TY - JOUR
T1 - "... but then he became my sipa"
T2 - The implications of relationship fluidity for condom use among women sex workers in Antananarivo, Madagascar
AU - Stoebenau, Kirsten
AU - Hindin, Michelle J.
AU - Nathanson, Constance A.
AU - Rakotoarison, Paul Ghislain
AU - Razafintsalama, Violette
PY - 2009/5/1
Y1 - 2009/5/1
N2 - Increasing evidence indicates that sex workers use condoms less consistently with regular (i.e., nonpaying)partners thanwith clients. Fewstudieshave examined the extent to which these 2 categories are mutually exclusive. In an ethnographic study of women's sex work in Antananarivo, Madagascar, we examined how the meaning ofwomen sexworkers' sexual relationships could shift among 3 different forms of sex work. Condom use was less likely in forms in which the distinction between client and lover (sipa in Malagasy) was fluid. For many sex workers, therefore, relationships theyunderstoodtobeintimateimpartedthe greatesthealth vulnerability. It is important to examine the influence of the meaning of sexual relationships on condom use for HIV prevention. Policy implications for HIV prevention work with sex workers are considered.
AB - Increasing evidence indicates that sex workers use condoms less consistently with regular (i.e., nonpaying)partners thanwith clients. Fewstudieshave examined the extent to which these 2 categories are mutually exclusive. In an ethnographic study of women's sex work in Antananarivo, Madagascar, we examined how the meaning ofwomen sexworkers' sexual relationships could shift among 3 different forms of sex work. Condom use was less likely in forms in which the distinction between client and lover (sipa in Malagasy) was fluid. For many sex workers, therefore, relationships theyunderstoodtobeintimateimpartedthe greatesthealth vulnerability. It is important to examine the influence of the meaning of sexual relationships on condom use for HIV prevention. Policy implications for HIV prevention work with sex workers are considered.
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U2 - 10.2105/AJPH.2007.118422
DO - 10.2105/AJPH.2007.118422
M3 - Article
C2 - 19299685
AN - SCOPUS:68949202204
SN - 0090-0036
VL - 99
SP - 811
EP - 819
JO - American journal of public health
JF - American journal of public health
IS - 5
ER -