The use of sexual pleasure enhancing substances among Zulu female hair salon workers in Durban, South Africa

Abstract

Background: The use of sexual pleasure-enhancing substances (SPESs) is one practice that is fast gaining traction among sexually active, young Black females. Coupled with vaginal practices such as intra-vaginal cleansing, drying or tightening of the vagina, the use of SPESs is driven by cultural beliefs that place the mandate to ensure pleasurability of sex on the woman. This article explores the broader implications of SPESs on safe sex practice and sexual and reproductive health (SRH). Aim: To explore the use of SPESs among female hair salon workers in Durban and understand how this practice impacts both safe sex practices and SRH. Methods: We conducted interviews to elicit the views of 12 purposively selected young Black African women (BAW) working in hair salons in Durban's central business district (CBD) on the use of SPESs and various vaginal practices. The snowball technique was used to identify information-rich participants. Data were analysed using thematic analysis. Findings: Use of SPESs among BAWs affects safe sex practices and places their SRH at risk. Participants shunned safe sex practices with their regular partners, arguing that condoms reduced the effectiveness of SPESs. Further, condom use was deemed symbolic of mistrust between partners. This cohort's practice of unsafe sex was driven by the need to sexually satisfy male partners and maintain a firm grip on relationships. Conclusion: The use of SPESs is a public health concern because it affects safe sex practices among young BAWs and their partners. It places women at increased risk of HIV/AIDS and other sexually transmitted diseases (STIs). The practice also remains a public health concern given its implications for safe sex practice and SRH.