25,473
Views
23
CrossRef citations to date
0
Altmetric
Research Articles

Sexual health of adolescent girls and young women in Central Uganda: exploring perceived coercive aspects of transactional sex

ORCID Icon, ORCID Icon, , , & ORCID Icon

References

  • World Health Organization. Sexual Health: World Health Organization; 2019. Available from: https://www.who.int/topics/sexual_health/en/
  • United Nations. Sustainable Development goals: 17 Goals to transform our world: United Nations Development Programme; 2015. Available from: https://www.undp.org/content/undp/en/home/sustainable-development-goals.html
  • Odo AN, Samuel ES, Nwagu EN, et al. Sexual and reproductive health services (SRHS) for adolescents in Enugu state, Nigeria: a mixed methods approach. BMC Health Serv Res. 2018;18(1):92. doi: 10.1186/s12913-017-2779-x
  • Denno DM, Hoopes AJ, Chandra-Mouli V. Effective strategies to provide adolescent sexual and reproductive health services and to increase demand and community support. J Adolesc Health. 2015;56(1):S22–S41. doi: 10.1016/j.jadohealth.2014.09.012
  • Renzaho AMN, Kamara JK, Georgeou N, et al. Sexual, reproductive health needs, and rights of young people in slum areas of Kampala, Uganda: a cross sectional study. PLoS One. 2017;12(1):e0169721. doi: 10.1371/journal.pone.0169721
  • UNAIDS. Adolescent girls and young women. Geneva: UNAIDS; 2014.
  • Dellar RC, Dlamini S, Abdool Karim Q. Adolescent girls and young women: key populations for HIV epidemic control 2015.
  • Fielding-Miller R, Dunkle KL, Jama-Shai N, et al. The feminine ideal and transactional sex: navigating respectability and risk in Swaziland. Soc Sci Med. 2016;158:24–33. doi: 10.1016/j.socscimed.2016.04.005
  • UNAIDS. Adolescents, young people and HIV. Geneva: UNAIDS; 2010.
  • Government of Uganda. The State of Uganda Population Report 2018. Good Governance; Aprerequisite to harness the Demographic Dividend for Sustainable Development. Kampala, Uganda: National Population Council; 2018.
  • Uganda Bureau of Statistics, ICF. 2016 Uganda Demographic and Health Survey key findings. Kampala: UBOS and ICF; 2017.
  • Kipp W, Chacko S, Laing L, et al. Adolescent reproductive health in Uganda: issues related to access and quality of care. Int J Adolesc Med Health. 2007;19(4):383–393. doi: 10.1515/IJAMH.2007.19.4.383
  • Atuyambe LM, Kibira SPS, Bukenya J, et al. Understanding sexual and reproductive health needs of adolescents: evidence from a formative evaluation in Wakiso district. Uganda. 2015;12(1):35.
  • PEPFAR. Preventing HIV in adolescent girls and young women: guidance of PEPFAR country teams on the DREAMS partnership. Washington (DC): PEPFAR; 2015.
  • Uganda AIDS Commission. Guidelines for multi-sectoral HIV and AIDS mainstreaming in Uganda. Kampala: Uganda AIDS Commission; 2018.
  • Uganda AIDS Commission. National HIV and AIDS Strategic Plan 2015/2016–2019/2020. Kampala: Uganda AIDS Commission; 2015.
  • Heise L, Moore K, Toubia N. Sexual coercion and reproductive health: a focus on research. New York (NY): The Population Council; 1995. 59 p.
  • Stoebenau K, Heise L, Wamoyi J, et al. Revisiting the understanding of “transactional sex” in sub-Saharan Africa: a review and synthesis of the literature. Soc Sci Med. 2016;168:186–197. doi: 10.1016/j.socscimed.2016.09.023
  • Wagman J, Baumgartner JN, Waszak Geary C, et al. Experiences of sexual coercion among adolescent women: qualitative findings from Rakai district, Uganda. J Interpers Violence. 2009;24(12):2073–2095. doi: 10.1177/0886260508327707
  • UNAIDS. Transactional sex and HIV risk: from analysis to action. Geneva: Joint United Nations Programme on HIV/AIDS and STRIVE; 2018.
  • Ruark A, Dlamini L, Mazibuko N, et al. Love, lust, and the emotional context of concurrent sexual partnerships among young Swazi adults. Afr J AIDS Res: AJAR. 2014;13(2):133–143. doi: 10.2989/16085906.2014.927781
  • Mojola SA. Love, money and HIV: becoming a modern African woman in the age of AIDS. Oakland, CA: University of California Press; 2014.
  • Choudhry V, Östergren P-O, Ambresin A-E, et al. Giving or receiving something for sex: a cross-sectional study of transactional sex among Ugandan University students. PLoS One. 2014;9(11):e112431. doi: 10.1371/journal.pone.0112431
  • Bell SA. Young people and sexual agency in rural Uganda. Cult Health Sex. 2012;14(3):283–296. doi: 10.1080/13691058.2011.635808
  • Bantebya G, Ochen E, Pereznieto P, et al. Cross-generational and transactional sexual relations in Uganda: income poverty as a risk factor for adolescents. London: Overseas Development Institute; 2014.
  • Hulton LA, Cullen R, Khalokho SW. Perceptions of the risk of sexual activity and their consequences among Ugandan adolescents. Stud Family Plan. 2000;31:35–46. doi: 10.1111/j.1728-4465.2000.00035.x
  • Bell SA, Aggleton P. Economic vulnerability and young people’s sexual relationships in rural Uganda. J Youth Stud. 2014;17(6):814–828. doi: 10.1080/13676261.2013.878797
  • Hawkins K, Price N, Mussá F. Milking the cow: young women’s construction of identity and risk in age-disparate transactional sexual relationships in Maputo, Mozambique. Glob Publ Health. 2009;4(2):169–182. doi: 10.1080/17441690701589813
  • Nyanzi S, Pool R, Kinsman J. The negotiation of sexual relationships among school pupils in south-western Uganda. AIDS Care. 2001;13(1):83–98. doi: 10.1080/09540120020018206
  • Wamoyi J, Fenwick A, Urassa M, et al. “Women’s bodies are shops”: beliefs about transactional sex and implications for understanding gender power and HIV prevention in Tanzania. Arch Sex Behav. 2011;40(1):5–15. doi: 10.1007/s10508-010-9646-8
  • Wamoyi J, Buller AM, Nyato D, et al. “Eat and you will be eaten”: a qualitative study exploring costs and benefits of age-disparate sexual relationships in Tanzania and Uganda: implications for girls’ sexual and reproductive health interventions. Reprod Health. 2018;15(1):207. doi: 10.1186/s12978-018-0650-0
  • Parkhurst JO. Structural drivers, interventions and approaches for prevention of sexually transmitted HIV in general populations: definitions and an operational approach. Arlington, VA: USAID’s AIDS support and Technical Assitance Resources, AIDSTAR-One, Task Order and UKaids’s STRIVE research consortium; 2013.
  • Dugarova E, Utting P. Social Drivers of Sustainable Development. United Nations; 2013.
  • Wamoyi J, Wight D, Plummer M, et al. Transactional sex amongst young people in rural northern Tanzania: an ethnography of young women’s motivations and negotiation. Reprod Health. 2010;7(1):2. doi: 10.1186/1742-4755-7-2
  • Jewkes R, Morrell R. Gender and sexuality: emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention. J Int AIDS Soc. 2010;13:6. doi: 10.1186/1758-2652-13-6
  • Dunkle KL, Jewkes RK, Brown HC, et al. Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa. Lancet. 2004;363(9419):1415–1421. doi: 10.1016/S0140-6736(04)16098-4
  • Bhana D. Sex, gender and money in African teenage conceptions of love in HIV contexts. J Youth Stud. 2015;18(1):1–15. doi: 10.1080/13676261.2014.933195
  • Masvawure T. “I just need to be flashy on campus”: female students and transactional sex at a university in Zimbabwe. Cult Health Sex. 2010;12(8):857–870. doi: 10.1080/13691050903471441
  • Leclerc-Madlala S. Transactional sex and the pursuit of modernity. Soc Dyn. 2003;29(2):213–233. doi: 10.1080/02533950308628681
  • Hunter M. The materiality of everyday sex: thinking beyond “prostitution”. Afr Stud. 2002;61(1):99–120. doi: 10.1080/00020180220140091
  • McLellan E, MacQueen KM, Neidig JL. Beyond the qualitative interview: data preparation and transcription. Field Methods. 2003;15(1):63–84. doi: 10.1177/1525822X02239573
  • Glaser BG, Strauss AL. The discovery of grounded theory: strategies for qualitative research. Chicago (IL): Aldine; 1967.
  • QSR International Pty Ltd. NVivo qualitative data analysis software. 2012; Version 10.
  • Saunders B, Sim J, Kingstone T, et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 2018;52(4):1893–1907. doi: 10.1007/s11135-017-0574-8
  • Green J, Thorogood N. Qualitative methods for health research. London: SAGE; 2004.
  • Ritchie J, Spencer L. Qualitative data analysis: the call for transparency. Building Res Capacity. 2004;7:2–4.
  • World Health Organization. Putting women first: ethical and safety recommendations for research on domestic violence against women. (WHO/FCH/GWH/01.1). Geneva: World Health Organization; 2001.
  • Graham A, Powell M, Taylor N, et al. Ethical research involving children. Florence: UNICEF Office of Research – Innocenti; 2013.
  • World Health Organization. Sexual violence: prevalence, dynamics and consequences. Geneva: World Health Organization; 2003.
  • Bohmer L, Kirumbira E. Socio-economic context and the sexual behaviour of Ugandan out of school youth. Cult Health Sex. 2000;2(3):269–285. doi: 10.1080/136910500422250
  • Eyotaru O. “Detoothing”: are men to blame for the rising trend? Daily Monitor. 2014.
  • Dunkle KL, Jewkes RK, Brown HC, et al. Transactional sex among women in Soweto, South Africa: prevalence, risk factors and association with HIV infection. Soc Sci Med. 2004;59(8):1581–1592. doi: 10.1016/j.socscimed.2004.02.003
  • Baird SJ, Garfein RS, McIntosh CT, et al. Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial. Lancet. 2012;379(9823):1320–1329. doi: 10.1016/S0140-6736(11)61709-1
  • Khoza N, Stadler J, MacPhail C, et al. Cash transfer interventions for sexual health: meanings and experiences of adolescent males and females in inner-city Johannesburg. BMC Publ Health. 2018;18(1):120. doi: 10.1186/s12889-018-5027-3
  • Pettifor A, MacPhail C, Hughes JP, et al. The effect of a conditional cash transfer on HIV incidence in young women in rural South Africa (HPTN 068): a phase 3, randomised controlled trial. Lancet Glob Health. 2016;4(12):e978–ee88. doi: 10.1016/S2214-109X(16)30253-4
  • Buller AM, Pichon M, McAlpine A, et al. “Systematic review of social norms, attitudes, and factual beliefs contributing to or protecting against the sexual exploitation of children and adolescents” Child Abuse and Neglect. 2019; Under Review.
  • Stoebenau K, Kyegombe N, Bingenheimer JB, et al. Developing experimental vignettes to identify gender norms associated with transactional sex for adolescent girls and young women in Central Uganda. J Adolesc Health. 2019;64(4):S60–SS6. doi: 10.1016/j.jadohealth.2018.11.009