Sexual decision-making and negotiation in the midst of AIDS: youth in KwaZulu-Natal South Africa.

Abstract

‘We don’t talk about things like condoms, sex, or STDs. It is not that kind of relationship’ (female, aged 17) ‘[Sex] is a symbol of power in the affair..Once you have sex with a woman, you have a strong say in the running of the relationship’ (male, aged 26)-- This paper addresses issues surrounding sexual negotiation and decision-making among black South African youth in the face of AIDS. It explores choices made by young men and women regarding sexual activity and the extent to which it is influenced by HIV/AIDS. Communication between partners was poor, and young women appeared powerless to enforce their preferences in sexual situations. AIDS was not a significant factor in any aspect of sexual decision-making. Sociocultural factors and the state of the HIV pandemic in South Africa were offered as explanations for the findings.