Mojola Sanyu A
Department of Sociology, University of Colorado-Boulder, 219 Ketchum Hall, 327 UCB, Boulder, CO 80309-0327, USA.
Soc Sci Med. 2011 Jan;72(2):149-56. doi: 10.1016/j.socscimed.2010.11.006. Epub 2010 Nov 23.
This paper focuses on a neglected factor in literature on the HIV epidemic in sub-Saharan Africa: the role of the eco-social environment in shaping HIV risk. I argue that the changing ecological environment of Lake Victoria, Africa's largest freshwater lake, mapping onto a gendered economy, shaped fisherfolk's sexual relationships and sexual mixing patterns in ways that were consequential for their HIV risk. Specifically, I show how disrupted lake and fish ecology had an impact on fishermen's sexual, domestic and economic partnerships, as well as how it contributed to the "sex for fish" economy in Nyanza Province, Kenya. I also show the consequences of fishermen's relative wealth on transactional relationships with school girls and women in lakeside communities. The paper is based on ethnographic fieldwork over a seven month period among the Luo ethnic group, which has the highest HIV rates in Kenya. The study included 74 individual and focus group interviews in communities around Lake Victoria, as well as 20 key informant interviews. Additionally, literature reviews on fishing and sexual economies as well as on ecological research in Lake Victoria are employed. Exploring linkages between these literatures and fieldwork findings forms the basis of this paper. I argue that solely focusing on individual level HIV prevention strategies is limited without taking into account the eco-social context of individual sexual decision making.
生态社会环境在塑造艾滋病风险方面的作用。我认为,非洲最大的淡水湖维多利亚湖不断变化的生态环境,与性别化经济相互交织,以对渔民的艾滋病风险产生影响的方式塑造了他们的性关系和性混合模式。具体而言,我展示了湖泊和鱼类生态的破坏如何影响渔民的性、家庭和经济伙伴关系,以及它如何促成了肯尼亚尼扬扎省的“以鱼换性”经济。我还展示了渔民的相对财富对与湖边社区女学生和妇女的交易性关系的影响。本文基于对肯尼亚艾滋病感染率最高的卢奥族进行的为期七个月的人种志田野调查。该研究包括在维多利亚湖周边社区进行的74次个人访谈和焦点小组访谈,以及20次关键 informant 访谈。此外,还采用了关于捕鱼和性经济以及维多利亚湖生态研究的文献综述。探索这些文献与田野调查结果之间的联系构成了本文的基础。我认为,如果不考虑个人性决策的生态社会背景,仅仅关注个人层面的艾滋病预防策略是有限的。