The decades-long conflict in eastern Democratic Republic of the Congo (DRC) has resulted in major changes to local economies, strained social networks and insecurity. This environment forces many to pursue unconventional and, at times, socially stigmatised avenues for income. This paper explores the ways in which individuals in eastern DRC engage in, and are affected by, the commoditisation of sex within the context of decades of violent conflict. Focus group discussions conducted with men and women in 2009-2010 highlight how the war in the region has placed individuals, particularly women, in dire economic circumstances, while also changing their roles within families. In the face of severe poverty, women and girls may choose to engage in transactional sex in order to support themselves and their families. Discussants detailed how engaging in transactional sex due to an economic imperative has nonetheless damaged women's relationships with family members between spouses as well as parents and their children through breach of trust and failure to provide. These focus group discussions elucidate how transactional sex is both a symptom of, and a catalyst for, changes within family dynamics in eastern DRC.
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http://dx.doi.org/10.1080/13691058.2014.951395 | DOI Listing |
J Behav Addict
January 2025
10Department of Psychology, University of Nevada Las Vegas, Las Vegas, NV, USA.
Background And Aims: Sexual trauma is associated with multiple negative health and social conditions, including compulsive sexual behavior. The present study examined network structures involving sexual trauma history, psychological distress (defined as depression and/or anxiety symptoms), substance use, transactional sex, and compulsive sexual behavior. Prior network analysis work in this area is limited.
View Article and Find Full Text PDFTrauma Violence Abuse
January 2025
Rollins School of Public Health, Emory University, Atlanta, GA, USA.
We present the first systematic review and meta-analysis of the literature on intimate partner violence (IPV) among LGBTQ+ adults in Latin America and the Caribbean (LAC). Of 1,234 articles, 22 met inclusion criteria, and data were extracted for 4 key research areas: prevalence, measurement, risk and protective factors, and interventions. LGBTQ+ adults in LAC experience IPV at similar or higher rates than those documented among cisgender heterosexuals, with estimates ranging from 0.
View Article and Find Full Text PDFJAMA Netw Open
January 2025
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
Importance: Women who use heroin in sub-Saharan Africa face elevated HIV risk linked to structural vulnerability including frequent incarceration. However, little is known about the association between incarceration and drug use and HIV outcomes among women who use heroin in Africa.
Objective: To estimate associations between incarceration and adverse HIV-related and drug use-related outcomes among women who used heroin.
AIDS
January 2025
Centre for Infectious and Parasitic Diseases Control Research, Kenya Medical Research Institute, Busia, Kenya.
Background: Transactional sexual relations in the absence of condom use is a well-established behaviour that strongly contributes to HIV transmission if the infected person is not virally suppressed. In this study, we determined the trends and factors associated with VLNS among treatment-experienced FSWs in Kenya.
Methods: This retrospective cohort study used data collected from 7-sex workers outreach clinics between 2015 and 2022.
AIDS Behav
December 2024
Department of Health, Human Performance, and Recreation, University of Arkansas, Fayetteville, AR, USA.
This brief report presents findings on informal, non-prescribed PrEP use among an online sample of gay, bisexual and other men who have sex with men (n = 196). Mean age was 33.4.
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