ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2019
Developing Experimental Vignettes to Identify Gender Norms Associated With Transactional Sex for Adolescent Girls and Young Women in Central Uganda.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of cash plus or bundled interventions targeting adolescents in Africa to reduce HIV risk.BMC public health · 2024Pooled it
- "I have never heard of this reproductive health": young adults' understanding of the link between sexually transmitted infections and reproductive health in Eastern Cape, South Africa.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2026Article
- Which Care-Seekers are Prioritized for Preventive Maternal and Child Health Services in a Low-Resource Setting? A Vignette Experiment in Rural Guinea-Bissau.Tropical medicine & international health : TM & IH · 2026Article
- Gender norms in sexual and reproductive health and rights: insights from young Angolan women and the development of a context-specific questionnaire (2021-2022).Archives of public health = Archives belges de sante publique · 2025Article
- Using Vignettes to Gain Insights Into Social Norms Related to Voluntary Family Planning and Gender-Based Violence in South Sudan.Global health, science and practice · 2024Article
- Cohort Profile Update: Magu Health and Demographic Surveillance System, Tanzania.International journal of epidemiology · 2024Article
- Development of the Gender Roles and Male Provision Expectations Scale.Archives of sexual behavior · 2023Article
- Understanding how social norms influence access to and utilization of adolescent sexual and reproductive health services in Northern Nigeria.Frontiers in sociology · 2023Article
- When Social and Personal Norms Collide: Narratives of South African Women Navigating Transactional Sexual Relationships with Blessers.International journal of sexual health : official journal of the World Association for Sexual Health · 2023Article
- A mixed-methods, exploratory, quasi-experimental evaluation of a radio drama intervention to prevent age-disparate transactional sex in Tanzania.Frontiers in reproductive health · 2022Article
- Social norms, attitudes and access to modern contraception for adolescent girls in six districts in Uganda.BMC health services research · 2021Article
- From Survival to Glamour: Motivations for Engaging in Transactional Sex and Relationships Among Adolescent Girls and Young Women in South Africa.AIDS and behavior · 2021Article
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- Sexual health of adolescent girls and young women in Central Uganda: exploring perceived coercive aspects of transactional sex.Sexual and reproductive health matters · 2020Article
- Veering From a Narrow Path: The Second Decade of Social Norms Research.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019Article
- A scoping review of qualitative studies on sexual and reproductive health and rights in Uganda: Exploring factors at multiple levels.Women's health (London, England)Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTransactional sex or informal sexual exchange relationships increase adolescent girls' and young women's (AGYW) HIV and pregnancy risk in sub-Saharan Africa. These relationships are grounded in the shared expectation that men should provide financial support to their partners. We built a vignette experiment to assess whether gender norms influenced by expectations of provision help to explain how transactional sex increases AGYW's sexual and reproductive health risks.
methodsWe used mixed methods to develop a vignette experiment in Central Uganda with AGYW including 10 focus group discussions, 32 cognitive interviews, and a pilot survey experiment with 108 sexually active unmarried AGYW. Respondents were randomly assigned to one of the two manipulations for three vignettes. The vignettes examined whether the amount a man provided changed perceived social approval of men's authority in relationships, sexual decision-making power, or women having multiple partners.
resultsWe find that a higher level of male provision is associated with higher levels of perceived community approval for his sexual decision-making power (p < .001) and lower levels of perceived peer approval for AGYW's to seek a second partner (p < .05). We also find that higher levels of male provision are associated with respondent's own approval of male authority and sexual decision-making.
conclusionOur findings suggest that approval of men's sexual decision-making power increases when they provide more and that girls who seek a second partner find higher levels of social approval for this behavior when their primary partner provides less. Vignette experiments may be valuable for identifying social norms that put AGYW's sexual and reproductive health at risk.
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