DURBAN LESBIAN & GAY COMMUNITY & HEALTH CENTRE (KwaZulu-Natal, South Africa)
1.0. Purpose of the Survey <ul><li>To determine and pay attention to: </li></ul><ul><ul><li>the risk factors that threaten the sexual health of lesbians and women who have sex with women (WSW) in and around Durban; </li></ul></ul><ul><ul><li>the level of understanding of vulnerability among lesbians and WSW to sexually transmitted infections, including HIV and AIDS; </li></ul></ul><ul><ul><li>the level of support required by lesbians and WSW to understand and access services and materials towards adjusting sexual behaviour; </li></ul></ul><ul><ul><li>the environmental factors (psycho-social, political and economic) that impact on the power of lesbians and wsw to circumvent vulnerability. </li></ul></ul>
2.0. Sample Profile <ul><li>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. </li></ul><ul><li>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; </li></ul><ul><li>75% of the sample was Black African; 25% Indian/Asian, . </li></ul>
<ul><li>Respondents were asked if they had come out on anybody about being (also) attracted sexually to women. </li></ul><ul><li>The vast majority of respondents across population groups responded ‘yes’ – Black African, 88.9%; Indian/Asian, 86.7%. </li></ul><ul><li>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. </li></ul>
<ul><li>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. </li></ul><ul><li>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. </li></ul>
<ul><li>Reasons for not coming out varied between population groups (See Table below). </li></ul>Table 6. Reasons for not ‘coming out’
3. Health Issues and Risk Factors <ul><li>Alcohol and drug Use </li></ul><ul><ul><li>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. </li></ul></ul><ul><ul><li>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). </li></ul></ul>
<ul><ul><li>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. </li></ul></ul>
<ul><li>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. </li></ul><ul><li>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). </li></ul>
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 <ul><li>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. </li></ul><ul><li>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). </li></ul>
<ul><li>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 </li></ul>
<ul><li>Only 10%; n=6; of the respondents has ever been diagnosed with STI. </li></ul><ul><li>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. </li></ul><ul><li>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 </li></ul>
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
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