ArticleArchives of sexual behavior2016
"Nothing Is Free": A Qualitative Study of Sex Trading Among Methamphetamine Users in Cape Town, South Africa.
Article in Archives of sexual behavior, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Multi-level experiences and determinants of alcohol misuse and illicit drug use among occupational groups at high-risk of HIV in sub-Saharan Africa: A thematic synthesis of qualitative findings.Global public health · 2020Pooled it
- Online Narratives of Methamphetamine Use and Risky Sexual Behavior: Can Shame-Free Guilt Aid in Recovery?Archives of sexual behavior · 2021Article
- Risky Sexual Behaviors, Substance Use, and Perceptions of Risky Behaviors Among Criminal Justice Involved Women Who Trade Sex.Journal of drug issues · 2019Article
- Mentoring the next generation of behavioral health scientists to promote health equity.The American journal of orthopsychiatry · 2019Article
- The role of substance use coping in the relation between childhood sexual abuse and depression among methamphetamine users in South Africa.Psychological trauma : theory, research, practice and policy · 2017Article
- Gender and Sex Trading Among Active Methamphetamine Users in Cape Town, South Africa.Substance use & misuse · 2017Article
- Use of crystal methamphetamine among male adolescents in Cape Town, South Africa: Caregivers' experiences.Substance abuse treatment, prevention, and policy · 2017Article
- Intimate partner violence among men and women who use methamphetamine: A mixed-methods study in South Africa.Drug and alcohol review · 2017Article
- Correlates of sex trading among male non-injecting drug users in Myanmar: a cross-sectional study.Harm reduction journal · 2016Article
- HIV testing and sero-prevalence among methamphetamine users seeking substance abuse treatment in Cape Town.Drug and alcohol review · 2016Article
- Addiction and treatment experiences among active methamphetamine users recruited from a township community in Cape Town, South Africa: A mixed-methods study.Drug and alcohol dependence · 2015Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
South Africa is facing an established epidemic of methamphetamine, known locally as "tik." Globally, methamphetamine has been linked to high rates of sexual risk behaviors, including sex trading. The goal of this study was to qualitatively examine the experiences of sex trading among methamphetamine users in Cape Town, South Africa. Individual in-depth interviews were conducted with 30 active methamphetamine users (17 men and 13 women) recruited from the community. Interviews were conducted in local languages using a semi-structured guide that included questions on sex trading experiences and perceptions of sex trading among methamphetamine users. Interviews were audio-recorded, transcribed, and analyzed using analytic memos and coding with constant comparison techniques. The data revealed that in a setting of high levels of addiction and poverty, sex was an important commodity for acquiring methamphetamine. Women were more likely to use sex to acquire methamphetamine, but men reported opportunistic cases of trading sex for methamphetamine. Four models of sex trading emerged: negotiated exchange, implicit exchange, relationships based on resources, and facilitating sex exchange for others. The expectation of sex trading created a context in which sexual violence against female methamphetamine users was common. Multiple sexual partners and inconsistent condom use in acts of sex trading put methamphetamine users at high risk of HIV. Interventions in this setting should address addiction, which is the primary driver of sex trading among methamphetamine users. Harm reduction interventions may include education about HIV and other sexually transmitted infections, availability of condoms and HIV testing, and sexual violence prevention.
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