ArticleAIDS and behavior2021
From Survival to Glamour: Motivations for Engaging in Transactional Sex and Relationships Among Adolescent Girls and Young Women in South Africa.
Article in AIDS and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.
- Transactional sex among women in Sub-Saharan Africa: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Developmental Trajectories of Transactional Sex and Age-Disparate Relationships During Adolescence: An HPTN 068 Analysis.AIDS and behavior · 2024Trial
- Effect of a Multisectoral Agricultural Intervention on HIV Health Outcomes Among Adults in Kenya: A Cluster Randomized Clinical Trial.JAMA network open · 2022Trial
- A Mixed-Method Evaluation of the Association Between Attitudes Toward Gender-Based Violence and Sexual Behaviors Among Adolescents and Young Adults in Rustenburg, South Africa.AIDS and behavior · 2026Article
- Promoting responsible sexual behaviour among school-going adolescents in Mpumalanga province in South Africa.BMC public health · 2026Article
- Prevalence and factors associated with risky sexual behaviors among adolescent girls and young women in Rwanda: evidence from a national population-based cross-sectional HIV impact assessment, 2018-2019.The Pan African medical journal · 2026Article
- Article
- A qualitative exploration of perceived risks, motivations, and risk management strategies among brothel-based female sex workers in Ibadan, Nigeria.BMC public health · 2025Article
- Evaluation of economic strengthening in South Africa and its impact on HIV, sexually transmitted infections, and teenage births: A modelling study.PLoS medicine · 2025Article
- Does the Risk Premium Differ Between Women Engaging in Commercial and Transactional Sex? Evidence From Urban Cameroon.Health economics · 2025Article
- The Association of Food Security Status with Transactional Sex Engagement Among Female Adolescents Aged 15-24: Evidence from Cameroon.Archives of sexual behavior · 2025Article
- Who is to blame for the 'problem' of teenage pregnancy? Narratives of blame in two South African communities.Reproductive health · 2025Article
- Stress-responsive biomarkers and sexual behaviors among young women in rural South Africa.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- Caregivers' perspectives on factors influencing adolescent girls' engagement in sexual risk-taking in Uganda: A qualitative study.PloS one · 2025Article
- "Girls get stressed due to the situation we are facing": Multi-level mental health stressors and resilience enablers among adolescent girls and young women in South Africa.PLOS mental health · 2025Article
- Protocol: the American Women: Assessing Risk Epidemiologically (AWARE) cohort study.BMC public health · 2024Article
- Examining concordance of sexual-related factors and PrEP eligibility with HIV risk perception among adolescent girls and young women: cross-sectional insights from DREAMS sites in Kenya, Malawi, and Zambia.BMC public health · 2024Article
- A mixed Methods Study of Multilevel Factors Influencing Sexual Risk-Taking Behaviors Among Adolescent Girls in Uganda.Journal of adolescent research · 2024Article
- Examining Pathways from Food Insecurity to Safer Sex Efficacy Among Northern and Indigenous Adolescents in the Northwest Territories, Canada.International journal of behavioral medicine · 2024Article
- Applying the HIV Prevention Cascade to an Evaluation of a Large-Scale Combination HIV Prevention Programme for Adolescent Girls and Young Women in South Africa.AIDS and behavior · 2024Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
Abstract
We explored transactional sex and relationships (TSR) among South African adolescent girls and young women (AGYW) using (1) survey data from 4,399 AGYW aged 15-24 years, and (2) qualitative data from 237 AGYW and 38 male peers. Ten percent of sexually active AGYW reported having ever had transactional sex; 14% reported having stayed in a relationship for money or material items. Factors associated with higher reporting of TSR included HIV positivity, higher food insecurity, and alcohol use. Those AGYW who were between the ages of 20-24 years (OR: 1.0; 95% CI: 0.81-1.24), had a sexual partner older than her by 5 years or more (OR: 1.89; 95% CI: 1.58-2.26), and had a transactional relationship in the past (OR: 61.1; 95% CI: 47.37-78.76) were more likely to report having transactional sex. AGYW qualitative narratives included both assertions of agency in choosing to engage in TSR, and power inequities resulting in condomless sex. Our findings can inform interventions to addressing transactional sex and relationships, critical to South Africa's HIV response.
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