Prostitution Among University Students: A Case Study of Four Public Universities in Ghana

DOI: https://doi.org/10.21203/rs.3.rs-75495/v1

Abstract

Background 

Despite its criminalization in Ghana, prostitution dates back to ancient societies and occurs in various forms within communities. The authors examined prostitution in selected public Universities in Ghana.

Methods 

The study was an exploratory- mixed-method design. Respondents were identified using purposive and snowballing techniques whiles semi-structure questionnaires and in-depth interviews were used for data collection between 2017and 2019. Quantitative data were analyzed using Statistical Package for Social Sciences version 23 and qualitative data analyzed thematically.

Results

Findings show that there is a proliferation of prostitution on university campuses in Ghana for financial, material and emotional gains. Student prostitutes have devised various strategies to combine academic work and prostitution. Prospective customers are solicited by hanging out in drinking bars and night clubs in and around university campuses at night and/or leaving contact details with pimps to be contacted for services. Brothels are also springing up in and around the university campuses in the form of movie houses and student prostitutes convert their hostel rooms into brothels. Price negotiation is based on the environment, duration and styles/positions adopted for sex.

Conclusion

There is a need for a multi-sectoral approach for appropriate policy and program interventions to regulate the practice on campus.

Background

The word prostitution is derived from the Latin word “Prostare” which means publicly selling oneself1. Historically, prostitution dates back to ancient societies and occurs throughout human history2. This practice is an age-long phenomenon recorded between 640–556 B.C.3 and characterized by the provision of sexual favors for financial4, 5, 6 and non-financial rewards7. Despite its immoral undertone, the sale of sexual services is gradually becoming legalized in many countries worldwide8 and terminologies used to describe prostitution have evolved over the years from paid sex workers, commercial sex workers and slay queens among others to evade the associated stigma9.

In Ghana, prostitution is criminalized10 and defined as the offering of a person’s body for paid sex11. Despite its criminalization, prostitution is gaining ground even among children in various forms particularly in big commercial towns12. Anecdotal evidence in recent times has also shown the proliferation of commercial sex work (CSW) in and around public Universities in Ghana. There are reported cases of University students indulging in prostitution on university campuses and/or leaving their contacts in various drinking spots, hotels and guest houses to be contacted by customers.

Although various studies exist on prostitution globally and in Ghana 13, 14, 15 little is known about the practice in public Universities within a restricted country like Ghana. This study, therefore, examined prostitution in and around public universities in Ghana, looking at student involvement, reasons for the practice, customers, modus operandi and cost of services. The findings of this study will provide empirical evidence to inform policy and program decisions for safer sex practices among students within public universities in Ghana.

Methods

Study design

The study design was an exploratory, mystery client and case study using a mixed-method (qualitative and quantitative) approach of data collection. This design was used to give a better understanding of the research problem16. The quantitative component allows investigating prostitution objectively without adding self-impressions or understanding17 whereas, the qualitative component elicited participants’ account of their reasons and experiences18.

Study setting

The study was conducted in Accra, Kumasi, Cape Coast and Winneba targeting students from the Public Universities located in these setting who are engaged in prostitution in and around these universities. The Universities in these settings were targeted because they are the oldest, more renowned and largest by student population19 and therefore chosen for the study to ensure that the lifestyle, religion, cultural, and traditional backgrounds of the respondents are relatively homogenous.

Sampling

Twelve key informants (3 taxi drivers, 4 hostel attendants and 5 receptionists at hotels/guest houses operating in and around the universities) were purposively selected and tasked to help locate prostitutes, their joints and time of operations. Research assistants comprising two males, selected from each of the respective university campuses were trained for data collection, using self-administered structured questionnaires and semi-structured in-depth interviews. A total of 100 respondents comprising 25 students from each of the four public universities participated in the study. Twenty in-depth interviews were also conducted to further explore student’s experiences of combining prostitution and studies whilst on campus. The participants of the in-depth interviews were mainly randomly sampled final year student prostitutes (4 females from each of the universities) and all the 4 male student prostitutes identified during data collection.

Data collection procedure

The trained field assistants collected the data between 2017 and 2019 using a questionnaire and an in-depth interview guide that were developed and pilot tested by the authors solely for this study. (An English language version has been uploaded as a supplementary files). Respondents were selected purposively using snowball sampling techniques. A list of regular taxi drivers, hotels and guest houses operating in and around the universities was made with the help of research assistants over a period of one month. Receptionists of the listed hotels and guest houses as well as the identified taxi drivers were then contacted one-on-one and informed about the nature, benefits, risks, purpose of the study, voluntary participation and rights to withdraw. Those who consented to participate in the study were recruited and in-depth interviews [IDIs] were conducted with each of them at places deemed convenient and comfortable for them. The interviews focused on questions on student prostitution in and around the universities, availability of brothels/joint, time of operation and how to contact the student prostitutes. Information obtained from the key informants were used to identify the student prostitutes recruited for the study. The In-depth Interview sessions lasted for 30 minutes equivalent to a short time engagement of a prostitute and were paid ghs20 for their time as they would have charged a client. In some situations extra money was paid to ensure data saturation since the prostitutes were concerned with time spent on engaging them. Data were collected in English and all interviews were handwritten with consent from respondents in the form of field notes.

Data Analysis

The quantitative data were analyzed using the Statistical Package for Social Sciences (SPSS) version 23 and presented in a frequency table whiles the qualitative data were analyzed thematically and results presented descriptively. All interviews were documented immediately and were read through to increase familiarity with the data. Data were analyzed using the thematic analysis approach. The documented responses were organized, coded and managed manually. A list of code labels was created and a series of categories for the main themes that emerged were developed.

Ethical considerations

Prior to the commencement of the study, the research protocol was presented at the bi-weekly academic research seminars of the Faculty of Science Education, University of Education, Winneba. The seminar brought together lectures of the Faculty (equivalent to an ethical review meeting) who critiqued and reviewed the study protocol for ethical suitability and sound methodology. The findings of the study were also subjected to the same scrutiny for endorsement before finalizing the report.

Written and verbal consents were obtained from all participants prior to data collection. Data were collected and managed in a way that did not compromise the privacy and confidentiality of anyone participating in the study. In protecting the privacy and confidentiality of both respondents and field assistants, details of their affiliated institutions, names, addresses and contact numbers were excluded from the report. Additionally, there were no photographs of respondents nor recordings of the interviews which could be used to trace any field assistants and/or respondents. With these approaches, findings of the study cannot be attributed to any particular individual, University or particular places where the identified prostitutes operate. The field assistants were all oriented to behave professionally and none judgmental during the fieldwork. In this regard, the authors dissociate themselves from any sexual encounters that might have occurred between the field assistants and the prostitutes before, during and after data collection.

Results

Background Characteristics of respondents

In Table1, the authors presented the background characteristics of the respondents. The majority of the respondent were young people aged 18–24 years (82%), Christians (78%), females(96%), unmarried (80%), foreign students (81%), being catered for by parents (52%), resides in an on- campus rented private hostel (62%) and undergraduates (79%) reading humanities (65%).

Table 1

Background Characteristics of respondents

Variable

N

Percentage (%)

Age in years

< 18

5

5.0

18–24

82

82.0

25–31

10

10.0

> 31

3

3.0

Religion

Christian

78

78.0

Muslim

17

17.0

Other

5

5.0

Sex

   

Males

4

4.0

Females

96

96.0

Marital status

Married

13

13.0

unmarried

80

80.0

Other

7

7.0

Nationality

Ghanaian

19

19.0

Nigerian

63

63.0

Liberian

15

15.0

Other Nationals

3

3.0

Primary care taker of respondents

Parents

58

58.0

Siblings

11

11.0

Partner

8

8.0

Self

17

17.0

Other

6

6.0

Student residential status

On campus university hostel

62

12.0

On campus rented private hostel

23

62.0

Off campus rented apartments

3

23.0

Other

12

3.0

Program of study

Humanities

65

65.0

Social Sciences

15

15.0

Health Sciences

4

4.0

Pure Sciences

10

10.0

Other

6

6.0

Level of study

   

Certificate

12

12.0

Diploma

6

6.0

Undergraduate

79

79.0

Postgraduate

3

3.0

Source: Field data 2019

The emergence of prostitution on public universities campuses

Available evidence from the key informants in this study shows that prostitution is being practiced on the campuses of the various public universities in various forms and students adopt various strategies and coping mechanisms for their sex business whilst in school. Students of various backgrounds including men were found prostituting for various reasons.

Mode of operations (modus operandi)

It was reported that some of the student prostitutes visit drinking bars and night clubs in and around the various university campuses at night in search of customers, whilst others operate in their hostel rooms or in a rented room (i.e. hotels, guest houses and brothels) around the various university campuses. There are other categories who are highly paid female and male sex workers who work by appointment with an exclusive clientele. Such students leave their mobile phone contacts and pictures in hotels and guest houses in and around their respective universities to be contacted by prospective customers. Others also work with taxi drivers on the university campuses who link them up to customers, pick and drop them off at various joints and hotels at specified times for commissions. Brothels are also springing up in and around the university campuses in the form of movie houses and student prostitutes convert their hostel rooms into brothels. Some key informants reported that:

“There are various joints, drinking bars and movie houses around this university that you can find student prostitutes, particularly at night. I can take you there if you want to see for yourself” (Taxi driver).

Another respondent indicated that:

“We have contacts with some students who call us any time when they have a client to pick them for business. Sometimes we pick them to a hotel, guest house or the house of the customer and wait for them till they finish and we bring them back” (Taxi driver).

Another respondents also revealed that:

“Prostitution is not allowed at this place but we have some students who come around to leave their contacts and pictures with us just in case a guest wants a woman to hang out with they can be contacted” (Hotel receptionist).

Respondents’ view about prostitution

Generally, all respondents were of the view that Prostitutes are unmarried women who have sex with men for material and financial gains. A respondent was of the view that:

If you are not married and having sex with men for any reason then technically you qualify as a prostitute” (Female, undergraduate student).

Another respondent indicated that:

“Any woman who sleeps with more than one man for money is a prostitute” (Female undergraduate student).

Determinants of cost of prostitution services

Prostitution among students was observed as a business and the cost of service was determined by place, duration and type of services (Table 2) as well as the elegancy of the sexual position or styles adopted during the sexual act (Table 3).

Table 2

Cost of service by Type, Place and Duration

Type of service

Description

Place of service

Duration of service

Cost in ghs

Short time

Sexual intercourse usually charged per ejaculation

Prostitute’s room

30minutes (1 round)

20–50

Sleep

An overnight sleep with sexual intercourse usually charged per 3 ejaculations

Prostitute’s room

Overnight (3 rounds)

Negotiable with a minimum of ghs100-200

Away

Agencies and/or escort services such as taking prostitutes way from their environments on romantic dates and usually characterized with unlimited sexual intercourse.

Any place outside the Prostitute’s room (e.g Patron’s house, hotel rooms etc

2days +

Negotiable with a minimum of ghs500 per day

Source: Field data 2019
 

 

The reasoning behind the prizing of prostitution services

Explaining the reasoning behind prizing of prostitution services some respondents indicated that:

We usually charge high prices because we are university students with a high class

(Female, undergraduate student)

Another respondent indicated that:

“Some sexual positions/styles are very aggressive and painful so we charge more to compensate for endurance and buy medications in case of injuries” (Female, undergraduate student).

Another respondent explained:

“The missionary position of sexual intercourse is the cheapest because you just have to lie on your back while the man lies face down on top of you and do the work as you relax and even be sleeping if you want to” (Female, postgraduate student).

Table 3: Cost of service by sexual position/style as enumerated by respondents

No.

Sexual position/style

Description

Relevance

Cost ghs

1.       

‘Missionary’

‘Lie on your back while he lies face down on top of you’

‘This sex position is simple, relaxing, and less stressful to the woman’

20

2.       

‘Face-off’

 

‘Your partner sits on a chair or the edge of the bed; you face him, seated on his lap’.

‘During this sex position, you’re in control of the angle and depth of the entry and thrust. Being seated adds support, so it’s great for marathon sex sessions.’

Negotiable

3.       

‘Doggy Style’

 

‘Get on all fours, then have your partner kneel behind you, with his upper body straight up or slightly draped over you (like a humping dog)’.

‘This sex position allows for deep penetration and easier G-spot stimulation’

Negotiable

4.       

‘G-Whiz’

 

‘Lie back with your legs resting on each of your partner's shoulders.’

‘This sex position is awesome because when you raise your legs, it narrows the vagina and helps target the G-spot’.

Negotiable

5.       

‘Wheel barrow’

 

‘Get on your hands and feet and have him pick you up by the pelvis. Then grip his waist with your thighs’.

‘Aside from being a fabulous arm workout for you, this male-dominant sex position allows him deeper penetration.’

Negotiable

6.       

‘Leap Frog’

‘This is a modified doggy-style. Get on your hands and knees, then, keeping hips raised, rest your head and arms on the bed.’

‘This sex position creates deeper penetration and gives you a chance to rest on a pillow.’

Negotiable

7.       

‘Stand and Deliver’

 

‘With both of you standing, you bend over at the waist; he enters you from behind.’

‘Bending over during this sex position helps make the vaginal walls tighter and increases the intensity of the friction.’

Negotiable

8.       

‘Magic Mountain’

 

‘Your partner sits, legs bent, leaning back on his hands and forearms. You do the same and then inch toward him until you make contact.’

‘You will both feel really connected looking at each other. Increase your stimulation by grinding your clitoris against his pelvis.’

Negotiable

9.       

Cowgirl’

‘You kneel on top, pushing off your partner's chest and sliding up and down his thighs. You can relieve some of your weight from his pelvis by leaning back and supporting yourself on his thighs.’

‘By being the dominant in this sex position, you’ll delay his climax and intensify yours.’

Negotiable

10.   

‘Cowboy’

 

‘You lie on your back while your partner straddles you and then gently inserts his penis through the tight opening created by your semi-closed legs.’

‘Tightness increases the intensity of the penetration.’

Negotiable

11.   

‘Ballet Dancer’

 

‘Standing on one foot, face your partner and wrap your other leg around his waist while he helps support you.’

‘This sex position allows for quality face time and connecting.’

Negotiable

12.   

‘Scoop me up’

‘Both of you lie on your sides, facing the same direction. You bring your knees up slightly while your partner slides up behind your pelvis and enters you from behind.’

‘This sex position allows for more skin-to-skin contact, increasing your stimulation.’

Negotiable

13.   

‘The Chairman’

‘Your partner sits on the edge of the bed and you sit on him, facing away.’

‘This sex position will hit the G-spot. Meanwhile, you can use your hands to stimulate his scrotum or perineum.’

Negotiable

14.   

‘Spork’

 

‘While you lie on your back, raise your right leg so he can position himself between your legs at a 90-degree angle and enter you. Your legs will form the tines of a spork. You can do this with him facing you or facing your back.’

‘From the spork position, you can lift your top leg and support it by resting it on your partner's shoulder. From here, you can easily stimulate your clitoris using your fingers while he is inside you.’

Negotiable

15.   

‘Table Top’

 

‘You don’t have to do this one on a table. Any surface that hits your partner at crotch height will do. Have him enter you while you’re sitting or lying at the edge of a table, counter, or maybe even your bed.’

‘This position is great for face-to-face action. Plus, if you two are drastically different heights, this is a great option, since it puts you both at the same height.’

Negotiable

16.   

‘Champagne Room’

‘Your partner sits and you sit on top of him, facing away.’

‘It helps you regulate the pace and intensity of the thrusts.’

Negotiable

17.   

‘The Lazy Man’

 

‘Place pillows behind your partner's back and have him sit on the bed with legs outstretched. Now straddle his waist, feet on the bed. Bend your knees to lower yourself onto him, using one hand to direct his penis in. Just by pressing on the balls of your feet and releasing, you can raise and lower yourself onto his shaft as slowly or as quickly as you please.’

‘This position puts you in control, and maintains plenty of intimacy. Think of his penis as a masturbatory tool, something to rub and stimulate your clitoris with and against.’

Negotiable

18.   

‘Snow Angel’

 

‘Lie on your back and have your partner straddle you facing away. Lift your legs and wrap them around his back to elevate your pelvis so he can enter you. Grab his butt to help him slide up and back. Add a little massage action to your grip.’

‘You get a prime view of his cute butt. Plus, from this position, you have easy access to fondle his testicles. Not to mention, his pelvis is perfectly positioned to grind against your clit.’

Negotiable

19.   

‘The Snake’

 

‘Lie down on your stomach, and have your partner lie down on top of you and slide in from behind.’

‘This position allows for super-deep penetration, and a snug fit which can feel great for you and your partner.’

Negotiable

20.   

‘Blowjob

‘The blowjob involves using the hands and mouth, fingers, skilled tongue and even breast: caress his penis gently, be sufficiently rude, and the result will not be long in coming.’

‘The man is entirely under your control and you may do with him everything you want.’

Negotiable

 Source: Field data 2019- (NB: These are all direct quotations from the respondents).

The pricing strategies for male prostitutes vary from those of their female counterparts. A respondent indicated that:

“For us men, we don’t have customers regularly so our pricing is dependent on the type of customer we get and the situation in which we find ourselves at the time” (Male, undergraduate student).

Another male respondent explained:

“We charge foreigners more than the locals. Sometimes we charge about usd$100 per ejaculation without condoms and usd$50 with condoms” (Male, undergraduate student).

Another respondent was of the view:

“My main target is male foreigners although sometimes I also service some sugar mommies on call. Some of the males are homosexual colleague students and university workers who come to my room for sex. In the case of the sugar mommies, they call me on phone and we arrange a place where outside campus we meet, fuck, get my cash and leave” (Male, undergraduate student).

As to whether one is able to offer all the styles enumerated in Table 3 when required, a respondent indicated that:

“---- why not! Since I’m a master of my business, I always devise strategies to cope. I also learn new styles everyday on the internet, eat well, dress well to keep myself sexy and attractive to men” (Female, diploma student).

Another respondent was of the view that:

“Apart from penetrative sex, oral stimulation of the penis, exposure of my vagina to a client and foreplays usually stimulate sexual pleasure and in most cases, some men ejaculate without penetration and have to pay for the service since ejaculation has occurred” (Female, undergraduate student).

Initiation into prostitution

The respondents recalled how they got initiated into the sex business. In most cases it was peer influence on account of making money and other material gains for personal upkeep whilst in school. Whereas about 35% of the respondents were prostitutes before gaining admission into the universities, the majority (75%) of them including the males were introduced into prostitution during the second year of admission into the university and predominantly by their room, course, social clubs and/or study mates. The sophisticated lifestyles of peers on campus coupled with the financial or material gains benefited from the peers were key motivations for easy initiation into prostitution.

Reasons for prostitution

Various reasons other than financial or material gains were also reported for having multiple sexual encounters. Some respondents explained as follows:

“I’m from a very rich home and my friends are surprised to know that I’m in this commercial sex business with them. I don’t need money from the men I sleep with but good sex which makes me relax, emotionally stable and put me in a good mood to study for my exams. I not usually satisfied by one man but multiple sexual partners” (Female, undergraduate).

Another respondent indicated that:

“I sometimes beg and pay guys to have sex with me in my hostel. In situations when this becomes a challenge, I step onto the street with the intention not to make money but to satisfy myself by having sex with multiple men in brothels. I’m gainfully employed on study leave but not interested in any man for a long/marital relationship” (Female, postgraduate student).

Regular customers of student prostitutes, meeting places and form of remuneration

Data was also collected on the most regular patrons of student prostitutes, meeting places for sexual encounters and forms of remunerations in descending order (Table 4).

Table 4

Regular customers, meeting places and form of remuneration for services

Regular customers

Regular meeting place for sex

Form of remuneration

1. University workers ( teaching and non-teach staff

Hotels, guest houses, student hostels, customer’s residences and brothels

Money, sex for pleasure material and academic favors.

2. University Students

Hotels, guest houses, student hostels and brothels

Money, academic support, sex for pleasure

3. Others (customers outside the university environment)

Hotels, guest houses, student hostels, customer’s residences brothels and movie houses

Money and material gains

Source: Field data 2019

Challenges encountered by the student prostitutes in the sex business

Violence, unwanted pregnancy and Sexually Transmitted Infections were key challenges reported by the student prostitutes. A respondent indicated that:

Sometimes we are beaten up by men in their houses when they pay us and we refuse to do what they expect from us so now we seek protection from pimps” (Female, undergraduate student).

Another respondent indicated that:

“There are situations when we become pregnant or get some sexually transmitted diseases. This is why we charge higher if a customer wants raw sex or in the event that a condom gets bursts in action so that we can quickly buy medications to prevent pregnancy and any sexually transmitted diseases” (Female, postgraduate student).

Respondents are very much aware of the various risks associated with prostitution. They have therefore derived various strategies to mitigate the business associated risks (Table 5).

Table 5

Protection against violence, pregnancy and Sexually Transmitted Infections

Potential threats

Occurrence

Actions taken

Violence

• Usually occurs when a client’s demand is high but refuses to pay accordingly

We always have macho men standing by as pimps who escort us secretly to such places to protect us when need be

• Usually occurs when a client refuses to pay after sex

• Usually occurs when a client takes you home and other men comes to take their turns but refuses to pay after sex

Unwanted Pregnancy

• When condoms burst

• Using regular contraceptives particularly 3 months injections to prevent pregnancy and also avoid menstruation to keep in business

• Uses emergency contraception after unprotected sex

• Have an abortion if pregnancy is established accidentally

• When a client has sex without using condoms

Sexually Transmitted Infections

When a client has sex without using condoms

• I select my clients wisely.

• Only healthy looking customers are allowed to have sex with me without condoms

• We check their genitals to ensure there are no sores, discharge or skin rashes before sex

Source: Field data 2019

Some respondents also indicated that prostitution has some negative consequences on their academic performance in school. A respondent indicated that:

“Sometimes ‘business’ becomes so good that I forget about lectures and follow my customers on appointments. When this happens, I’m not able to partake in class assignments and even miss examinations” (Male, undergraduate student).

Another respondent was of the view that:

“Although I pay people to write lecture notes and do assignments for me when I’m absent, it’s always difficult to understand the notes so I always don’t perform well in my final exams although I’ve not been referred in any paper” (Female, diploma student).

Another respondent was of the view that:

“My customers sometimes disturbs me so much that I end up losing concentration in school hence not able to attend classes regularly as expected” (Female, undergraduate student).

Some of the female students have devised various strategies including offering sexual favors to some lecturers in exchange for marks to pass examinations. One of such student indicated that:

I have a way of seducing my lecturers and teaching assistants to give them good sex in exchange for good marks. The challenge however is, it’s not all of them that are morally week to succumb to my seducing no matter how hard I try. I, therefore, pay critical attention to the course being taught by such lectures and teaching assistants in order not to fail

(Female, undergraduate student).

On the contrary, some respondents indicated that they are able to combine prostitution and academic work effectively since they claimed to have been among the top-performing students in their class practicing prostitution from the undergraduate level till now at the postgraduate level.

Discussion

In Ghana, Prostitution is stigmatized and illegal but widespread in communities so much so that many Ghanaians are unaware that it is prohibited20, 21. Despite the social stigma and criminalization of prostitution in Ghana, the practice is becoming common among public university students. Various strategies including hanging out in drinking bars around university campuses at night to be picked, leaving contact numbers and pictures in hotels and guest houses around the universities to be contacted by prospective customers when services are required, while others operate in their hostel rooms or rented private hostels around the campuses. Brothels are also springing up in and around the various university campuses with some branded as movie houses.

The predominate background characteristics of university students observed to have been indulged in prostitution were young people aged 18–24 years (82%), Christians (78%), females(96%), unmarried (80%), foreign students (81%), being catered for by parents (52%), reside on campus in rented private hostels (62%) and undergraduates (79%) reading humanities (65%) is a piece of evidence that the sex business on public university campuses involves young unmarried people of various nationalities who have various social and economic needs believed to be causing a proliferation in the sex business on public university campuses in Ghana.

Although in the minority (4%), some male students were also found indulging in prostitution targeting wealthy men believed to be homosexuals and women (sugar mummies) predominantly for financial gain. The huge numbers of foreign students (81%) indulged in prostitution on the various public university campuses confirm media reportage that ‘Prostitution is illegal in Ghana but we have not placed strict restrictions on sex tourism in preventing HIV/AIDS, especially when sex is transacted between two consenting adults’22. Consequently, Prostitution is being practiced on the campuses of the various public universities in various forms, and students adopt various strategies and coping mechanisms for their sex business whilst in school; not only as means for economic survival but sometimes a basic need for sexual gratification to cope effectively with academic work on campus. These findings conform to those of other studies 23, 24 which asserted that a large number of university undergraduates indulge in prostitution on various University campuses.

Prostitution among students was observed as a business and the cost of service was determined by place, duration of sex, type of customer, type of services as well as sexual position/style. In most cases, the cost of patronizing the services of a prostitute is negotiable. However, the perceived risk and aggressiveness of the sexual act determine the cost of service and in most cases, the money is collected before the sexual encounter begins. Special negotiable charges apply for anal sex, oral sex and sexual intercourse without condoms as these were perceived as high-risk sexual acts.

Twenty different sexual positions/styles were enumerated and priced accordingly. The Short time and missionary position of sexual intercourse was reported to be the cheapest and most patronized among the package because it’s perceived as stress-free. Explaining the reasoning behind prizing of prostitution services, it was noted that some sexual positions/styles are very aggressive and painful hence the cost for such styles is usually high to compensate for endurance and buy medications in case of injuries. The missionary position of sexual intercourse was observed as the cheapest among the 20 enumerated sexual positions available due to its convenience and stress free nature for the female prostitutes. The cost of the other styles are negotiable based on the environment for the sexual encounter, duration and perceived risk by the prostitute.

The observation that customers are made to pay more for unprotected sex and in the event of condoms bursting is an indication that the students’ prostitutes are aware of the health risk of unprotected sex but still indulge in it and charging more to be able to pay for the associated health outcomes. This observation, particularly among students of higher institutions of study, defeats public health effort of preventing new infections and spread of STIs including HIV among young people and their patrons. A study on prostitution in Ghana indicates that the effectiveness of AIDS control programs in Ghana depends on enhanced understanding of the social and economic dynamics of prostitution25.

The act of initiation into prostitution and reasons for prostitution among university students in Ghana is multifaceted. Peer influence on account of making money and other material gains for personal upkeep was a key determinant. Negative peer influence has an impact on prostitution 26. As peer influence has effects on the way people think and behave27, 28. On the contrary, the current study found that prostitution among students in public universities in Ghana is not only for financial/materials gain but also for emotional stability as revealed that some students became prostitutes because in their view they become more emotionally stable, relaxed and perform academically better if they have sex with multiple partners prior to examinations. Although this could be seen as a form of sex addiction, 29 relating the practice to Maslow’s hierarchy of needs, 30 justify their behavior if that could help them achieve other needs. Within the Ghanaian context, a perception with such behavior however could be attributable to demonic possessions which would require deliverance.31

Students’ prostitution comes with the various risks of violence, unwanted pregnancy and STIs. Various strategies such as paid protection and extra charges to mitigate these business associated risks are adopted. With regard to effects on academic performance, the general observation has been that there are various consequences of prostitution on academic performance. The opinion of the University students that the impact of prostitution on their academic performance is that they do not usually pass their examination as expected and therefore do not graduate on time 32, 33. Consequently, some of the female students reported offering sexual favors to some lectures in exchange for marks to pass exams. The presence of male student prostitutes on university campuses and their reasons for indulging in prostitute in school supports findings of another study on male prostitution which observed that such males resorted to prostitution when they are desperately short of money to the extent of having no access to food or shelter34. This practice is very unusual for the expectations of men within the Ghanaian culture and explains the negative influence of some foreign cultures on students.

Conclusion

The results of this study are revealing as they show that students from the major public universities in Ghana indulge in prostitution in and around the various university campuses for financial, material and emotional gains. The finding that student prostitutes have devised various strategies including offering sex for marks as a way to combine academic work and the sex business requires further investigations to explore its extent. The springing up of brothels and movie houses in and around the university campuses and the practice of students’ converting their hostel rooms into brothels requires law enforcement to prevent or regulate such practices in an academic environment. Price negotiation based on the environment, duration and styles/positions adopted for sex does not only expose the level of prostitution amongst students in public Universities in Ghana but also the conscious and unconscious socio-economic, cultural, behavioral and moral factors that predispose students to prostitution at the university. The Ministry of Education, Universities authorities and Non-Governmental organizations (NGOs) are required to develop programs on sexuality education to ensure safer sex practices as a human rights issue in the universities to prevent the spread of sexually transmitted diseases including HIV/AIDS among students.

Abbreviations

AIDS

Acquire Immune Deficiency Syndrome

CSW

Commercial Sex Work

ERC

Ethical Review Committee

HIV

Human Immune Virus

UG

University of Ghana

UCC

University of Cape Coast

IDIs

In-Depth Interviews

KNUST

Kwame Nkrumah University of Science and Technology

SPSS

Statistical Package for Social Sciences

STIs

Sexually Transmitted infections

Declarations

The Faulty of Science Education, University of Education, Winneba, approved the study protocol. Verbal consent was also obtained from each respondent for participation.

All respondents also consented for the anonymous publication of the results.

The raw data collected is available upon reasonable request

The authors declared that they have no competing interests.

This study was fully funded by the authors

JAG conceptualized the study and developed the concept note. FYG designed the study, analyzed the data and developed the draft report. Both authors developed the research instruments and participated in data collection, reviewed the report and finalized it for submission. All authors have read and approved the manuscript, and ensure that this is the case.

The authors are grateful to all the respondents that participated in the study.

  1. Fred Yao Gbagbo1, Ph.D.

University of Education Winneba, Faculty of Science Education, Department of Health Administration and Education. (Lecturer)

  1. Josephine Akosua Gbagbo2

University of Education Winneba, Faculty of Social Science, Department of Political Science Education. (Student)

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