A SOCIAL (GLOBALISED) CONDITION

The globalisation of poverty has driven an increasing number of people to the informal sector of the economy, that zone absent from any official statistics. Part time prostitution is often the sole means women have to feed their children. Temmerman and her colleagues used the technique of snowballing (names dropping) by self identified female sex workers in a largely middle class Mombassa suburb to study this group. Over two thirds of the women had an alternative income in the informal sector. One third did not use a condom in a setting where the antenatal HIV seroprevalence was 14%. Tragically 31% of these part time prostitutes were HIV positive. This is a population both difficult to reach and in dire need of prevention interventions.

See p 271

GLOBALISED RISK

Marginalised populations are at risk of HIV. A multicentre study of over 8000 voluntary attenders at HIV testing centres in Spain found that Latin American males, half of …