Food Insecurity and Engagement in Transactional Sex Among Female Secondary Students in Rwanda.

Adolescent girls Food security Rwanda Transactional sex Young women

Journal

AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133

Informations de publication

Date de publication:
04 Oct 2023
Historique:
accepted: 09 09 2023
medline: 4 10 2023
pubmed: 4 10 2023
entrez: 4 10 2023
Statut: aheadofprint

Résumé

The relationship between food insecurity and transactional sex is well recognized, but less is known about this relationship among adolescents. We analyzed cross-sectional baseline data from 3,130 female secondary students aged 12-19 enrolled in a three-arm, cluster randomized controlled trial to examine the association between food insecurity and transactional sex. The explanatory variable was food security and the outcome was ever engaging in transactional sex. Over one quarter (28.7%) reported any food insecurity and 1.9% of all participants (9.6% of sexually active participants) reported ever engaging in transactional sex. In adjusted models, ever experiencing any food insecurity was associated with a higher prevalence of ever transactional sex (PR: 1.60; 95% CI: 1.02, 2.49) compared to little to no food insecurity. These results provide insight into potential predictors of higher-risk sexual behavior in Rwanda; they also provide policy-makers with populations with whom to intervene on upstream determinants of transactional sex, notably poverty and food insecurity.

Identifiants

pubmed: 37792235
doi: 10.1007/s10461-023-04173-2
pii: 10.1007/s10461-023-04173-2
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : David and Lucile Packard Foundation
ID : David and Lucile Packard Foundation

Informations de copyright

© 2023. The Author(s).

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Auteurs

Lila A Sheira (LA)

Division of Epidemiology, School of Public Health, University of California, Berkeley, Berkeley, USA. lsheira@berkeley.edu.

Jonathan Izudi (J)

African Population and Health Research Center, Nairobi, Kenya.

Emmyson Gatare (E)

YLabs, Kigali, Rwanda.

Laura Packel (L)

Division of Epidemiology, School of Public Health, University of California, Berkeley, Berkeley, USA.

Laetitia Kayitesi (L)

YLabs, Kigali, Rwanda.

Felix Sayinzoga (F)

Rwanda Biomedical Center, Ministry of Health, Kigali, Rwanda.

Rebecca Hope (R)

YLabs, Berkeley, CA, USA.

Sandra I McCoy (SI)

Division of Epidemiology, School of Public Health, University of California, Berkeley, Berkeley, USA.

Classifications MeSH