2012. "“Because he has bought for her, he wants to sleep with her”: Alcohol as a currency for sexual exchange in South African drinking venues," Social Science & Medicine, Elsevier, vol. 74(7), pages 1005-1012.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:7:p:1005-1012
    DOI: 10.1016/j.socscimed.2011.12.022
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    References listed on IDEAS

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    1. Dunkle, Kristin L. & Jewkes, Rachel K. & Brown, Heather C. & Gray, Glenda E. & McIntryre, James A. & Harlow, Siobán D., 2004. "Transactional sex among women in Soweto, South Africa: prevalence, risk factors and association with HIV infection," Social Science & Medicine, Elsevier, vol. 59(8), pages 1581-1592, October.
    2. Maman, Suzanne & Campbell, Jacquelyn & Sweat, Michael D. & Gielen, Andrea C., 2000. "The intersections of HIV and violence: directions for future research and interventions," Social Science & Medicine, Elsevier, vol. 50(4), pages 459-478, February.
    3. Silberschmidt, Margrethe & Rasch, Vibeke, 2001. "Adolescent girls, illegal abortions and "sugar-daddies" in Dar es Salaam: vulnerable victims and active social agents," Social Science & Medicine, Elsevier, vol. 52(12), pages 1815-1826, June.
    4. Singer, Merrill C. & Erickson, Pamela I. & Badiane, Louise & Diaz, Rosemary & Ortiz, Dugeidy & Abraham, Traci & Nicolaysen, Anna Marie, 2006. "Syndemics, sex and the city: Understanding sexually transmitted diseases in social and cultural context," Social Science & Medicine, Elsevier, vol. 63(8), pages 2010-2021, October.
    5. Dunkle, Kristin L. & Jewkes, Rachel & Nduna, Mzikazi & Jama, Nwabisa & Levin, Jonathan & Sikweyiya, Yandisa & Koss, Mary P., 2007. "Transactional sex with casual and main partners among young South African men in the rural Eastern Cape: Prevalence, predictors, and associations with gender-based violence," Social Science & Medicine, Elsevier, vol. 65(6), pages 1235-1248, September.
    6. Norris, Alison H. & Kitali, Amani J. & Worby, Eric, 2009. "Alcohol and transactional sex: How risky is the mix?," Social Science & Medicine, Elsevier, vol. 69(8), pages 1167-1176, October.
    7. Morojele, Neo K. & Kachieng'a, Millicent A. & Mokoko, Evodia & Nkoko, Matsobane A. & Parry, Charles D.H. & Nkowane, Annette M. & Moshia, Kgaogelo M. & Saxena, Shekhar, 2006. "Alcohol use and sexual behaviour among risky drinkers and bar and shebeen patrons in Gauteng province, South Africa," Social Science & Medicine, Elsevier, vol. 62(1), pages 217-227, January.
    8. Poulin, Michelle, 2007. "Sex, money, and premarital partnerships in southern Malawi," Social Science & Medicine, Elsevier, vol. 65(11), pages 2383-2393, December.
    9. London, Leslie, 1999. "The `dop' system, alcohol abuse and social control amongst farm workers in South Africa: a public health challenge," Social Science & Medicine, Elsevier, vol. 48(10), pages 1407-1414, May.
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    Cited by:

    1. Sandra I McCoy & Lauren J Ralph & Wema Wilson & Nancy S Padian, 2013. "Alcohol Production as an Adaptive Livelihood Strategy for Women Farmers in Tanzania and Its Potential for Unintended Consequences on Women’s Reproductive Health," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-10, March.
    2. Fielding-Miller, Rebecca & Dunkle, Kristin L. & Jama-Shai, Nwabisa & Windle, Michael & Hadley, Craig & Cooper, Hannah L.F., 2016. "The feminine ideal and transactional sex: Navigating respectability and risk in Swaziland," Social Science & Medicine, Elsevier, vol. 158(C), pages 24-33.

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