TY - JOUR
T1 - Obligations of motherhood in shaping sex work, condom use, and HIV care among Swazi female sex workers living with HIV
AU - Parmley, Lauren
AU - Fielding-Miller, Rebecca
AU - Mnisi, Zandile
AU - Kennedy, Caitlin E.
N1 - Publisher Copyright:
© 2019, © 2019 NISC (Pty) Ltd.
PY - 2019/9/27
Y1 - 2019/9/27
N2 - Parental obligations influence sexual behaviour among female sex workers (FSW) and may serve as a risk or protective factor for HIV acquisition. How these obligations affect behaviours beyond HIV prevention, including HIV care, is understudied. We analysed 25 interviews conducted with 11 mothers who sell sex and are living with HIV, and 4 key informants as part of a larger study examining the positive health, dignity, and prevention needs of FSW in eSwatini. Despite awareness of HIV reinfection, FSW initiated sex work and engaged in condomless sex due to financial pressures of providing for children. While women attributed having condomless sex to their obligations as a provider, motherhood also served as motivation to engage in HIV care. Further, FSW described children as a source of support in HIV care. Children reminded mothers to take their medications, prepared food to take with medications, and assisted with travel to the clinic.
AB - Parental obligations influence sexual behaviour among female sex workers (FSW) and may serve as a risk or protective factor for HIV acquisition. How these obligations affect behaviours beyond HIV prevention, including HIV care, is understudied. We analysed 25 interviews conducted with 11 mothers who sell sex and are living with HIV, and 4 key informants as part of a larger study examining the positive health, dignity, and prevention needs of FSW in eSwatini. Despite awareness of HIV reinfection, FSW initiated sex work and engaged in condomless sex due to financial pressures of providing for children. While women attributed having condomless sex to their obligations as a provider, motherhood also served as motivation to engage in HIV care. Further, FSW described children as a source of support in HIV care. Children reminded mothers to take their medications, prepared food to take with medications, and assisted with travel to the clinic.
KW - HIV
KW - HIV care
KW - female sex workers
KW - parenthood
KW - sex work
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U2 - 10.2989/16085906.2019.1639521
DO - 10.2989/16085906.2019.1639521
M3 - Article
C2 - 31333060
AN - SCOPUS:85070216165
SN - 1608-5906
VL - 18
SP - 254
EP - 257
JO - African Journal of AIDS Research
JF - African Journal of AIDS Research
IS - 3
ER -