'It's because I like things… it's a status and he buys me airtime': exploring the role of transactional sex in young women's consumption patterns in rural South Africa (secondary findings from HPTN 068)

Reproductive Health
Meghna RanganathanAudrey Pettifor

Abstract

'Transactional sex', defined as a non-marital, non-commercial sexual relationship in which money or material goods are exchanged for sex, is associated with young women's increased vulnerability to HIV infection. Existing research illustrates that the motivations for transactional sex are complex. The fulfilment of psycho-social needs such as the need to belong to a peer group are important factors underlying young women's desires to obtain certain consumption items and thus engage in transactional sex. We use a mixed-methods approach to explore the relationship between transactional sex and consumption patterns among young women in rural Mpumalanga province, South Africa. In the secondary analysis of 693 sexually active young women, we use factor analysis to group the different consumption items and we use multivariable logistic regression to demonstrate the relationship between transactional sex and consumption patterns. The qualitative study uses five focus group discussions and 19 in-depth interviews to explore further young women's motivations for acquiring different consumption items. The quantitative results show that young women that engage in transactional sex have higher odds of consuming items for entertainment (e.g....Continue Reading

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Citations

Jul 9, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Katherine B RucinskiStefan D Baral
Nov 23, 2020·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Sophia Zamudio-HaasHong-Ha M Truong
Jul 17, 2021·Tropical Medicine & International Health : TM & IH·Julia R Pozuelo, Emma J Kilford

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Methods Mentioned

BETA
contraception

Software Mentioned

Atlas
ti
ACASI
Blackberry

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