Evidence map›Paper›PMID 32354329›Full record

ArticleBMC international health and human rights2020

Community perspectives on the extent to which transactional sex is viewed as sexual exploitation in Central Uganda.

N Kyegombe, R Meiksin, S Namakula, J Mulindwa, R Muhumuza, J Wamoyi, L Heise, A M Buller

Open access · goldAbstract read
In one paragraph

Article in BMC international health and human rights, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 4 countries.

N KyegombeDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK. nambusi.kyegombe@lshtm.ac.uk.
R MeiksinDepartment of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.
S NamakulaIndependent researcher, Kampala, Uganda.
J MulindwaIndependent researcher, Kampala, Uganda.
R MuhumuzaMRC/UVRI & LSHTM Uganda Research Unit, P.O Box 49, Plot 51-59 Nakiwogo Road, Entebbe, Uganda.
J WamoyiDepartment of Sexual and Reproductive Health, National Institute for Medical Research, P.O Box 1462, Mwanza, Tanzania.
L HeiseDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health and JHU School of Nursing, 615 N. Wolfe Street, Baltimore, MD, 21205, USA.
A M BullerDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.
London School of Hygiene & Tropical Medicine · GBJohns Hopkins University · USNational Institute for Medical Research · TZRoyal Society of Tropical Medicine and Hygiene · GBUganda Virus Research Institute · UG

Funding

Oak Foundation PHGHZC3512
6 · The paper itself

Abstract

backgroundDefinitions of child sexual exploitation vary. Sexual exploitation violates children's rights and exposes them to mental and physical harm. There exist differences in views of behaviour that is considered exploitative, including transactional sex. This paper explores community perspectives on the extent to which transactional sex is considered exploitative.

methodsIn 2014, we conducted 19 focus group discussions and 44 in-depth interviews with young people and adults in two communities in Uganda. Participants were presented with vignettes describing sexual encounters between adolescent girls and young women and men to explore under what conditions participants considered the scenario to be exploitative and why. Interviews were conducted in Luganda using a semi-structured tool, audio recorded and transcribed verbatim. Analysis was thematic and complemented by constant comparison and deviant case analysis techniques.

resultsDefinitions by multilateral, bilateral, and non-governmental organisations of the sexual exploitation of children shared similarities with community conceptualisations of wrong or unfair sex. Although in community conceptualisations there was no consensus on what constituted sexual exploitation, transactional sex was condemned to the extent to which it involved sex with a minor or misled a naïve or immature girl; involved lack of consent, particularly in relationships characterised by power differentials; or worsened the pre-existing status of the girl. Also relevant was the extent to which a man's intentions were considered inappropriate; the adolescent girl or young woman was considered vulnerable; and the adolescent girl or young woman was considered responsible for 'her situation'.

conclusionsExisting social norms that condemn sex with a minor or sex that involves deception, sexual coercion or misleading an immature girl, present opportunities to mobilise communities to protect adolescent girls and young women at risk. Any intervention must, however, be designed with full cognisance of the social and structural drivers that underlie transactional sex and limit adolescent girls' and young women's opportunities to provide for themselves without recourse to sexual relationships with men. Interventions must also be designed to recognise that girls in transactional sex relationships may not consider themselves as exploited, thus requiring engagement with them based on their own concerns, aspirations, and expectations.

Indexed as

Residence CharacteristicsSexual BehaviorSocial NormsSocial ProblemsAdolescentAdultFemaleFocus GroupsHumansInterviews as TopicMaleUgandaYoung AdultAdolescent girls and young womenSexual exploitationTransactional sexUganda

Identifiers

PMID32354329
PMCPMC7193338
OpenAlexW3023304184

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.