ArticleSexual and reproductive health matters2020
Sexual health of adolescent girls and young women in Central Uganda: exploring perceived coercive aspects of transactional sex.
Article in Sexual and reproductive health matters, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A COSMIN Systematic Review of Sexual Health Literacy Self-Report Measures for Adolescents.Archives of sexual behavior · 2025Pooled it
- Prevalence and determinants of unmet sexual and reproductive health needs among adolescent girls and young women in the Haut-Sassandra Region, Côte d'Ivoire.Public health in practice (Oxford, England) · 2026Article
- Social determinants of hazardous alcohol use in a Ugandan population cohort.Global health action · 2025Article
- The Intersection of Caregiving and Financial Vulnerability: Empowerment Barriers for Women in Sex Work.Children and youth services review · 2025Article
- Consensus on Adolescent and Young Adult HIV Research Consent in Low- and Middle-Income Countries.JAMA network open · 2025Article
- Article
- Influence of socio-contextual factors on the link between traditional and new media use, and young people's sexual risk behaviour in Sub-Saharan Africa: a secondary data analysis.Reproductive health · 2024Article
- A mixed Methods Study of Multilevel Factors Influencing Sexual Risk-Taking Behaviors Among Adolescent Girls in Uganda.Journal of adolescent research · 2024Article
- Adolescents' risky sexual behaviours and practices: Implications for sexuality education implementation in Zambia.African journal of primary health care & family medicine · 2024Article
- Family Factors and Gender Norms as Protective Factors Against Sexual Risk-Taking Behaviors Among Adolescent Girls in Southern Uganda.Global social welfare : research, policy & practice · 2024Article
- Transactional sex and age-disparate sexual partnerships among adolescent girls and young women in Tanzania.Frontiers in reproductive health · 2024Article
- The Impact of Parent-Adolescent Communication on Reduction of Sexual Risk Possibility Among Adolescents: Findings from the Suubi-Maka Study.Archives of sexual behavior · 2023Article
- Development of the Gender Roles and Male Provision Expectations Scale.Archives of sexual behavior · 2023Article
- Unwanted sexual activity among United States women early in the COVID-19 pandemic.American journal of obstetrics and gynecology · 2023Article
- Shifting social norms to prevent age-disparate transactional sex in Tanzania: what we can learn from intervention development research.Frontiers in psychology · 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 qualitative exploration of the salience of MTV-Shuga, an edutainment programme, and adolescents' engagement with sexual and reproductive health information in rural KwaZulu-Natal, South Africa.Sexual and reproductive health matters · 2022Article
- Measuring social norms and attitudes about age-disparate transactional sex: Psychometric testing of the NAATSS.Lancet regional health. Americas · 2022Article
- 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
- 'You don't have to sleep with a man to get how to survive': Girl's perceptions of an intervention study aimed at improving sexual and reproductive health and schooling outcomes.PLOS global public health · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Adolescent girls and young women (AGYW) in Uganda are at risk of early sexual debut, unwanted pregnancy, violence, and disproportionally high HIV infection rates, driven in part by transactional sex. This paper examines the extent to which AGYW's participation in transactional sex is perceived to be coerced. We conducted 19 focus group discussions and 44 in-depth interviews using semi-structured tools. Interviews were audio recorded, and transcribed verbatim. Data were analysed using a thematic analysis. While AGYW did not necessarily use the language of coercion, their narratives describe a number of coercive aspects in their relationships. First, coercion by force as a result of "de-toothing" a man (whereby they received money or resources but did not wish to provide sex as "obligated" under the implicit "terms" of the relationships). Second, they described the coercive role that receiving resources played in their decision to have sex in the face of men's verbal insistence. Finally, they discussed having sex as a result of coercive economic circumstances including poverty, and because of peer pressure to uphold modern lifestyles. Support for income-generation activities, microfinance and social protection programmes may help reduce AGYW's vulnerability to sexual coercion in transactional sex relationships. Targeting gender norms that contribute to unequal power dynamics and social expectations that obligate AGYW to provide sex in return for resources, critically assessing the meaning of consensual sex, and normative interventions building on parents' efforts to ascertain the source of their daughters' resources may also reduce AGYW's vulnerability to coercion.
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