A social network typology and sexual risk-taking among men who have sex with men in Cape Town and Port Elizabeth, South Africa
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2016
TITLE AUTHOR(S): A.De Voux, S.D.Baral, L-G.Bekker, C.Beyrer, N.Phaswana-Mafuya, A.J.Siegler, P.S.Sullivan, K.Winskell, R.Stephenson
KEYWORDS: CAPE TOWN, HOMOSEXUALITY, MEN, PORT ELIZABETH, RISK BEHAVIOUR, SEXUAL BEHAVIOUR
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 8908
HANDLE: 20.500.11910/1714
URI: http://hdl.handle.net/20.500.11910/1714
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Despite the high prevalence of HIV among men who have sex with men in South Africa, very little is known about their lived realities, including their social and sexual networks. Given the influence of social network structure on sexual risk behaviours, a better understanding of the social contexts of men who have sex with men is essential for informing the design of HIV programming and messaging. This study explored social network connectivity, an understudied network attribute, examining self-reported connectivity between friends, family and sex partners. Data were collected in Cape Town and Port Elizabeth, South Africa, from 78 men who have sex with men who participated in in-depth interviews that included a social network mapping component. Five social network types emerged from the content analysis of these social network maps based on the level of connectivity between family, friends and sex partners, and ranged from disconnected to densely connected networks. The ways in which participants reported sexual risk-taking differed across the five network types, revealing diversity in social network profiles. HIV programming and messaging for this population can greatly benefit from recognising the diversity in lived realities and social connections between men who have sex with men.-
Related Research Outputs:
- Exploring repeat HIV testing among men who have sex with men in Cape Town and Port Elizabeth, South Africa
- High prevalence of HIV and low awareness of HIV infection among young MSM and transgender women in Cape Town and Port Elizabeth, South Africa
- PrEP interest, eligibility and initiation by MSM and transwomen in Cape Town and Port Elizabeth, South Africa
- Stigma and discrimination experiences of HIV-positive men who have sex with men in Cape Town, South Africa
- Stigma and discrimination experiences of HIV positive men who have sex with men (MSM) and heterosexual men in Cape Town, South Africa
- The South African Marang men's project: HIV bio-behavioural surveys conducted among men who have sex with men in Cape Town, Durban and Johannesburg using respondent driven sampling
- High prevalence of sexually transmitted infections in a cohort of men who have sex with men and transgender women from Port Elizabeth and Cape Town, South Africa
- Preference for variety of condom types in a cohort of South African MSM from Port Elizabeth and Cape Town
- Disclosure decisions and HIV transmission risk behaviour of HIV positive men who have sex with men (MSM) in Cape Town, South Africa
- HIV testing and self-reported HIV status in South African men who have sex with men: results from a community-based survey
- Researching MSM in South Africa: some preliminary notes from the frontlines of a hidden epidemic
- The Johannesburg/eThewkini Men's Study (JEMS): a rapid assessment of the HIV epidemic among men who have sex with men (MSM) in South Africa: technical report
- The fallacy of intimacy: sexual risk behaviour and beliefs about trust and condom use among men who have sex with men in South Africa
- HIV prevalence and risk practices among men who have sex with men in two South African cities
- You became afraid to tell them that you are gay: health service utilization by men who have sex with men in South African cities
- Black South African MSM's disclosure of sexual practices and identity and family's responses
- Attitudes towards condom use may explain why older black South African msm engage in unprotected insertive anal sex more frequently
- Sexual violence and HIV risk among black men who have sex with men in South African townships
- "Sometimes it's painful": painful anal intercourse and sexual decision making among black men who have sex with men in South African townships
- Communicating HIV status in sexual interactions: assessing social cognitive constructs, situational factors, and individual characteristics among South African MSM