Department of Population Studies, London School of Hygiene and Tropical Medicine, London, UK.
Cult Health Sex. 2011 May;13(5):575-88. doi: 10.1080/13691058.2011.561500.
A qualitative analysis was carried out of data from 16 group discussions and 29 in-depth interviews conducted in rural and matrilineal areas of Cabo Delgado, Mozambique, to examine how the exchange of sex for resources--primarily money but also food, transportation, housing and gifts--is enacted and perceived in relation to HIV-related risk, and how prevalent gender norms are reflected in this practice. Findings reveal how gender norms shape access to resources differently for men and women as well as how variations in access to opportunities and income earning potential contribute to the emergence of sexual exchange for purposes of survival, but also as a means to ensure sexual and economic agency. Within this practice, individuals are confronting gender norms and re-defining their HIV-related risk. Some men refuse to spend scarce resources on other women by protecting their family from both financial insecurity and HIV acquisition. Among some women who engage in sexual transactions to obtain resources quickly, the resulting agency and decision making power gained are a trade-off to potential HIV risk. Nuanced understandings of gender dynamics and its influence on sexual risk taking and risk-reduction efforts in different local contexts are required.
对在莫桑比克德尔加杜角省农村和母系地区进行的 16 组小组讨论和 29 次深入访谈的数据进行了定性分析，以研究性交换资源（主要是钱，但也包括食物、交通、住房和礼物）与艾滋病毒相关风险的关系，以及这种做法如何反映普遍存在的性别规范。研究结果揭示了性别规范如何不同地影响男性和女性获取资源的机会，以及机会获取和收入潜力的差异如何导致为生存而进行性交换，以及如何作为确保性和经济代理的一种手段。在这种做法中，个人正在面对性别规范并重新定义与艾滋病毒相关的风险。一些男性通过保护家庭免受财务不安全和艾滋病毒感染来拒绝将稀缺资源花在其他女性身上。在一些为了快速获得资源而从事性交易的女性中，获得的代理和决策权是对潜在艾滋病毒风险的权衡。需要在不同的地方背景下，对性别动态及其对性风险行为和减少风险努力的影响有细致的理解。
