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MacPherson, Eleanor 
ORCID: https://orcid.org/0000-0002-7142-1158, Mackwellings, Phiri, Sadalaki, John, Nyongopa, Victoria, Desmond, Nicola ORCID: https://orcid.org/0000-0002-2874-8569, Mwapasa, Victor, Lalloo, David ORCID: https://orcid.org/0000-0001-7680-2200, Seeley, Janet and Theobald, Sally ORCID: https://orcid.org/0000-0002-9053-211X
(2020)
'Sex, power, marginalisation and HIV amongst young fishermen in Malawi: Exploring intersecting inequalities'. Social Science & Medicine, Vol 266, p. 113429.
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Abstract
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.
| Item Type: | Article |
|---|---|
| Subjects: | WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WC Communicable Diseases > Virus Diseases > Acquired Immunodeficiency Syndrome. HIV Infections > WC 503 Acquired immunodeficiency syndrome. HIV infections WC Communicable Diseases > Virus Diseases > Acquired Immunodeficiency Syndrome. HIV Infections > WC 503.41 General coverage |
| Faculty: Department: | Clinical Sciences & International Health > International Public Health Department |
| Digital Object Identifer (DOI): | https://doi.org/10.1016/j.socscimed.2020.113429 |
| Depositing User: | Tina Bowers |
| Date Deposited: | 22 Oct 2020 12:22 |
| Last Modified: | 11 Nov 2020 11:06 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/15893 |
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