Department of Population Medicine and Diagnostic Sciences and Master of Public Health Program, Cornell University , Ithaca, New York , USA.
Division of Nutritional Sciences, Cornell University , Ithaca, New York , USA.
Glob Public Health. 2019 Dec;14(12):1803-1814. doi: 10.1080/17441692.2019.1625941. Epub 2019 Jun 26.
Environmental change is projected to decrease the availability of key natural resources. Decreasing availability of resources that support food security and livelihoods for vulnerable populations is hypothesised to increase engagement in transactional sex. Therefore, we systematically examined the peer-reviewed literature to characterise what is known about transactional sex for natural resources, document the natural resources that are exchanged for sex, and identify qualitative trends. Of the 1063 articles, 33 were retained for full abstraction. A majority of articles were published after 2005 (93%) and focused on Africa (90%). Two-thirds of articles focused on sex-for-fish exchanges. Reports of transactional sex were also found for other resources, including agricultural land (12%) as well as food, water, and fuel in emergency contexts (12%). Migration and altered resource availability were described as underlying causes of transactional sex. Some studies described an increased risk of sexually transmitted infection, including HIV, as a health consequence of transactional sex. We offer three possible explanations for why the preponderance of previous studies have focused on sex-for-fish rather than other natural resources, and suggest directions for future research.
预计环境变化将减少关键自然资源的供应。假设支持脆弱人群粮食安全和生计的资源供应减少,将导致更多人从事交易性性行为。因此,我们系统地审查了同行评议文献,以描述已知的与自然资源有关的交易性性行为,记录用于交换性的自然资源,并确定定性趋势。在 1063 篇文章中,有 33 篇被保留进行全文摘要。大多数文章是在 2005 年之后发表的(93%),并且主要集中在非洲(90%)。三分之二的文章侧重于以性换鱼的交易。也有关于其他资源的交易性性行为的报告,包括农业用地(12%)以及紧急情况下的食物、水和燃料(12%)。迁移和资源供应的变化被描述为交易性性行为的潜在原因。一些研究报告称,交易性性行为会增加性传播感染的风险,包括艾滋病毒,这是交易性性行为的健康后果之一。我们提出了三种可能的解释,说明为什么以前的研究主要集中在以性换鱼,而不是其他自然资源,并为未来的研究提出了方向。