Transactional sex among female university students in Ghana: Implications for HIV education

• Published in: Health education (Bradford, West Yorkshire, England) West Yorkshire, England), 2014-11, Vol.114 (6), p.473-486
• Main Authors: Amo-Adjei, Joshua, Kumi-Kyereme, Akwasi, Anamaale Tuoyire, Derek
• Format: Article
• Language: English
• Subjects: Acquired immune deficiency syndrome; AIDS; Behavior; College Students; Consumption; Cultural factors; Curricula; Data Analysis; Education; Family Influence; Fast food; Fathers; Fear & phobias; Females; Friendship; Gifts; Higher education; HIV; Human immunodeficiency virus; Infections; Males; Marriage; Materialism; Motivation; Older people; Peer Influence; Peer relationships; Power; Prospects; Research Assistants; Safe sexual practices; Sex workers; Sexual behavior; Sexual practices; Sexuality; Sexually transmitted diseases; STD; Stigma; Studies; Undergraduate Students; University students
• ISSN: 0965-4283; 1758-714X
• DOI: 10.1108/HE-02-2014-0013

Purpose - Older males having sex with younger females is known to increase unsafe sex practices, exacerbated by power and economic imbalances between partners. The purpose of this paper is to examine transactional sexual relationships (i.e. long-term relationships constructed as "girlfriends not 'prostitutes'" based on the exchange of gifts and other obligations) among female students of University of Cape Coast, Ghana. It particularly explores the implications for HIV education in institutions of higher learning. HIV/AIDS has been labelled as a disease of the poor and the uneducated, and it might be expected university students would engage in safer sexual practices: if they do not it highlights the problem around gender and economic imbalances and their repercussions even more clearly. Design/methodology/approach - Using snowballing, 40 university-educated female students engaged in transactional sex were interviewed using unstructured interview. The data were analysed thematically. Findings - These young women were not simple victims, these relationships were the result of complex and conscious choices. They did not want to marry their partners and were clear that these were short-term relationships primarily for material gain, which they nevertheless kept secret from family and most friends for fear of stigma, particularly in blighting their future marriage prospects. They protected themselves from emotional involvement, although they often saw their partners as loving, taking the provision of gifts as a sign of affection and sometimes a replacement for parental love. Their motivation was primarily economic, to fulfil "wants" not survival "needs" - the relationships enabled them to purchase the trappings of affluent society such as clothes, hairstyles, fast food and gadgets. They were also motivated by the enhanced experiences these relationships allowed, such as feeling protected, respected, "high class", part of a daring elite of women and being able to travel and continue their education. The unequal nature of the relationships (often described as "father-daughter") in a society in which parents, older people and men are given unquestioning respect, reduced their abilities to negotiate safe sex practices. In so far as they practiced safer sex it was to avoid pregnancy rather than disease, believing they would be able to tell from physical signs if their partner was infected. Practical implications - This study shows that the "privileged" status' tha