Sex, sexuality, sickness: women, culture and HIV/AIDS in South Africa (original) (raw)

Women's cultural perspectives on reasons for HIV / AIDS prevalence in a rural area of the Kwazulu-Natal province of South Africa

Africa journal of nursing and midwifery, 2008

The transmission of HIV through sexual intercourse remains a challenge, especially where women are not able to negotiate the use of condoms. KwaZulu-Natal (KZN) Province has the highest globally reported antenatal HIV prevalence. In this study, women in a rural area of Msinga in KZN were aware of the dangers of having unprotected sex with men who had many sex partners, but could not demand that their husbands/partners use condoms as polygamy, as well as the practice of having many sex partners, reportedly remains culturally acceptable in this area. Methodology: A focus group interview, conducted with 12 women, deliberated on their perceived reasons for the continued spread of HIV/AIDS in the study area despite the availability of much information on the prevention of HIV/AIDS. Results: The participating women knew about the dangers of unprotected sex, but were not in a position to insist that their husbands/partners, use condoms. Despite their HIV/AIDS knowledge, these women did not...

Gender and sexuality: emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention

Journal of the International AIDS Society, 2010

Research shows that gender power inequity in relationships and intimate partner violence places women at enhanced risk of HIV infection. Men who have been violent towards their partners are more likely to have HIV. Men's behaviours show a clustering of violent and risky sexual practices, suggesting important connections. This paper draws on Raewyn Connell's notion of hegemonic masculinity and reflections on emphasized femininities to argue that these sexual, and male violent, practices are rooted in and flow from cultural ideals of gender identities. The latter enables us to understand why men and women behave as they do, and the emotional and material context within which sexual behaviours are enacted.In South Africa, while gender identities show diversity, the dominant ideal of black African manhood emphasizes toughness, strength and expression of prodigious sexual success. It is a masculinity women desire; yet it is sexually risky and a barrier to men engaging with HIV tr...

The Sociocultural Aspects of HIV/AIDS in South Africa

In 2005 the Commission for Africa noted that ‘Tackling HIV and AIDS requires a holistic response that recognises the wider cultural and social context’ (p. 197). Cultural factors that range from beliefs and values regarding courtship, sexual networking, contraceptive use, perspectives on sexual orientation, explanatory models for disease and misfortune and norms for gender and marital relations have all been shown to be factors in the various ways that HIV/AIDS has impacted on African societies (UNESCO, 2002). Increasingly the centrality of culture is being recognised as important to HIV/AIDS prevention, treatment, care and support. With culture having both positive and negative influences on health behaviour, international donors and policy makers are beginning to acknowledge the need for cultural approaches to the AIDS crisis (Nguyen et al., 2008).