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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2017 ; 12
(2
): e0171916
Nephropedia Template TP
gab.com Text
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English Wikipedia
A reconfiguration of the sex trade: How social and structural changes in eastern
Zimbabwe left women involved in sex work and transactional sex more vulnerable
#MMPMID28225822
Elmes J
; Skovdal M
; Nhongo K
; Ward H
; Campbell C
; Hallett TB
; Nyamukapa C
; White PJ
; Gregson S
PLoS One
2017[]; 12
(2
): e0171916
PMID28225822
show ga
Understanding the dynamic nature of sex work is important for explaining the
course of HIV epidemics. While health and development interventions targeting sex
workers may alter the dynamics of the sex trade in particular localities, little
has been done to explore how large-scale social and structural changes, such as
economic recessions-outside of the bounds of organizational intervention-may
reconfigure social norms and attitudes with regards to sex work. Zimbabwe's
economic collapse in 2009, following a period (2000-2009) of economic decline,
within a declining HIV epidemic, provides a unique opportunity to study community
perceptions of the impact of socio-economic upheaval on the sex trade. We
conducted focus group discussions with 122 community members in rural eastern
Zimbabwe in January-February 2009. Groups were homogeneous by gender and
occupation and included female sex workers, married women, and men who frequented
bars. The focus groups elicited discussion around changes (comparing
contemporaneous circumstances in 2009 to their memories of circumstances in 2000)
in the demand for, and supply of, paid sex, and how sex workers and clients
adapted to these changes, and with what implications for their health and
well-being. Transcripts were thematically analyzed. The analysis revealed how
changing economic conditions, combined with an increased awareness and fear of
HIV-changing norms and local attitudes toward sex work-had altered the demand for
commercial sex. In response, sex work dispersed from the bars into the wider
community, requiring female sex workers to employ different tactics to attract
clients. Hyperinflation meant that sex workers had to accept new forms of
payment, including sex-on-credit and commodities. Further impacting the demand
for commercial sex work was a poverty-driven increase in transactional sex. The
economic upheaval in Zimbabwe effectively reorganized the market for sex by
reducing previously dominant forms of commercial sex, while simultaneously
providing new opportunities for women to exchange sex in less formal and more
risky transactions. Efforts to measure and respond to the contribution of sex
work to HIV transmission need to guard against unduly static definitions and
consider the changing socioeconomic context and how this can cause shifts in
behavior.