Narrating student life in a time of risk
DOI:
https://doi.org/10.18778/1733-8077.6.3.04Keywords:
HIV risk, University students, Sexuality, Alcohol, Multiple concurrent partnerships, Condom use, Gender, Eastern Cape Province of South AfricaAbstract
Students speaking to students reveal how they perceive and experience risk — and specifically, risk associated with HIV — during their years attending a small university in the Eastern Cape Province of South Africa. Data were collected in twenty focus group discussions that spanned two years and two cycles of an action research project designed to infuse HIV/AIDS-content/issues into a closely supervised third-year Sociology research methodology course. The project was undertaken in response to a call by HEAIDS (Higher Education HIV/AIDS Programme, funded by the EU) for universities to address HIV/AIDS in curricula. The intention is to prepare young graduates to respond meaningfully to HIV and AIDS when they enter the world of work in a country with alarmingly high levels of HIV prevalence and incidence.
Insights from theorists Ulrich Beck (1992) and Mary Douglas (1986) on the cultural dynamics of modernity were used as lenses to view the narratives of students in relation to three key HIV risk factors: alcohol consumption, multiple and concurrent sexual partnerships, and condom use. Gender, which emerged as a cross-cutting issue, was also explored. The rich qualitative data were brought into a dialogue with selected statistics from the HEAIDS 2010 sero-prevalence survey conducted in 21 higher education institutions in the country.
Data show that risk perception and risk behaviour are formulated at individual, social network, and societal/structural levels — as well as at the interface between these. Understandably there was variation in how individual students perceive, experience and negotiate risk, but overall, participating students assessed risk in terms of its immediate importance or threat to them, prioritising the now and choosing not to think about the future. Social bonding, including peer pressure, exerts considerable influence on the ways in which students construct and re-construct their perceptions of risk, and HIV/AIDS. From a structural perspective the smallness of the university and the town lulls students into trusting easily and believing that greater visibility leads to greater safety. Sex is “no big deal” and casual sexual relationships are accepted by many as the norm. Although students report high condom use in casual sexual encounters, which mitigates risk, condom use drops sharply in the context of alcohol consumption — and the often excessive consumption — which is “the order of the day”.
Overall, patterns in risk perception and behaviour suggest that many student participants feel justified — by virtue of being students and free at last to explore and experience the edges of their adult life — to push the boundaries of risk.
Downloads
References
Andersson, N. and A. Cockroft (2008) “Gender-based violence, young women and girls, and HIV in Southern Africa: An issues Brief”, in UNAIDS, Addressing the vulnerability of young women and girls to stop the HIV epidemic in southern Africa. Online www.unaids.org
Google Scholar
Avert (2009) “AVERTing HIV and AIDS”. Online www.avert.org
Google Scholar
Beck, Ulrich (1992a) Risk Society: Towards a New Modernity. London: Sage.
Google Scholar
Beck, Ulrich (1992b) “From Industrial Society to the Risk Society: Questions of Survival, Social Structure and Ecological Enlightenment”. Theory, Culture and Society 9:97–123.
Google Scholar
DOI: https://doi.org/10.1177/026327692009001006
CADRE (Centre for AIDS Development, Research and Evaluation) (2010) HIV Prevention Communication Training Programme. Johannesburg: CADRE. [In press].
Google Scholar
CADRE (2007) Concurrent Sexual Partnerships Among Young Adults in South Africa - Challenges for HIV Prevention Communication. Online www.cadre.org.za
Google Scholar
Coetzee, Jan K and Rau, Asta (2009) Narrating Trauma and Suffering: Towards Understanding Intersubjectively Constituted Memory. Forum: Qualitative Social Research 10(2), Art. 14.
Google Scholar
Douglas, Mary (1986) Risk Acceptability According to the Social Sciences. London: Routledge and Kegan Paul.
Google Scholar
Douglas, Mary (1990) “Risk as a Forensic Resource”. Daedalus 119(4):1–16.
Google Scholar
Douglas, Mary (1992) Risk and Blame: Essays in Cultural Theory. London: Routledge.
Google Scholar
HEAIDS (Higher Education HIV/AIDS Programme) (2010) HIV Prevalence and Related Factors – Higher Education Sector Study, South Africa, 2008-2009. Pretoria: Higher Education South Africa.
Google Scholar
Human Sciences Research Council (HSRC) (2009) South African National HIV Prevalence, Incidence, Behaviour and Communication Survey, 2008: A Turning Tide Among Teenagers? Online www.hsrcpress.ac.za
Google Scholar
Joffe, Helene (1999) Risk and ‘the Other’. Cambridge: Cambridge University Press.
Google Scholar
DOI: https://doi.org/10.1017/CBO9780511489846
Jones, Julie S. and Raisborough, Jayne (2007) Risks, Identities and the Everyday. Burlington, VT: Ashgate Publishers Limited.
Google Scholar
Leclerc-Madlala, Suzanne (2008) Intergenerational/age-disparate Sex: An Issues Brief”, in UNAIDS, “Addressing the Vulnerability of Young Women and Girls to Stop the HIV Epidemic in Southern Africa. Online www.unaids.org
Google Scholar
MacPhail, C and Campbell, C. (2001) “I Think Condoms are Good but, aai, I Hate Those Things’: Condom Use Among Adolescents and Young People in a Southern African Township”. Social Science and Medicine, 52:1613–1627.
Google Scholar
DOI: https://doi.org/10.1016/S0277-9536(00)00272-0
Pithey, A and Morojele, N (2002) Literature Review on Alcohol Use and Sexual Risk Behaviour in South Africa. Prepared for WHO Project Alcohol and HIV infection: Development of a methodology to study determinants of sexual risk behaviour among alcohol users in diverse cultural settings. Pretoria: Alcohol and Drug Abuse Research Unit, Medical Research Council. Online www.sahealthinfo.org.za
Google Scholar
Rhodes, Tim (1997) “Risk Theory in Epidemic Times: Sex, Drugs and the Social Organisation of ‘Risk Behaviour”. Sociology of Health and Illness, 19(2):208-227.
Google Scholar
DOI: https://doi.org/10.1111/1467-9566.ep10934410
Shisana, Olive, Rehle, T, Simbayi, L C, Zuma, K, Jooste, S, Pillay-van Wyk, V, Mbelle, N, Van Zyl, J, Parker, W, Zungu, N P, Pezi, S, et al. (2009) South African National HIV Prevalence, Incidence, Behaviour and Communications Survey 2008: Turning the Tide among Teenagers? Cape Town: HSRC Press.
Google Scholar
Statistics South Africa (StatsSA) (2009) “Mid-year Population Estimates”. Statistical release P0302:1–17. Online www.statssa.gov.za
Google Scholar
Stirling, Mark, Rees, H, Kasedde, S and Hankins, C (2008) “Background”, in UNAIDS, Addressing the Vulnerability of Young Women and Girls to Stop the HIV Epidemic in Southern Africa. Online www.unaids.org
Google Scholar
DOI: https://doi.org/10.1097/01.aids.0000341772.48382.57
Tulloch, John and Lupton, Deborah (2003) “Risk and Everyday Life”. London: Sage Publications.
Google Scholar
UNAIDS (2004) Position Statement on Condoms and HIV Prevention. Online www.unaids.org
Google Scholar
UNAIDS (2009) Strategic Considerations for Communications on Multiple and Concurrent Partnerships within Broader HIV Prevention in Southern Africa. Online www.unaids.org
Google Scholar
UNAIDS (2010) New infections: Eastern and Southern Africa. Online www.unaidsrstesa.org
Google Scholar
Wilkinson, Iain (2001) “Social Theories of Risk Perception: At Once Indispensable and Insufficient”. Current Sociology 49 (1):1-22.
Google Scholar
DOI: https://doi.org/10.1177/0011392101049001002
WHO (World Health Organisation) (2005) Alcohol Use and Sexual Risk Behaviour: A Cross-Cultural Study in Eight Countries. Geneva: Department of Mental Health and Substance Abuse. Online www.who.int
Google Scholar
Young, Charles and De Klerk, Vivienne (2007) Patterns of Alcohol Usage on a South African University Campus. Rhodes University, Dean of Students: Grahamstown.
Google Scholar
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.