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Durban Centre
 

Durban Centre

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    Durban Centre Durban Centre Presentation Transcript

    • DURBAN LESBIAN & GAY COMMUNITY & HEALTH CENTRE (KwaZulu-Natal, South Africa)
    • 1.0. Purpose of the Survey
      • To determine and pay attention to:
        • the risk factors that threaten the sexual health of lesbians and women who have sex with women (WSW) in and around Durban;
        • the level of understanding of vulnerability among lesbians and WSW to sexually transmitted infections, including HIV and AIDS;
        • the level of support required by lesbians and WSW to understand and access services and materials towards adjusting sexual behaviour;
        • the environmental factors (psycho-social, political and economic) that impact on the power of lesbians and wsw to circumvent vulnerability.
    • 2.0. Sample Profile
      • Sixty lesbians and women who have sex with other women (WSW) aged 15-35 years were interviewed during the period 3 rd November 2008 – 9 th February 2009 in the Durban Metro Area.
      • The sample was stratified by race and area of the Durban Metro Area in order to ascertain the diversity of target group’s health care needs, experiences and perspectives;
      • 75% of the sample was Black African; 25% Indian/Asian, .
    • Figure 2. Current Employment Status
      • Respondents were asked if they had come out on anybody about being (also) attracted sexually to women.
      • The vast majority of respondents across population groups responded ‘yes’ – Black African, 88.9%; Indian/Asian, 86.7%.
      • Responses of those who answered ‘yes’ to the question of people who knew that they were also attracted sexually to women were generally similar in both population groups.
      • Over 60% in both population groups indicated that their brothers and sisters, most of colleagues/fellow students and most of their friends knew that they were also sexually attracted to women.
      • Whereas less than 50% across population groups replied that their mothers, neighbours and fathers knew that they were also sexually attracted to women the latter were the least likely to know.
      • Reasons for not coming out varied between population groups (See Table below).
      Table 6. Reasons for not ‘coming out’
    • 3. Health Issues and Risk Factors
      • Alcohol and drug Use
        • Over 68% (n=41) of respondents admitted that they drank alcohol; of the Black population group 73.3% (n=33) indicated and 53.3% (n=8) indicated that they drank alcohol.
        • Drug use is, however, less common within the sample. The sub-group of Black African (18.2%; N=8) is however more likely to use drugs than Indian/Asian (13.3%; n=2).
        • The most frequently mentioned drug used amongst the Indian/Asian sub-group was dagga (marijuana, dope or hashish) (50%), as compared to alcohol (63.2%) amongst the Black African.
      • Most Black African believe that there is a higher rate of alcohol (48.9%; n=22) and drug use amongst lesbians and WSW in Durban.
      • In contrast most Indian/Asian (66.7%; n=10) ‘do not know’ that there is a higher rate of alcohol and drug use amongst lesbians and WSW in Durban (Figure 4).
    • Figure 6. During the past 6 months, how many people did you engage in sexual activities? By Population Group
    • Table 7. Proportions who answered ‘yes’ to ‘What kind of sexual activities do you engage in?’
    • Figure 7. To what extent are you at risk of acquiring/transmitting HIV or other STI?
    • 4. Protection
      • Patterns of violence experienced within respondents communities and in their relationships are similar, with one in four across population groups experiencing some form of violence.
      • The most frequently cited form of violence experienced in respondents’ communities is ‘hate speech/verbal abuse (Indian 100%; n=3; Black African, 54.5; n=6).
      • A vast majority of Black Africans (90.9%; n= 10) who experienced violence in their communities and relationships did not report the incident to anyone; half of the Indian/Asian respondents
      • Only 10%; n=6; of the respondents has ever been diagnosed with STI.
      • Over 60% in all sub-groups reported that their doctors or medical service providers talked to them about sexual health risks behaviours, HIV and STIs.
      • More than half of the respondents (58.3%; n=35) would like to know more about STIs such as genital warts, Hepatitis A, B, and C, and Chlamydia
    • Table 9. Proportions who think that each characteristic is ‘big problem’ or ‘moderate problem’ to having access to and receiving sexual health care and/or HIV and STI prevention services
    • Figure 8. Proportions that think that the following sources of information are important