Literature DB >> 21696874

Sexuality and the limits of agency among South African teenage women: theorising femininities and their connections to HIV risk practices.

R Jewkes1, R Morrell.   

Abstract

In South Africa, both HIV and gender-based violence are highly prevalent. Gender inequalities give men considerable relational power over young women, particularly in circumstances of poverty and where sex is materially rewarded. Young women are often described as victims of men, but this inadequately explains women's observed sexual agency. This paper takes a different approach. We use qualitative interviews and ethnographic observation among 16 young women from the rural Eastern Cape to explore ways young women construct their femininities and exercise agency. The data were collected as part of an evaluation of Stepping Stones, which is a participatory behavioural intervention for HIV prevention that seeks to be gender transformative. Agency was most notable in particular stages of the dating 'game', especially relationship initiation. Constructions of desirable men differed but generally reflected a wish to avoid violence, and a search for mutual respect, sexual pleasure, romance, modernity, status and money. Agency was constrained once relationships were consented to, as men expected to control their partners, using violent and non-violent methods. Women knew this and many accepted this treatment, although often expressing ambivalence. Many of the women expressed highly acquiescent femininities, with power surrendered to men, as a 'choice' that made their lives in cultural terms more meaningful. In marked contrast to this was a 'modern' femininity, centred around a desire to be 'free'. A visible third position, notably emerging after the Stepping Stones intervention, rested not on a feminist challenge to patriarchy, but on an accommodation with men's power whilst seeking to negotiate greater respect and non-violence within relations with men. These multiple and dynamic femininities open up possibilities for change. They demonstrate the need to engage with women, both as victims of patriarchy and active supporters of the gender order. The multiplicity of women's hopes and desires and circumstances of emotional and relational fulfillment provides potential for interventions with women that acknowledge existing gender inequalities, validate women's agency, reduce violence and prevent HIV.
Copyright © 2011 Elsevier Ltd. All rights reserved.

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Year:  2011        PMID: 21696874      PMCID: PMC3217103          DOI: 10.1016/j.socscimed.2011.05.020

Source DB:  PubMed          Journal:  Soc Sci Med        ISSN: 0277-9536            Impact factor:   4.634


  17 in total

1.  Selling sex in the time of AIDS: the psycho-social context of condom use by sex workers on a Southern African mine.

Authors:  C Campbell
Journal:  Soc Sci Med       Date:  2000-02       Impact factor: 4.634

2.  Blood blockages and scolding nurses: barriers to adolescent contraceptive use in South Africa.

Authors:  Kate Wood; Rachel Jewkes
Journal:  Reprod Health Matters       Date:  2006-05

3.  Intimate partner violence: prevalence and risk factors for men in Cape Town, South Africa.

Authors:  Naeemah Abrahams; Rachel Jewkes; Ria Laubscher; Margaret Hoffman
Journal:  Violence Vict       Date:  2006-04

4.  Gender dynamics in the primary sexual relationships of young rural South African women and men.

Authors:  Lucia F O'Sullivan; Abigail Harrison; Robert Morrell; Aliza Monroe-Wise; Muriel Kubeka
Journal:  Cult Health Sex       Date:  2006 Mar-Apr

5.  Rape perpetration by young, rural South African men: Prevalence, patterns and risk factors.

Authors:  Rachel Jewkes; Kristin Dunkle; Mary P Koss; Jonathan B Levin; Mzikazi Nduna; Nwabisa Jama; Yandisa Sikweyiya
Journal:  Soc Sci Med       Date:  2006-09-07       Impact factor: 4.634

6.  'I woke up after I joined Stepping Stones': meanings of an HIV behavioural intervention in rural South African young people's lives.

Authors:  Rachel Jewkes; Katharine Wood; Nata Duvvury
Journal:  Health Educ Res       Date:  2010-10-11

7.  ''If they rape me, I can't blame them": reflections on gender in the social context of child rape in South Africa and Namibia.

Authors:  Rachel Jewkes; Loveday Penn-Kekana; Hetty Rose-Junius
Journal:  Soc Sci Med       Date:  2005-10       Impact factor: 4.634

8.  "He forced me to love him": putting violence on adolescent sexual health agendas.

Authors:  K Wood; F Maforah; R Jewkes
Journal:  Soc Sci Med       Date:  1998-07       Impact factor: 4.634

9.  How gender roles influence sexual and reproductive health among South African adolescents.

Authors:  Christine A Varga
Journal:  Stud Fam Plann       Date:  2003-09

10.  Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa.

Authors:  Kristin L Dunkle; Rachel K Jewkes; Heather C Brown; Glenda E Gray; James A McIntryre; Siobán D Harlow
Journal:  Lancet       Date:  2004-05-01       Impact factor: 79.321

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  56 in total

Review 1.  Resourcing resilience: social protection for HIV prevention amongst children and adolescents in Eastern and Southern Africa.

Authors:  Elona Toska; Lesley Gittings; Rebecca Hodes; Lucie D Cluver; Kaymarlin Govender; K Emma Chademana; Vincent Evans Gutiérrez
Journal:  Afr J AIDS Res       Date:  2016-07       Impact factor: 1.300

2.  Exploring the associations between physical and sexual gender-based violence and HIV among women who use substances in South Africa: the role of agency and alcohol.

Authors:  Courtney Peasant Bonner; Felicia A Browne; Jacqueline W Ndirangu; Brittni Howard; William A Zule; Ilene S Speizer; Tracy Kline; Wendee M Wechsberg
Journal:  AIDS Care       Date:  2019-04-02

3.  'Men usually say that HIV testing is for women': gender dynamics and perceptions of HIV testing in Lesotho.

Authors:  Abby L DiCarlo; Joanne E Mantell; Robert H Remien; Allison Zerbe; Danielle Morris; Blanche Pitt; Elaine J Abrams; Wafaa M El-Sadr
Journal:  Cult Health Sex       Date:  2014-05-22

4.  Risk for coerced sex among female youth in Ghana: roles of family context, school enrollment and relationship experience.

Authors:  Jeffrey B Bingenheimer; Elizabeth Reed
Journal:  Int Perspect Sex Reprod Health       Date:  2014-12

5.  Association of pain, social support and socioeconomic indicators in patients with spinal cord injury in Iran.

Authors:  Z Khazaeipour; E Ahmadipour; V Rahimi-Movaghar; F Ahmadipour; A R Vaccaro; B Babakhani
Journal:  Spinal Cord       Date:  2016-12-06       Impact factor: 2.772

6.  What do young people think makes their relationships good? Factors associated with assessments of dating relationships in South Africa.

Authors:  Aník Gevers; Rachel Jewkes; Cathy Mathews
Journal:  Cult Health Sex       Date:  2013-06-27

7.  Relationship Type and Use of the Vaginal Ring for HIV-1 Prevention in the MTN 020/ASPIRE Trial.

Authors:  E Pleasants; T Tauya; K Reddy; B G Mirembe; K Woeber; T Palanee-Phillips; C Zimba; M Atujuna; E T Montgomery
Journal:  AIDS Behav       Date:  2020-03

8.  Negotiating place and gendered violence in Canada's largest open drug scene.

Authors:  Ryan McNeil; Kate Shannon; Laura Shaver; Thomas Kerr; Will Small
Journal:  Int J Drug Policy       Date:  2013-11-22

9.  Multilevel Gender-Equitable Norms and Risk of HIV and Herpes Simplex Virus Type 2 Acquisition Among Young South African Women: A Longitudinal Analysis of the HIV Prevention Trials Network 068 Cohort.

Authors:  Paul Wesson; Sheri A Lippman; Torsten B Neilands; Rhian Twine; Jennifer Ahern; F Xavier Gómez-Olivé; Dean Peacock; Catherine MacPhail; Kathleen Kahn; Audrey Pettifor
Journal:  J Adolesc Health       Date:  2019-09-19       Impact factor: 5.012

10.  Characteristics of Age-Discordant Partnerships Associated With HIV Risk Among Young South African Women (HPTN 068).

Authors:  Tiarney D Ritchwood; James P Hughes; Larissa Jennings; Catherine MacPhail; Brian Williamson; Amanda Selin; Kathleen Kahn; F Xavier Gómez-Olivé; Audrey Pettifor
Journal:  J Acquir Immune Defic Syndr       Date:  2016-08-01       Impact factor: 3.731

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