Sex, power, marginalisation and HIV amongst young fishermen in Malawi
Exploring intersecting inequalities
Bibliographic Data
| ID | 4596397 |
|---|---|
| Authors | Eleanor E Macpherson (0000-0002-7142-1158, Liverpool School of Tropical Medicine, corresponding author), Maxwell Phiri (0000-0001-5765-6340, University of Liverpool), Mackwellings Phiri (0009-0008-2227-4359), John Sadalaki (0000-0002-8860-2924, University of Liverpool), Victoria Nyongopa (University of Liverpool), Nicola Desmond (0000-0002-2874-8569, Liverpool School of Tropical Medicine), Victor Mwapasa (0000-0002-2748-8902, University of Malawi), David G Lalloo (0000-0001-7680-2200, Liverpool School of Tropical Medicine), Janet Seeley (0000-0002-0583-5272, London School of Hygiene & Tropical Medicine), Sally Theobald (0000-0002-9053-211X, Liverpool School of Tropical Medicine) |
| Year | 2020 |
| Volume | 266 |
| Pages | 113429 |
| Publication date | 2020-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2020.113429 |
| PMID | 33099188 |
| OpenAlex | W3091980272 |
| Language | EN |
| Citations received | 1 |
| References cited | 40 |
Through scale-up of effective treatment and prevention, HIV incidence rates are falling across Southern and Eastern Africa. However, key population groups, including people living in fishing communities, continue to face an elevated risk of infection and have high rates of undiagnosed disease. We set out to investigate how intersecting inequalities make young fishermen working on the southern shores of Lake Malawi particularly vulnerable to HIV-infection. We used qualitative research methods including observations (over a 15-month period), in-depth interviews (59) and focus group discussions (16) with a range of male and female participants living and working in two fishing villages. We found that the roles that men occupied in the fishing industry depended on several factors, including their age, socio-economic position and the amount of experience they had in the industry. In turn these roles shaped their lives, including exposure to occupational risks, mobility, living conditions, economic remuneration and social standing within the community. In this context, younger and poorer men occupied roles with the lowest social standing in the industry. Nevertheless, in these communities where poverty was pervasive, young fishermen were able to exert the power they gained through access to money and fish over poorer younger women - pressuring them into sex and increasing the risk of HIV for both men and women. Drawing on an intersectionality framework, we contextualised these findings to consider how young men's social location, relationships and experiences of both privilege and marginalisation were shaped by broader economic and political processes. We conclude that interventions to prevent HIV in fishing communities need to address how power plays out in the broader social and economic environment
Context (archaeology · Economic growth · Economics · Focus group · Geography · Human immunodeficiency virus (HIV · Political science · Population · Poverty · Privilege (computing · Sex work · Socioeconomics · Sociology · Adolescent Sexual and Reproductive Health · Demography · Gender Studies · Medicine · Poverty, Education, and Child Welfare · Sex work and related issues · Gerontology
Gender and Aids
Qualitative research in health care
Gender and sexuality
HIV and Aids among fisherfolk
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Using the framework method for the analysis of qualitative data in multi-disciplinary health research
Qualitative methods for health research
‘For a mere cough, men must just chew Conjex , gain strength, and continue working’
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"Feckless and reckless or forbearing and resourceful? Looking behind the stereotypes of HIV and Aids in "fishing communities
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A Heart for the Work
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,25 |
| Citation span | 2022 - 2022 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |