Inkwari: An Emerging High-Risk Place Potentiating HIV Spread Among Young Adults in a Hyper-Endemic South African Setting

Matthew J Mimiaga; Elizabeth F Closson; Steven A Safren; Zonke Mabude; Nzwakie Mosery; Scott W Taylor; Amaya Perez-Brumer; Lynn T Matthews; Christina Psaros; Abigail Harrison; David J Grelotti; David R Bangsberg; Jennifer A Smit

doi:10.1007/s10508-014-0330-2

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Inkwari: An Emerging High-Risk Place Potentiating HIV Spread Among Young Adults in a Hyper-Endemic South African Setting

Journal article

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Peer reviewed

Inkwari: An Emerging High-Risk Place Potentiating HIV Spread Among Young Adults in a Hyper-Endemic South African Setting

Matthew J Mimiaga, Elizabeth F Closson, Steven A Safren, Zonke Mabude, Nzwakie Mosery, Scott W Taylor, Amaya Perez-Brumer, Lynn T Matthews, Christina Psaros, Abigail Harrison, …

Archives of sexual behavior, Vol.44(2), pp.307-315

2015-02

DOI: https://doi.org/10.1007/s10508-014-0330-2

PMCID: PMC4441263

PMID: 25091214

Abstract

Inkwari

South Africa

Youth

HIV

Place

Young adults in South Africa are at the epicenter of the HIV epidemic. The prevalence of HIV among young people in the province of KwaZulu-Natal (KZN) is particularly high. This study characterizes inkwari (Zulu word for raves or weekend-long parties) in eThekwini District, KZN and explored how these place-based dynamics shape the risk environment for the young adult attendees. In 2011, 13 qualitative interviews were conducted with men and women between 18 and 30 years-old who reported unprotected sex with at least one casual partner in the prior 3 months and attended an inkwari in the same time period. Interviews were analyzed using qualitative content analysis. Nine key informant interviews helped to triangulate these data. Five women and eight men were interviewed and the mean age was 25 years (SD 3.24). Ten reported meeting a sexual partner at an inkwari . Inkwari were characterized as sexualized settings with limited adult supervision. Participants attended inkwari to socialize with peers, use drugs and alcohol, and meet sexual partners. Sexual and physical violence also occurred at inkwari . Given the convergence of social, sexual, and substance- using networks at inkwari , further inquiry is needed to determine how this place may potentiate HIV transmission risk in an endemic setting.

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Collaboration types: Domestic collaboration; International collaboration
Citation topics: 1 Clinical & Life Sciences; 1.66 HIV; 1.66.11 HIV Prevalence & Prophylaxis
Web Of Science research areas: Psychology, Clinical; Social Sciences, Interdisciplinary
ESI research areas: Psychiatry/Psychology

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Title: Inkwari: An Emerging High-Risk Place Potentiating HIV Spread Among Young Adults in a Hyper-Endemic South African Setting
Creators: Matthew J Mimiaga - Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, 1 Bowdoin Square, 7th Floor, Boston, MA 02114, USA
Elizabeth F Closson - The Fenway Institute, Fenway Health, Boston, MA, USA
Steven A Safren - Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, 1 Bowdoin Square, 7th Floor, Boston, MA 02114, USA
Zonke Mabude - Maternal, Adolescent, and Child Health Division, Department of Obstetrics and Gynecology, University of the Witwatersrand, Durban, South Africa
Nzwakie Mosery - Maternal, Adolescent, and Child Health Division, Department of Obstetrics and Gynecology, University of the Witwatersrand, Durban, South Africa
Scott W Taylor - The Fenway Institute, Fenway Health, Boston, MA, USA
Amaya Perez-Brumer - Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA
Lynn T Matthews - Center for Global Health and Division of Infectious Disease, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
Christina Psaros - Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, 1 Bowdoin Square, 7th Floor, Boston, MA 02114, USA
Abigail Harrison - Department of Behavioral and Social Sciences Program in Public Health, Brown University, Providence, RI, USA
David J Grelotti - Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA
David R Bangsberg - Center for Global Health and Division of Infectious Disease, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
Jennifer A Smit - Maternal, Adolescent, and Child Health Division, Department of Obstetrics and Gynecology, University of the Witwatersrand, Durban, South Africa
Publication Details: Archives of sexual behavior, Vol.44(2), pp.307-315
Academic Unit: College of A&S; A&S - Psychology
Language: English
Resource Type: Journal article
PMID: 25091214
PMCID: PMC4441263
Record Identifier: 991031600224602976