Transactional sex and HIV risks – evidence from a cross-sectional national survey among young people in Uganda

References

• UNAIDS. The gap report. 2014; Geneva: UNAIDS.
   Google Scholar
• UNAIDS. Global report: UNAIDS report on the global AIDS epidemic. 2010; Geneva: UNAIDS.
   Google Scholar
• Mmari K, Blum RW. Risk and protective factors that affect adolescent reproductive health in developing countries: a structured literature review. Glob Public Health. 2009; 4: 350–66.
   Google Scholar
• Napierala Mavedzenge S, Olson R, Doyle AM, Changalucha J, Ross DA. The epidemiology of HIV among young people in sub-Saharan Africa: know your local epidemic and its implications for prevention. J Adolesc Health. 2011; 49: 559–67.
   Google Scholar
• Luke N. Age and economic asymmetries in the sexual relationships of adolescent girls in sub-Saharan Africa. Stud Fam Plann. 2003; 34: 67–86.
   Google Scholar
• Moore AM, Biddlecom AE, Zulu EM. Prevalence and meanings of exchange of money or gifts for sex in unmarried adolescent sexual relationships in sub-Saharan Africa. Afr J Reprod Health. 2007; 11: 44–61.
   Google Scholar
• Moore AM, Biddlecom AE. Transactional sex among adolescents in sub-Saharan Africa amid the HIV epidemic. 2006; New York: Alan Guttmacher Institute.
   Google Scholar
• Uganda Ministry of Health and ICF International. Uganda AIDS indicator survey 2011. 2012; Kampala, Uganda: MOH and ICF International.
   Google Scholar
• Chatterji M, Murray N, London D, Angelwicz P. The factors influencing transactional sex among young men and women in 12 sub-Saharan countries. Soc Biol. 2005; 52: 56–72. [PubMed Abstract].
   Google Scholar
• Luke N, Kurz KM. Cross-generational and transactional sexual relations in sub-Saharan Africa: prevalence of behavior and implications for negotiating safer sexual practices. 2002; Washington, DC: International Centre for Research on Women and Population Services International.
   Google Scholar
• Hunter M. The materiality of everyday sex: thinking beyond ‘prostitution’. Afr Stud. 2002; 61: 99–120.
   Google Scholar
• Dunkle KL, Jewkes R, Nduna M, Jama N, Levin J, Sikweyiya Y, etal. Transactional sex with casual and main partners among young South African men in the rural Eastern Cape: prevalence, predictors, and associations with gender-based violence. Soc Sci Med. 2007; 65: 1235–48.
   Google Scholar
• Dunkle KL, Jewkes RK, Brown HC, Gray GE, McIntryre JA, Harlow SD. Transactional sex among women in Soweto, South Africa: prevalence, risk factors and association with HIV infection. Soc Sci Med. 2004; 59: 1581–92.
   Google Scholar
• Leclerc-Madlala S. Transactional sex and the pursuit of modernity. Soc Dynam. 2003; 29: 213–33.
   Web of Science ®Google Scholar
• Meekers D, Calvès AE. ‘Main’ girlfriends, girlfriends, marriage, and money: the social context of HIV risk behaviour in sub-Saharan Africa. Health Transit Rev. 1997; 7(Suppl): 361–75. [PubMed Abstract].
   Google Scholar
• Moore AM, Awusabo-Asare K, Madise N, John-Langba J, Kumi-Kyereme A. Coerced first sex among adolescent girls in sub-Saharan Africa: prevalence and context. Afr J Reprod Health. 2007; 11: 62–82.
   Google Scholar
• Dunkle KL, Jewkes RK, Brown HC, Gray GE, McIntryre JA, Harlow SD. Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa. Lancet. 2004; 363: 1415–21.
   Google Scholar
• Silberschmidt M, Rasch V. Adolescent girls, illegal abortions and “sugar-daddies” in Dar es Salaam: vulnerable victims and active social agents. Soc Sci Med. 2001; 52: 1815–26.
   Google Scholar
• Wojcicki JM. “She drank his money”: survival sex and the problem of violence in taverns in Gauteng Province, South Africa. Med Anthropol Q. 2002; 16: 267–93.
   Google Scholar
• Kuate-Defo B. Young people's relationships with sugar daddies and sugar mummies: what do we know and what do we need to know?. Afr J Reprod Health. 2004; 8: 13–37.
   Google Scholar
• Phaswana-Mafuya N, Shisana O, Davids A, Tabane C, Mbelle M, Matseke G, etal. Perceptions of sugar mommy practices in South Africa. J Psychol Afr. 2014; 24: 257–63. [PubMed Abstract] [PubMed CentralFull Text].
   Google Scholar
• Choudhry V, Östergren P-O, Ambresin A-E, Kyagaba E, Agardh A. Giving or receiving something for sex: a cross-sectional study of transactional sex among Ugandan university students. PLoS One. 2014; 9: e112431.
   Google Scholar
• Nobelius A-M, Kalina B, Pool R, Whitworth J, Chesters J, Power R. “You still need to give her a token of appreciation”: the meaning of the exchange of money in the sexual relationships of out-of-school adolescents in rural southwest Uganda. J Sex Res. 2010; 47: 490–503.
   Google Scholar
• Samara S. Something-for-something love: the motivations of young women in Uganda. J Health Organ Manag. 2010; 24: 512–19.
   Google Scholar
• Nyanzi S, Pool R, Kinsman J. The negotiation of sexual relationships among school pupils in south-western Uganda. AIDS Care. 2001; 13: 83–98.
   Google Scholar
• Sadgrove J. ‘Keeping up appearances’: sex and religion amongst university students in Uganda. J Relig Afr. 2007; 37: 116–44.
   Google Scholar
• Stephenson R, Winter A, Elfstrom M. Community environments shaping transactional sex among sexually active men in Malawi, Nigeria, and Tanzania. AIDS Care. 2012; 25: 784–92.
   Google Scholar
• Ssewamala FM, Wang JS-H, Karimli L, Nabunya P. Strengthening universal primary education in Uganda: the potential role of an asset-based development policy. Int J Educ Dev. 2011; 31: 472–7.
   Web of Science ®Google Scholar
• Jewkes R, Morrell R, Sikweyiya Y, Dunkle K, Penn-Kekana L. Men, prostitution and the provider role: understanding the intersections of economic exchange, sex, crime and violence in South Africa. PLoS One. 2012; 7: e40821.
   Google Scholar
• Jewkes R, Sikweyiya Y, Morrell R, Dunkle K. Gender inequitable masculinity and sexual entitlement in rape perpetration South Africa: findings of a cross-sectional study. PLoS One. 2011; 6: e29590.
   Google Scholar
• Knight RA, Sims-Knight JE. The developmental antecedents of sexual coercion against women: testing alternative hypotheses with structural equation modeling. Ann N Y Acad Sci. 2003; 989: 72–85.
   Google Scholar
• Semugoma P, Beyrer C, Baral S. Assessing the effects of anti-homosexuality legislation in Uganda on HIV prevention, treatment, and care services. SAHARA J. 2012; 9: 173–6.
   Google Scholar
• Bingenheimer JB. Men's multiple sexual partnerships in 15 sub-Saharan African countries: sociodemographic patterns and implications. Stud Fam Plann. 2010; 41: 1–17.
   Google Scholar
• Chen L, Jha P, Stirling B, Sgaier SK, Daid T, Kaul R, etal. Sexual risk factors for HIV infection in early and advanced HIV epidemics in sub-Saharan Africa: systematic overview of 68 epidemiological studies. PLoS One. 2007; 2: e1001.
   Google Scholar
• Nyanzi S, Nyanzi-Wokholi B, Kalina B. Male promiscuity: the negotiation of masculinities by motorbike taxi-riders in Masaka, Uganda. 2009; 73–89. 12 Men Masc.
   Google Scholar
• Leclerc-Madlala S. Cultural scripts for multiple and concurrent partnerships in southern Africa: why HIV prevention needs anthropology. Sex Health. 2009; 6: 103–10.
   Google Scholar
• Psaki SR, Ayivi-Guedehoussou N, Halperin DT. Leveraging changing gender norms to address concurrency: focus group findings from South African university students. Sex Health. 2013; 10: 369–76.
   Google Scholar
• Smoak ND, Scott-Sheldon LA, Johnson BT, Carey MP. Sexual risk reduction interventions do not inadvertently increase the overall frequency of sexual behavior: a meta-analysis of 174 studies with 116,735 participants. J Acquir Immune Defic Syndr. 2006; 41: 374–84.
   Google Scholar
• Valadez JJ, Jeffery C, Davis R, Ouma J, Lwanga SK, Moxon S. Putting the C back into the ABCs: a multi-year, multi-region investigation of condom use by Ugandan youths 2003–2010. PLoS One. 2014; 9: e93083.
   Google Scholar
• Jewkes R, Dunkle K, Nduna M, Shai NJ. Transactional sex and HIV incidence in a cohort of young women in the Stepping Stones Trial. J AIDS Clin Res. 2012; 3: 158.
   Google Scholar
• Ramjee G, Daniels B. Women and HIV in sub-Saharan Africa. AIDS Res Ther. 2013; 10: 30.
   Google Scholar
• Santelli JS, Edelstein ZR, Mathur S, Wei Y, Zhang W, Orr MG, etal. Behavioral, biological, and demographic risk and protective factors for new HIV infections among youth in Rakai, Uganda. J Acquir Immune Defic Syndr. 2013; 63: 393–400.
   Google Scholar
• Greig A, Peacock D, Jewkes R, Msimang S. Gender and AIDS: time to act. AIDS. 2008; 22(Suppl 2): S35–43.
   Google Scholar
• Jewkes R, Nduna M, Levin J, Jama N, Dunkle K, Wood K, etal. Evaluation of stepping stones: a gender transformative HIV prevention intervention 2007. Medical Research Council, South Africa. Available from: http://www.mrc.ac.za/policybriefs/steppingstones.pdf [cited 6 October 2014]..
   Google Scholar
• Cluver L, Boyes M, Orkin M, Pantelic M, Molwena T, Sherr L. Child-focused state cash transfers and adolescent risk of HIV infection in South Africa: a propensity-score-matched case-control study. Lancet Glob Health. 2013; 1: e362–70.
   Google Scholar
• STRIVE. Capturing transactional sex 2014. The DHS Program User Forum. Available from: http://userforum.dhsprogram.com/index.php?t=tree&th=981&S=90cc7e5fd36bc7e83d089e17a0e65d96 [cited 4 December 2014]..
   Google Scholar