scholarly journals The influence of cash transfers on engagement in transactional sex and partner choice among adolescent girls and young women in Northwest Tanzania

2020 ◽  
pp. 1-15
Author(s):  
Margaret W. Gichane ◽  
Joyce Wamoyi ◽  
Kaitlyn Atkins ◽  
Peter Balvanz ◽  
Suzanne Maman ◽  
...  
2020 ◽  
Vol 24 (12) ◽  
pp. 3376-3384
Author(s):  
Margaret W. Gichane ◽  
Kathryn E. Moracco ◽  
Audrey E. Pettifor ◽  
Catherine Zimmer ◽  
Suzanne Maman ◽  
...  

2021 ◽  
Author(s):  
Margaret W. Gichane ◽  
Nora E. Rosenberg ◽  
Catherine Zimmer ◽  
Audrey E. Pettifor ◽  
Suzanne Maman ◽  
...  

AbstractTransactional sex increases HIV risk among adolescent girls and young women (AGYW). Understanding the individual and dyadic nature of transactional sex may provide evidence for risk reduction interventions. Multilevel logistic regression was used to cross-sectionally examine correlates of transactional sex among AGYW in Lilongwe, Malawi. Participants (N = 920) reported 1227 relationships. Individual-level associations were found between being divorced/widowed (AOR 5.07, 95% CI 1.93, 13.25), married (AOR 0.26, 95% CI 0.09, 0.72), or unstably housed (AOR 7.11, 95% CI 2.74, 18.47) and transactional sex. At the relationship-level, transactional sex occurred in relationships with: non-primary primary partners (AOR 4.06, 95% CI 2.37, 6.94), perceived partner concurrency (AOR 1.85, 95% CI 1.11, 3.08), and feared violence with couples HIV testing (AOR 2.81, 95% CI 1.26, 6.29), and less likely to occur in relationships with children (AOR 0.15, 95% CI 0.06, 0.38). Multiple co-occurring social and structural vulnerabilities increase transactional sex engagement warranting the need for social protection and gender transformative approaches.


PLoS ONE ◽  
2019 ◽  
Vol 14 (4) ◽  
pp. e0214366 ◽  
Author(s):  
Joyce Wamoyi ◽  
Lori Heise ◽  
Rebecca Meiksin ◽  
Nambusi Kyegombe ◽  
Daniel Nyato ◽  
...  

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0249064
Author(s):  
Laura Chiang ◽  
Ashleigh Howard ◽  
Kirsten Stoebenau ◽  
Greta M. Massetti ◽  
Rose Apondi ◽  
...  

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.


Author(s):  
Marie C D Stoner ◽  
Daniel Westreich ◽  
Jennifer Ahern ◽  
Jessie Edwards ◽  
F Xavier Gómez-Olivé ◽  
...  

Abstract Background Combination interventions may be an effective way to prevent human immunodeficiency virus (HIV) in adolescent girls and young women. However, current studies are not designed to understand which specific interventions and combinations will be most effective. We estimate the possible impacts of interventions on a combination of factors associated with HIV. Methods We used the g-formula to model interventions on combinations of HIV risk factors to identify those that would prevent the most incident HIV infections, including low school attendance, intimate partner violence, depression, transactional sex, and age-disparate partnerships. We used data from the HIV Prevention Trials Network (HPTN) 068 study in rural South Africa from 2011 to 2017. We estimated HIV incidence under a potential intervention that reduced each risk factor and compared this to HIV incidence under the current distribution of these risk factors. Results Although many factors had strong associations with HIV, potential intervention estimates did not always suggest large reductions in HIV incidence because the prevalence of risk factors was low. When modeling combination effects, an intervention to increase schooling, decrease depression, and decease transactional sex showed the largest reduction in incident infection (risk difference, –1.4%; 95% confidence interval [CI], –2.7% to –.2%), but an intervention on only transactional sex and depression still reduced HIV incidence by –1.3% (95% CI, –2.6% to –.2%). Conclusions To achieve the largest reductions in HIV, both prevalence of the risk factor and strength of association with HIV must be considered. Additionally, intervening on more risk factors may not necessarily result in larger reductions in HIV incidence.


2020 ◽  
Vol 28 (1) ◽  
pp. 1700770 ◽  
Author(s):  
Nambusi Kyegombe ◽  
Rebecca Meiksin ◽  
Joyce Wamoyi ◽  
Lori Heise ◽  
Kirsten Stoebenau ◽  
...  

2019 ◽  
Vol 64 (4) ◽  
pp. S60-S66 ◽  
Author(s):  
Kirsten Stoebenau ◽  
Nambusi Kyegombe ◽  
Jeffrey B. Bingenheimer ◽  
Ismael Ddumba-Nyanzi ◽  
Josephine Mulindwa

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Fela Putri Hariastuti ◽  
Andin Ajeng Rahmawati

ABSTRAK            Masa remaja mengalami perkembangan fisiologis, psikososial, kognitif, moral dan perkembangan seksual. Perubahan fisiologis pada masa remaja merupakan hasil aktivitas hormonal dibawah pengaruh sistem saraf pusat. Menarche pada umumnya menjadi masalah bagi remaja, hal ini terjadi karena remaja masih belum tahu tentang apa itu menstruasi dan bagaimana menanganinya, sehingga kebersihan daerah genetalia tidak terjaga dan dapat menimbulkan terjadinya keputihan (Soetjiningsih, 2007).            Penelitian ini bertujuan untuk mengetahui penatalaksanaan flour albus pada remaja putri kelas X di SMA AL-Fatimah Bojonegoro tahun 2016. Jenis penelitian ini adalah kualitatif yaitu penelitian expose facto (mengungkap fakta) dengan pendekatan pengukuran secara langsung dengan menggunakan data primer. Subjek penelitian semua remaja putri kelas X yang mengalami keputihan di MA AL- Fatimah Kecamatan Bojonegoro Kabupaten Bojonegoro tahun 2016 yang berjumlah 30 responden.            Hasil penelitian yang didapatkan sebanyak 25 responden remaja putri sudah bisa melaksanakan penatalaksanaan pada flour albus. Kata Kunci : flour albus,  remaja putri ABSTRACT            Adolescence develops physiological, psychosocial, cognitive, moral and sexual development. Physiological changes in adolescence are the result of hormonal activity under the influence of the central nervous system. Menarche is generally a problem for teenagers, this is because teenagers still do not know what menstruation is and how to handle it, so that the cleanliness of the genetalia area is not maintained and can lead to whitish (Soetjiningsih, 2007).This study aims to determine the management of flour albus in adolescent girls of class X in SMA AL-Fatimah Bojonegoro in 2016. The type of this research is qualitative research that is expose facto (revealing fact) with approach of measurement directly by using primary data. Research subjects of all teenage girls of class X who experienced whiteness in MA Al-Fatimah Bojonegoro District Bojonegoro District in 2016, amounting to 30 respondents.The results obtained as many as 25 female teenage respondents have been able to implement management on flour albus. Keywords: flour albus, young women


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