The changing political economy of sex in South Africa: The significance of unemployment and inequalities to the scale of the AIDS pandemic

被引:187
作者
Hunter, Mark [1 ]
机构
[1] Univ Toronto, Dept Social Sci Geog, Toronto, ON M1C 1A4, Canada
基金
美国安德鲁·梅隆基金会;
关键词
South Africa; AIDS; health inequalities; sexuality; gender; SUB-SAHARAN AFRICA; HIV-INFECTION; TRANSACTIONAL SEX; RISK-FACTORS; APARTHEID; WOMEN; POWER; MIGRATION; LABOR;
D O I
10.1016/j.socscimed.2006.09.015
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Between 1990 and 2005, HIV prevalence rates in South Africa jumped from less than 1% to around 29%. Important scholarship has demonstrated how racialized structures entrenched by colonialism and apartheid set the scene for the rapid unfolding of the AIDS pandemic, like other causes of ill-health before it. Of particular relevance is the legacy of circular male-migration, an institution that for much of the 20th century helped to propel the transmission of sexually transmitted infections among black South Africans denied permanent urban residence. But while the deep-rooted antecedents of AIDS have been noted, less attention has been given to more recent changes in the political economy of sex, including those resulting from the post-apartheid government's adoption of broadly neo-liberal policies. As an unintentional consequence, male migration and apartheid can be seen as almost inevitably resulting in AIDS, a view that can disconnect the pandemic from contemporary social and economic debates. Combining ethnographic, historical, and demographic approaches, and focusing on sexuality in the late apartheid and early post-apartheid periods, this article outlines three interlinked dynamics critical to understanding the scale of the AIDS pandemic: (1) rising unemployment and social inequalities that leave some groups, especially poor women, extremely vulnerable; (2) greatly reduced marital rates and the subsequent increase of one person households; and (3) rising levels of women's migration, especially through circular movements between rural areas and informal settlements/urban areas. As a window into these changes, the article gives primary attention to the country's burgeoning informal settlements-spaces in which HIV rates are reported to be twice the national average-and to connections between poverty and money/sex exchanges. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:689 / 700
页数:12
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