This paper uses a life-course
approach to explore the sexual partnerships and HIV-related risk of men and
women in Swaziland throughout their adolescence, 20s and 30s.
Twenty-eight
Swazi men and women between the ages of 20 and 39 discussed their life histories
in 117 in-depth interviews, with an average follow-up of nine months.
Many
participants described painful childhood experiences, including a lack of
positive role models for couple relationships. Women's first sexual
partnerships often involved coercion or force and resulted in pregnancy and
abandonment by partners, leaving women economically vulnerable.
Most men and
women reported a desire to marry and associated marriage with respectability
and monogamy. Men typically did not feel ready to marry until their 30s, while
women often married only after years in tumultuous relationships. A high degree
of relationship instability and change was observed over the study period, with
half of participants reporting concurrency within their primary relationship.
Participants' narratives revealed significant sources and circumstances of
risk, particularly multiple and concurrent sexual partnerships, violence and
lack of mutual trust within relationships, as well as social ideals that may
provide opportunities for effective HIV prevention.
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By:
- 1 Department of International Health , Johns Hopkins Bloomberg School of Public Health , Baltimore , USA.
- 2 Independent Researcher , Mbabane , Swaziland.
- 3 Clinton Health Access Initiative , Mbabane , Swaziland.
- 4 Rhode Island Public Health Institute and Division of Infectious Diseases , Alpert Medical School of Brown University , Providence, RI , USA.
- 5 Department of Anthropology , George Washington University , Washington, DC , USA.
- Cult Health Sex. 2016 Feb 22:1-14.
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