Individual and Relationship-Level Correlates of Transactional Sex Among Adolescent Girls and Young Women in Malawi: A Multilevel Analysis

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dc.contributor.authorMargaret W Gichane
dc.contributor.authorNora E Rosenberg
dc.contributor.authorCatherine Zimmer
dc.contributor.authorAudrey E Pettifor
dc.contributor.authorSuzanne Maman
dc.contributor.authorBertha Maseko
dc.contributor.authorKathryn E Moracco
dc.date.accessioned2024-04-01T17:43:48Z
dc.date.available2024-04-01T17:43:48Z
dc.date.issued2022-03
dc.description.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.
dc.description.librarianPM2023
dc.facultyFaculty of Health Sciences
dc.identifier.urihttps://hdl.handle.net/10539/38253
dc.language.isoen
dc.schoolPublic Health
dc.subjectAdolescent girls; Multilevel; Partners; Transactional sex; Young women.
dc.titleIndividual and Relationship-Level Correlates of Transactional Sex Among Adolescent Girls and Young Women in Malawi: A Multilevel Analysis
dc.typeArticle
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