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It is also clear that these relationships are a major factor in the ‘feminization’ of AIDS backroom facials in Africa. African men are expected to have many sex partners, and on average, those living with HIV became infected in their mid-to-late 20s. In comparison, girls generally form long-term sexual relationships with one partner. Despite this relative fidelity, many living with HIV backroom facials were infected soon after they started having sex. A Zambian study showed that 18% of women who said they became sexually active within the last year were backroom facials HIV-positive. In South Africa, 20% of sexually active girls between the ages of 16 and 18 were infected (Pisani, 2003). Intergenerational sex appears to be a driving factor in the epidemic in Southern Africa. These relationships are based on equations of power and economics that leave girls vulnerable to abuse, exploitation, violence and HIV. Coerced sexual relationships From a very early age, many young women experience rape and forced sex.
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