Rapports de genre, sexualité et comportements à risque des clients et autres partenaires sexuels des travailleuses du sexe de Ouagadougou, Burkina Faso

Authors: Bédard, Emmanuelle
Advisor: Godin, GastonDe Koninck, Maria
Abstract: The aim of the study was to improve the understanding of the role of gender relations and sexuality on sexual behaviour at risk of HIV/AIDS among clients and other sexual partners of female sex workers (FSW) from Ouagadougou, Burkina Faso. To this end, two data collection techniques were used. First, 30 qualitative interviews were conducted among clients (24) and boyfriends (6) of FSW covering the context of gender relation, sexuality, prostitution and sexual behaviours. Participants' discourse analysis highlighted the presence of social and sexual inequality between men and women, inequality which, in a context of socio-economic precariousness, provided an explanation to prostitution phenomena and risky sexual behaviour of participants. Second, 249 questionnaires were administered to clients of FSW. These were used to examine the link between male social and sexual norms (identified by the analysis of qualitative interviews), among other psychosocial factors, and their intention to use condom. Results showed that a majority of clients (77 %) had a high intention to use condom with FSW. Logistic regression analysis showed that the principal determinants of intention to use condom were role beliefs (OR=9,2, 95% CI : 3,7-22,7), self-efficacy (OR=3,9, 95%, IC : 1,9-8,0) and perception of control (OR=3,2, 95% IC : 1,3-8,0). Discriminant analysis was used to identify significant statements of role beliefs and self efficacy. Integration of qualitative and quantitative results highlighted a female and male vulnerability to HIV/AIDS in the prostitution milieu that was embedded into social and sexual gender norms. In particular, we found that the difficulty for some men to control their sexual desire can reduce their intention to use condom with FSW while they would have a more positive intention if the FSW require them to use one. Finally, we gave some suggestions to develop further research and intervention in this prostitution milieu.
Document Type: Thèse de doctorat
Issue Date: 2005
Open Access Date: 11 April 2018
Permalink: http://hdl.handle.net/20.500.11794/18099
Grantor: Université Laval
Collection:Thèses et mémoires

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