Age-disparate and intergenerational sex in southern Africa: the dynamics of hypervulnerability

This paper reviews the current state of knowledge on age-disparate sexual relationships in the context of the southern African HIV/AIDS hyperepidemic. Disproportionately high HIV infection rates among young women aged 15–24 years have been attributed to their greater involvement in relationships with older-aged partners. Whereas early studies emphasized economic concerns in the context of poverty as driving girls to accept or seek the attentions of older employed men, close-grained studies reveal a complex interplay of meanings and motives that prompt both men and women across socioeconomic strata to engage in intergenerational sex. Studies have revealed that age-disparate relationships are meaningful and perceived as beneficial at a number of levels, including social, physical, psychological, as well as economic and symbolic. In the context of growing economic inequalities and cultural expectations for men to give and women to receive a compensation for sex, relationships with older men are a common and readily available way through which young women gain materially, affirm self-worth, achieve social goals, increase longer-term life chances, or otherwise add value and enjoyment to life. Awareness of HIV risks in these relationships remains low. HIV prevention policies and programmes need to start from an understanding of how those engaged in risky behaviour perceive their sexual relationships and conceptualize the choices they make and the strategies they use. A more comprehensive policy on women and girls with better integration of communities in assessing and addressing issues, and an expansion of campaigns and programmes on the role of men as protectors and supporters of women are recommended.

[1]  S. Leclerc-Madlala On the virgin cleansing myth: gendered bodies, AIDS and ethnomedicine , 2002, African journal of AIDS research : AJAR.

[2]  A. Buseh,et al.  CULTURAL AND GENDER ISSUES RELATED TO HIV/AIDS PREVENTION IN RURAL SWAZILAND: A FOCUS GROUP ANALYSIS , 2002, Health care for women international.

[3]  A. Karlyn Intimacy revealed: Sexual experimentation and the construction of risk among young people in Mozambique , 2005, Culture, health & sexuality.

[4]  D. Wight,et al.  Contradictory sexual norms and expectations for young people in rural Northern Tanzania. , 2006, Social science & medicine.

[5]  S. Leclerc-Madlala Youth, HIV/AIDS and the importance of sexual culture and context , 2002 .

[6]  V. Rasch,et al.  Adolescent girls, illegal abortions and "sugar-daddies" in Dar es Salaam: vulnerable victims and active social agents. , 2001, Social science & medicine.

[7]  H. Salomón,et al.  A cluster of human T-cell lymphotropic virus type I-associated myelopathy/tropical spastic paraparesis in Jujuy, Argentina. , 2003, Journal of acquired immune deficiency syndromes.

[8]  D. Meekers,et al.  'Main' girlfriends, girlfriends, marriage, and money: the social context of HIV risk behaviour in sub-Saharan Africa. , 1997, Health transition review : the cultural, social, and behavioural determinants of health.

[9]  R. Pool,et al.  Mobility, sexual networks and exchange among bodabodamen in southwest Uganda , 2004, Culture, health & sexuality.

[10]  J. Z. Machel Unsafe sexual behaviour among schoolgirls in Mozambique: a matter of gender and class , 2001, Reproductive health matters.

[11]  N. Luke Age and economic asymmetries in the sexual relationships of adolescent girls in sub-Saharan Africa. , 2003, Studies in family planning.

[12]  J. Shelton,et al.  Is poverty or wealth at the root of HIV? , 2005, The Lancet.

[13]  I. Guijt,et al.  The myth of community : gender issues in participatory development , 1998 .

[14]  J. Berman,et al.  Relationships between older men and younger women: implications for STIs/HIV in Kenya. , 2004, Studies in family planning.

[15]  N. Sewankambo,et al.  Age Differences in Sexual Partners and Risk of HIV‐1 Infection in Rural Uganda , 2003, Journal of acquired immune deficiency syndromes.

[16]  M. Poulin Sex, money, and premarital partnerships in southern Malawi. , 2007, Social science & medicine.

[17]  C. Kaufman,et al.  ‘Bus fare please’: the economics of sex and gifts among young people in urban South Africa , 2004 .

[18]  R. Jewkes,et al.  Transactional sex among women in Soweto, South Africa: prevalence, risk factors and association with HIV infection. , 2004, Social science & medicine.

[19]  R. Hayes,et al.  “A bit more truthful”: the validity of adolescent sexual behaviour data collected in rural northern Tanzania using five methods , 2004, Sexually Transmitted Infections.

[20]  S. Kegeles,et al.  HIV and Sexual Behaviour Among Young South Africans: A national survey of 15-24 year olds , 2004 .

[21]  M. Hunter The Materiality of Everyday Sex: Thinking beyond 'prostitution' , 2002 .

[22]  A. Kuper,et al.  The Bantu-speaking peoples of Southern Africa , 1975 .

[23]  Ann Swidler,et al.  Ties of dependence: AIDS and transactional sex in rural Malawi. , 2006, Studies in family planning.

[24]  J. Wojcicki Socioeconomic status as a risk factor for HIV infection in women in East, Central and Southern Africa: a systematic review. , 2005, Journal of biosocial science.

[25]  B. Auvert,et al.  Why do young women have a much higher prevalence of HIV than young men? A study in Kisumu, Kenya and Ndola, Zambia , 2001, AIDS.

[26]  J. Wojcicki Commercial Sex Work or Ukuphanda? Sex-for-Money Exchange in Soweto and Hammanskraal Area, South Africa , 2002, Culture, medicine and psychiatry.

[27]  R. Pool,et al.  Sexual discourse in the context of AIDS: dominant themes on adolescent sexuality among primary school pupils in Magu district, Tanzania , 1997 .

[28]  N. Luke Confronting the 'sugar daddy' stereotype: age and economic asymmetries and risky sexual behavior in urban Kenya. , 2005, International family planning perspectives.

[29]  Polly E. McLean Sexual Behaviors and Attitudes of High School Students in the Kingdom of Swaziland , 1995, Journal of adolescent research.

[30]  S. Dursun,et al.  Transmission of HIV , 1995, The Lancet.

[31]  T. Selikow,et al.  The ingagara, the regte and the cherry: HIV/AIDS and youth culture in contemporary urban townships , 2002 .

[32]  R. Anderson,et al.  For Personal Use. Only Reproduce with Permission from the Lancet Publishing Group , 2022 .

[33]  Hansjörg Dilger Sexuality, AIDS, and the lures of modernity: Reflexivity and morality among young people in rural Tanzania , 2003, Medical anthropology.

[34]  A. Weinreb,et al.  Lateral and vertical intergenerational exchange in rural Malawi , 2002, Journal of cross-cultural gerontology.

[35]  M. Raffaelli,et al.  An exploratory study of constructions of masculinity, sexuality and HIV/AIDS in Namibia, Southern Africa , 2005, Culture, health & sexuality.

[36]  D. Mills,et al.  'No Romance Without Finance': Commodities, Masculinities and Relationships Amongst Kampalan Students , 2005 .

[37]  D. Rosenthal,et al.  Saying no to intergenerational sex: The experience of schoolgirls in Botswana , 2007 .

[38]  T. Langeni Contextual factors associated with treatment-seeking and higher-risk sexual behaviour in Botswana among men with symptoms of sexually transmitted infections , 2007, African journal of AIDS research : AJAR.

[39]  S. Leclerc-Madlala Transactional Sex and the Pursuit of Modernity , 2003 .

[40]  A. Ankomah Premarital sexual relationships in Ghana in the era of AIDS , 1992 .

[41]  J. Cole Fresh contact in Tamatave, Madagascar: Sex, money, and intergenerational transformation , 2004 .

[42]  A. Biddlecom,et al.  Prevalence and meanings of exchange of money or gifts for sex in unmarried adolescent sexual relationships in sub-Saharan Africa. , 2007, African journal of reproductive health.

[43]  D. Rosenthal,et al.  The dynamics of intergenerational sexual relationships: the experience of schoolgirls in Botswana. , 2007, Sexual health.

[44]  K. Hallman Socioeconomic disadvantage and unsafe sexual behaviors among young women and men in South Africa , 2004 .

[45]  Stuart Gillespie,et al.  Is poverty or wealth driving HIV transmission? , 2007, AIDS.

[46]  S. Africa. COMMERCIAL SEX WORK OR UKUPHANDA? SEX-FOR-MONEY EXCHANGE IN SOWETO AND HAMMANSKRAAL AREA, , 2002 .