ArticlePloS one2021
Sexual risk behaviors, mental health outcomes and attitudes supportive of wife-beating associated with childhood transactional sex among adolescent girls and young women: Findings from the Uganda Violence Against Children Survey.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- HIV vulnerability among adolescent girls and young women in sub-Saharan Africa: a systematic review of individual social and structural determinants.BMC public health · 2026Pooled it
- Transactional sex among women in Sub-Saharan Africa: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Impacts of psychological wellbeing with HIV/AIDS and cancer among sexual and gender minorities: A systematic review and meta-analysis.Frontiers in public health · 2022Pooled it
- Observational
- Transactional sex and associated factors among young women in a tertiary institution in Northern Ghana: evidence from a cross-sectional survey.BMC women's health · 2025Article
- Extreme drought and sexual violence against adolescent girls and young women: A multi-country population-based study.PLOS global public health · 2025Article
- Adverse childhood experiences, mental distress, self-harm and suicidality, and cumulative HIV risk by sex in Lesotho.Child abuse & neglect · 2024Article
- Article
- "He'll come with some sugar." A qualitative study exploring the drivers and consequences of schoolgirls transactional sex behaviours.Frontiers in reproductive health · 2024Article
- Association between lifetime sexual violence victimization and selected health conditions and risk behaviors among 13-24-year-olds in Lesotho: Results from the Violence Against Children and Youth Survey (VACS), 2018.Child abuse & neglect · 2022Article
- Association between violence and mental distress, self-harm and suicidal ideation and attempts among young people in Malawi.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2022Article
- Self-Reported Prevalence of HIV Infection, Sexually Transmitted Infections and Risky Sexual Behavior among Mental Health Care Users Accessing Healthcare Services in Tshwane District, South Africa.Healthcare (Basel, Switzerland) · 2021Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Compared to young men, Ugandan young women are disproportionately impacted by HIV. Childhood transactional sex may contribute to this disparity. Using data from the 2015 Uganda Violence Against Children Survey, we used logistic regression models to assess the association between childhood transactional sex and negative outcomes. Among 18-24-year-old young women who had sex prior to 18 (n = 982), those who ever engaged in transactional sex had 5.9 times [adjusted odds ratio (AOR); confidence interval (CI): 1.6-22.2] higher odds of having multiple sexual partners in the past year; 5.2 times (AOR; CI: 2.1-12.9) higher odds of infrequent condom use in the past year; 3.0 times (AOR; CI: 1.2-7.9) higher odds of hurting themselves intentionally; and 3.2 times (AOR; CI: 1.3-7.7) higher odds of having attitudes justifying spousal abuse than young women who never engaged in transactional sex. Interventions for transactional sex and HIV in Uganda should consider prioritizing prevention, harm-reduction and continued investment in adolescent girls' and young women's futures.
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