Between a Rock and a Hard Place: “I Decided to Keep Quiet”: A Qualitative Inquiry Into the Coping Experiences of Young People (15–24) Working at High-Risk Venues for HIV in Uganda

Author:

Babirye Susan1,Ssengooba Freddie2,Michielsen Kristien3

Affiliation:

1. International Centre for Reproductive Health, Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium, and the Department of Health Policy, Planning, and Management, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.

2. Department of Health Policy, Planning, and Management, School of Public Health, College of Health Sciences, Makerere University, and the Center for Policy and Management Science, Kampala, Uganda.

3. International Centre for Reproductive Health, Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University.

Abstract

Employment linked with social venues has long been described as permissive environments for excessive drinking, disruptive/aggressive behaviors, and overt sexual behaviors, which are known risk factors for HIV. Yet, our understanding of the extent to which workers in such high-risk work settings cope with the various risks therein is still limited. This study explored the coping strategies employed by workers at social venues. We interviewed 47 workers at 22 social venues through small group discussions (15) and in-depth interviews (10) in 2021 in Rakai district, Uganda. All discussions were audiorecorded and transcribed verbatim before analysis. Data were analyzed using thematic content analysis. We found two main categories of coping strategies used by workers: acceptance of sexual risks and keeping safe. Acceptance of risks such as transactional sex was the most used strategy, hence highlighting negative coping. This calls for interventions for improving workers' coping efficiency and adjustment as well as interventions ameliorating the conditions underpinning increased risk of HIV at the venues.

Publisher

Guilford Publications

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