Swartz Alison, Colvin Christopher, Harrison Abigail
Division of Social and Behavioural Sciences, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Department of Behavioral and Social Sciences, International Health Institute, School of Public Health, Brown University, Providence, RI, USA.
Soc Dyn. 2016;42(2):237-252. doi: 10.1080/02533952.2016.1194591. Epub 2016 Aug 10.
In South Africa, young people's "multiple" or "concurrent" partnerships have been increasingly prominent in public health discourses - as drivers of HIV transmission. Multiple partnerships are typically framed in moralising, negative terms and depicted primarily as male-driven, within a broader framework of women's vulnerability and use of sex for survival and material gain. Based on ethnographic fieldwork with adolescents and young adults in Khayelitsha township near Cape Town, this article investigates young women's partnerships by exploring their complex interpersonal and social dynamics. We unpack women's multiple motivations for, and careful management strategies of, both sexual and social relationships in a broader context of socioeconomic exclusion, threats to health and wellbeing, social obligations and relationships of care. The meanings and practices associated with young people's relationships are more than the sum of individual sexual behaviours, rigid cultural scripts or simply a locus of "risk." The data presented here highlight some of the limitations of "prevention" approaches that do not take into account this nuanced and multilayered view of such relationships. The affective and empathetic dimensions of young peoples' relationships, as well as the socioeconomic contexts in which they occur should also be considered. Without accounting for this context, standard "prevention" approaches are less likely to succeed.
在南非,年轻人的“多重”或“同时存在”的性伴侣关系在公共卫生话语中日益凸显,成为艾滋病毒传播的驱动因素。多重性伴侣关系通常以道德化的负面措辞来描述,并且在女性易受伤害以及为生存和物质利益而进行性交易的更广泛框架内,主要被描绘为男性主导。基于对开普敦附近的凯伊利沙镇青少年和年轻人的人种志实地调查,本文通过探索年轻女性复杂的人际和社会动态来研究她们的性伴侣关系。在社会经济排斥、健康和福祉受到威胁、社会义务以及关爱关系的更广泛背景下,我们剖析了女性在性和社会关系方面的多重动机以及精心的管理策略。与年轻人关系相关的意义和实践不仅仅是个体性行为、僵化文化脚本的总和,也不仅仅是一个“风险”场所。这里呈现的数据凸显了一些“预防”方法的局限性,这些方法没有考虑到对这种关系的这种细致入微和多层次的看法。还应考虑年轻人关系中的情感和同理心维度,以及这些关系发生的社会经济背景。如果不考虑这种背景,标准的“预防”方法不太可能成功。