ArticleJournal of public health in Africa2020
Transactional sex and HIV infection among commercial farm workers in South Africa.
Article in Journal of public health in Africa, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 26 citations in OpenAlex.
- Exploring the impact of HIV and AIDS among marginalised farming communities in the Eastern Cape province, South Africa.Health SA = SA Gesondheid · 2026Review
- Clinicopathological profile of basal cell carcinoma: a retrospective study from Limpopo province, South Africa.Clinical and experimental medicine · 2025Article
- Transactional sex and associated factors among young women in a tertiary institution in Northern Ghana: evidence from a cross-sectional survey.BMC women's health · 2025Article
- Structural barriers and facilitators to accessing HIV services for marginalized working populations: insights from farm workers in South Africa.Health policy and planning · 2025Article
- Prevalence and risk factors for transactional sex among Swedish-born and foreign-born MSM in Sweden.BMC public health · 2022Article
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Authors and funding
3 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh prevalence of HIV infection has been reported among commercial farm workers in South Africa, but studies of the role of transactional sex in this epidemic is limited.
objectiveThis study seeks to examine the association between transactional sex and HIV infection among commercial farm workers in South Africa.
methodsThis is a cross-sectional secondary data analysis of the Integrated Biological and Behavioural Surveillance Survey by the International Organization of Migration among farm workers in Mpumalanga and Limpopo Provinces, South Africa in 2010. The study included 2,758 sexually active farm workers. The outcome variable was HIV infection while the main explanatory variable was engagement in transactional sex. Other explanatory variables were sex, age, marital status, number of sex partners, food security, recent history of sexually transmitted infection, condom use at last sex with non-regular partner, history of sexual violence and migration status. Bivariate and multivariable logistic regression analyses were done to obtain unadjusted and adjusted odds ratios of the association between transactional sex and HIV infection.
resultsEngagement in transactional sex was common (19%) but not significantly associated with HIV infection (OR 1.1; CI 0.57-2.44). Female sex (1.93; 1.60-2.32), age 25 to 44 years, recent STI (OR 1.37; CI 1.18-1.58) and sexual violence (OR 1.39; CI 1.19-1.63) were significant risk factors for HIV infection.
conclusionRisky sexual behaviours were common among the farmworker population. HIV prevention interventions should include behavioural change communication and improved access to healthcare for STI and HIV treatment.
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