TY - JOUR
T1 - Social support, sexual violence, and transactional sex among female transnational migrants to South Africa
AU - Giorgio, Margaret
AU - Townsend, Loraine
AU - Zembe, Yanga
AU - Guttmacher, Sally
AU - Kapadia, Farzana
AU - Cheyip, Mireille
AU - Mathews, Catherine
N1 - Funding Information:
This research was supported by the President's Emergency Plan for AIDS Relief through the Centers for Disease Control and Prevention ([CDC] cooperative agreement 5U2GPS001137-4).
PY - 2016/6
Y1 - 2016/6
N2 - Objectives. To examine the relationship between sexual violence and transactional sex and assess the impact of social support on this relationship among female transnational migrants in Cape Town, South Africa. Methods. In 2012 we administered a behavioral risk factor survey using respondentdriven sampling to transnational migrant women aged between 16 and 39 years, born outside South Africa, living in Cape Town, and speaking English, Shona, Swahili, Lingala, Kirundi, Kinyarwanda, French, or Somali. Results. Controlling for study covariates, travel-phase sexual violence was positively associated with engagement in transactional sex (adjusted prevalence ratio [APR] = 1.38; 95% confidence interval [CI] = 1.07, 1.77), and social support was shown to be a protective factor (APR = 0.84; 95% CI = 0.75, 0.95). The interaction of experienced sexual violence during migration and social support score was APR = 0.85 (95% CI = 0.66, 1.10). In the stratified analysis, we found an increased risk of transactional sex among the low social support group (APR = 1.56; 95% CI = 1.22, 2.00). This relationship was not statistically significant among the moderateor high social support group (APR = 1.04; 95% CI = 0.58, 1.87). Conclusions. Programs designed to strengthen social support may reduce transactional sex among migrant women after they have settled in their receiving communities.
AB - Objectives. To examine the relationship between sexual violence and transactional sex and assess the impact of social support on this relationship among female transnational migrants in Cape Town, South Africa. Methods. In 2012 we administered a behavioral risk factor survey using respondentdriven sampling to transnational migrant women aged between 16 and 39 years, born outside South Africa, living in Cape Town, and speaking English, Shona, Swahili, Lingala, Kirundi, Kinyarwanda, French, or Somali. Results. Controlling for study covariates, travel-phase sexual violence was positively associated with engagement in transactional sex (adjusted prevalence ratio [APR] = 1.38; 95% confidence interval [CI] = 1.07, 1.77), and social support was shown to be a protective factor (APR = 0.84; 95% CI = 0.75, 0.95). The interaction of experienced sexual violence during migration and social support score was APR = 0.85 (95% CI = 0.66, 1.10). In the stratified analysis, we found an increased risk of transactional sex among the low social support group (APR = 1.56; 95% CI = 1.22, 2.00). This relationship was not statistically significant among the moderateor high social support group (APR = 1.04; 95% CI = 0.58, 1.87). Conclusions. Programs designed to strengthen social support may reduce transactional sex among migrant women after they have settled in their receiving communities.
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U2 - 10.2105/AJPH.2016.303107
DO - 10.2105/AJPH.2016.303107
M3 - Article
C2 - 27077356
AN - SCOPUS:84968902266
SN - 0090-0036
VL - 106
SP - 1123
EP - 1129
JO - American journal of public health
JF - American journal of public health
IS - 6
ER -