caa a22 4500 606232745 CHVBK 20210128101228.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s10508-014-0330-2 doi (NATIONALLICENCE)springer-10.1007/s10508-014-0330-2 Inkwari [Elektronische Daten] An Emerging High-Risk Place Potentiating HIV Spread Among Young Adults in a Hyper-Endemic South African Setting [Matthew Mimiaga, Elizabeth Closson, Steven Safren, Zonke Mabude, Nzwakie Mosery, Scott Taylor, Amaya Perez-Brumer, Lynn Matthews, Christina Psaros, Abigail Harrison, David Grelotti, David Bangsberg, Jennifer Smit] Young adults in South Africa are at the epicenter of the HIV epidemic. The prevalence of HIV among young people in the province of KwaZulu-Natal (KZN) is particularly high. This study characterizes inkwari (Zulu word for raves or weekend-long parties) in eThekwini District, KZN and explored how these place-based dynamics shape the risk environment for the young adult attendees. In 2011, 13 qualitative interviews were conducted with men and women between 18 and 30years-old who reported unprotected sex with at least one casual partner in the prior 3months and attended an inkwari in the same time period. Interviews were analyzed using qualitative content analysis. Nine key informant interviews helped to triangulate these data. Five women and eight men were interviewed and the mean age was 25years (SD 3.24). Ten reported meeting a sexual partner at an inkwari. Inkwari were characterized as sexualized settings with limited adult supervision. Participants attended inkwari to socialize with peers, use drugs and alcohol, and meet sexual partners. Sexual and physical violence also occurred at inkwari. Given the convergence of social, sexual, and substance-using networks at inkwari, further inquiry is needed to determine how this place may potentiate HIV transmission risk in an endemic setting. Springer Science+Business Media New York, 2014 HIV nationallicence Inkwari nationallicence South Africa nationallicence Place nationallicence Youth nationallicence Mimiaga Matthew Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, 1 Bowdoin Square, 7th Floor, 02114, Boston, MA, USA aut Closson Elizabeth The Fenway Institute, Fenway Health, Boston, MA, USA aut Safren Steven Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, 1 Bowdoin Square, 7th Floor, 02114, Boston, MA, USA aut Mabude Zonke Maternal, Adolescent, and Child Health Division, Department of Obstetrics and Gynecology, University of the Witwatersrand, Durban, South Africa aut Mosery Nzwakie Maternal, Adolescent, and Child Health Division, Department of Obstetrics and Gynecology, University of the Witwatersrand, Durban, South Africa aut Taylor Scott The Fenway Institute, Fenway Health, Boston, MA, USA aut Perez-Brumer Amaya Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA aut Matthews Lynn Center for Global Health and Division of Infectious Disease, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA aut Psaros Christina Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, 1 Bowdoin Square, 7th Floor, 02114, Boston, MA, USA aut Harrison Abigail Department of Behavioral and Social Sciences Program in Public Health, Brown University, Providence, RI, USA aut Grelotti David Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA aut Bangsberg David Center for Global Health and Division of Infectious Disease, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA aut Smit Jennifer Maternal, Adolescent, and Child Health Division, Department of Obstetrics and Gynecology, University of the Witwatersrand, Durban, South Africa aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 307-315 0004-0002 44:2<307 2015 44 10508 https://doi.org/10.1007/s10508-014-0330-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-014-0330-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mimiaga Matthew Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, 1 Bowdoin Square, 7th Floor, 02114, Boston, MA, USA aut NATIONALLICENCE 700 1- Closson Elizabeth The Fenway Institute, Fenway Health, Boston, MA, USA aut NATIONALLICENCE 700 1- Safren Steven Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, 1 Bowdoin Square, 7th Floor, 02114, Boston, MA, USA aut NATIONALLICENCE 700 1- Mabude Zonke Maternal, Adolescent, and Child Health Division, Department of Obstetrics and Gynecology, University of the Witwatersrand, Durban, South Africa aut NATIONALLICENCE 700 1- Mosery Nzwakie Maternal, Adolescent, and Child Health Division, Department of Obstetrics and Gynecology, University of the Witwatersrand, Durban, South Africa aut NATIONALLICENCE 700 1- Taylor Scott The Fenway Institute, Fenway Health, Boston, MA, USA aut NATIONALLICENCE 700 1- Perez-Brumer Amaya Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA aut NATIONALLICENCE 700 1- Matthews Lynn Center for Global Health and Division of Infectious Disease, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA aut NATIONALLICENCE 700 1- Psaros Christina Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, 1 Bowdoin Square, 7th Floor, 02114, Boston, MA, USA aut NATIONALLICENCE 700 1- Harrison Abigail Department of Behavioral and Social Sciences Program in Public Health, Brown University, Providence, RI, USA aut NATIONALLICENCE 700 1- Grelotti David Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA aut NATIONALLICENCE 700 1- Bangsberg David Center for Global Health and Division of Infectious Disease, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA aut NATIONALLICENCE 700 1- Smit Jennifer Maternal, Adolescent, and Child Health Division, Department of Obstetrics and Gynecology, University of the Witwatersrand, Durban, South Africa aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 307-315 0004-0002 44:2<307 2015 44 10508