Community vulnerability and stratified risk: Hegemonic masculinity, socioeconomic status, and HIV/AIDS in a sex work community in Kampala, Uganda

Glob Public Health. 2018 Nov;13(11):1713-1724. doi: 10.1080/17441692.2018.1430160. Epub 2018 Jan 29.

Abstract

This article examines the social patterning of health, economic uncertainty, hegemonic masculinity, and vulnerability among men who live and work in a low-income sex work community in Kampala, Uganda. This problematises the notion that vulnerable communities are homogenous, in demographics, economic status, and risk. This article draws on ethnographic data collected in 2016, including semi-structured interviews and participant observation. This article uses a stratified risk framework to describe the central finding of this study, which is that men's experience in Kataba is characterised by a struggle to fulfil the provider role that constitutes a core aspect of their socially ascribed gender role. In a context of economic scarcity, men's lives are fraught with strain and this intersects with other forms of risk. Finally, by focusing on community vulnerability rather than individual risk, this work contributes to theories of gender and sex work, and informs HIV/AIDS praxis.

Keywords: HIV/AIDS; Risk; Uganda; masculinity; vulnerability.

MeSH terms

  • Adult
  • Aged
  • Community Health Services / supply & distribution
  • HIV Infections / epidemiology*
  • HIV Infections / prevention & control
  • Humans
  • Interviews as Topic
  • Masculinity*
  • Middle Aged
  • Qualitative Research
  • Risk Assessment
  • Sex Work*
  • Social Class*
  • Uganda / epidemiology
  • Young Adult