An Epidemic Waiting to Happen? The Spread of HIV/AIDS in South Africa in Social and Historical Perspective

Marks, Shula

doi:10.1080/00020180220140055

Cited by 91 publications

(48 citation statements)

References 11 publications

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“…For example, it has been argued that the migrant labour system, imposed under colonial and apartheid rule, transformed South Africa into an "HIV epidemic waiting to happen" (Marks 2002, p. 13). By forcing men to spend lengthy periods of time far away from their wives and family, the migrant labour policy encouraged these men to acquire partners in and around their work places (Marks 2002). Kark (1949) demonstrated how important this process was in the genesis of the syphilis epidemic in South Africa.…”

Section: Introductionmentioning

confidence: 99%

“I don't use a condom (with my regular partner) because I know that I'm faithful, but with everyone else I do”: The cultural and socioeconomic determinants of sexual partner concurrency in young South Africans

Kenyon

Boulle

Badri

et al. 2010

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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35 AbstractFinding ways to reduce the high rates of sexual partner concurrency is increasingly believed to be vital to controlling HIV spread in southern Africa. We describe the frequency and correlates of sexual partner concurrency in a representative sample of 3 324 young South Africans aged 14-25. Of the 2 468 individuals who were sexually active 21% had engaged in concurrent sexual partnerships. Multivariate analysis revealed that concurrency was more common with males, Africans, those who knew their partner had another partner, early age of sexual debut, four or more lifetime sexual partners, alcohol consumption, and self-perception of being at high risk for acquisition of HIV. If the respondent's partner knew his or her friends (termed high structural embeddedness) this was associated with a 52% reduction in concurrency rates. There are significant differences in both the rates of concurrency and the risk factors underpinning these in the different racial/ethnic groups. Analysis of these underlying determinants suggests that cultural rather than socioeconomic factors predominate, which has important implications for the design and targeting of prevention efforts. RésuméTrouver des moyens de réduire les taux élevés de concomitance de partenaires sexuels (une même personne ayant deux ou plusieurs relations se chevauchant sur le moyen terme) est de plus en plus considéré comme vital pour contrôler la propagation du VIH en Afrique australe. Nous décrivons la fréquence et les corrélats de la concomitance des partenaires sexuels dans un échantillon représentatif de 3 324 jeunes Sud-Africains âgés de 14 à 25 ans. Sur les 2 468 individus qui étaient sexuellement actifs, 21% d' entre eux étaient impliqués dans des relations sexuelles concomitantes. L'analyse multivariée a révélé que la concomitance était plus fréquente chez les hommes, les noirs africains, ceux qui savaient que leur partenaire avait un autre partenaire, ceux qui ont eu leurs premiers rapports sexuels à un jeune âge, ceux qui ont eu plus de trois partenaires dans leur vie. La concomitance dépendait aussi de la consommation d'alcool et de la perception d' être ou non une personne à risque à l' égard de la contamination par le VIH. Le fait pour la personne interrogée de connaître les amis de son partenaire (appelé haut niveau d' encastrement structurel -'embeddedness') a été associé à une réduction de 52% des taux de concomitance. Il existe des différences significatives dans à la fois les taux de concomitance et les facteurs de risque pouvant expliquer ces taux dans les différents groupes raciaux/ethniques. L'analyse de ces déterminants sousjacents suggère que ce sont davantage les facteurs culturels que les déterminants socioéconomiques qui prédominent, ce qui a des implications importantes pour la conception et le ciblage d'une politique de prévention.

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Section: Introductionmentioning

confidence: 99%

“I don't use a condom (with my regular partner) because I know that I'm faithful, but with everyone else I do”: The cultural and socioeconomic determinants of sexual partner concurrency in young South Africans

Kenyon

Boulle

Badri

et al. 2010

SAHARA-J: Journal of Social Aspects of HIV/AIDS

View full text Add to dashboard Cite

show abstract

“…The conclusion here is that we lose this possible gain by focusing on the straw-man of a Mbeki, who deliberately executed homicidal policies. But if we agree with Shula Marks (2002) that HIV/Aids was an epidemic waiting to happen in the rabid lands of apartheid misanthropy, then we need to question why we failed to understand society's inability to recognise individuals and support their aspirations to truth.…”

Section: Mbeki Deferring the Dreammentioning

confidence: 93%

Role models in politicians will disappoint you: Cautionary notes on Aids leadership in post-apartheid South Africa

Chasi¹

2012

Communicatio

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In the face of HIV/Aids the call for political leadership is often made. Invariably, one form that this call takes involves leaders being called upon to act as role models. But time after time scandalous revelations arise. These scandals appear to have the potential to damage efforts to address HIV/Aids. This article assumes that it is not appropriate to attempt to limit public expression concerning the sex-related behaviours of politicians. The author further notices, with reference to post-apartheid leadership in South Africa, that the actions, behaviours and motivations of political leaders cannot be readily assumed to result in desired behaviours in relation to HIV/ Aids. It is proposed that rather than cynically saying we are waiting for ideal leaders to arise, we can embrace the challenge of our time by first allowing ourselves to question the status quo. The aim is to recover questions of the possible roles of politicians as questions of how human relations can be achieved. In other words, the aim is to argue for an approach that humanises both politicians and those who would (be given to) follow them.

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“…Where men migrate for work it changes patterns of sexual behaviour (for the situation in South Africa see Marks, 2002). This is against a backdrop of a long history of colonialism and neoliberalism.…”

Section: Crisis Of Male Personhood and Sex For Escapismmentioning

confidence: 97%

Gender, HIV and Risk

Anderson

2015

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This timely new series publishes leading monographs and edited collections from scholars working in the disciplinary areas of politics, international relations and public policy with specific reference to questions of gender. The series showcases cutting-edge research in Gender and Politics, publishing topical and innovative approaches to gender and politics. It will include exciting work from new authors and well-known academics and will also publish high-impact writings by practitioners working in issues relating to gender and politics.The series covers politics, international relations and public policy, including gendered engagement with mainstream political science issues, such as political systems and policymaking, representation and participation, citizenship and identity, equality, and women's movements; gender and international relations, including feminist approaches to international institutions, political economy and global politics; and interdisciplinary and emergent areas of study, such as masculinities studies, gender and multiculturalism, and intersectionality.

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An Epidemic Waiting to Happen? The Spread of HIV/AIDS in South Africa in Social and Historical Perspective

Cited by 91 publications

References 11 publications

“I don't use a condom (with my regular partner) because I know that I'm faithful, but with everyone else I do”: The cultural and socioeconomic determinants of sexual partner concurrency in young South Africans

“I don't use a condom (with my regular partner) because I know that I'm faithful, but with everyone else I do”: The cultural and socioeconomic determinants of sexual partner concurrency in young South Africans

Role models in politicians will disappoint you: Cautionary notes on Aids leadership in post-apartheid South Africa

Gender, HIV and Risk

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