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"When He Asks for Sex, You Will Never Refuse": Transactional Sex and Adolescent Pregnancy in Zambia.
Studies in Family Planning ( IF 4.314 ) Pub Date : 2019-08-05 , DOI: 10.1111/sifp.12100
Karen Austrian , Erica Soler-Hampejsek , Zoe Duby , Paul C Hewett

Pregnancy among adolescent girls in Zambia is a significant concern on its own and as a factor in school dropout and early marriage, with one‐third of girls aged 15–19 having experienced pregnancy. Using qualitative and quantitative data from the Adolescent Girls Empowerment Program, we explore transactional sex as a driver of adolescent pregnancy. In qualitative interviews, transactional sex was repeatedly discussed as the main driver of pregnancy, as respondents indicated that when a girl feels that she “owes” a man sex, it prevents her from declining sex or using condoms. In addition, multivariate Cox proportional hazards models using four rounds of longitudinal data from a sample of unmarried and never pregnant adolescent girls (n=1,853) show that girls who have engaged in transactional sex face a hazard of first premarital pregnancy almost 30 percent greater than their peers who have not, independent of the effect of other risk‐related sexual behaviors such as condom use and number of sexual partners. Identifying and understanding the role of transactional sex in adolescent pregnancy is important for designing effective curricula and programs that delay pregnancy, and highlights the importance of addressing access to economic resources in adolescent health outcomes.

中文翻译:

“当他要求性时,您将永远不会拒绝”:赞比亚的性交易和青少年怀孕。

赞比亚少女的怀孕本身就是一个重大问题,也是辍学和早婚的一个重要因素,15-19岁的女孩中有三分之一经历了怀孕。利用来自“少女授权计划”的定性和定量数据,我们探讨了性交易作为青春期怀孕的驱动力。在定性访谈中,反复讨论性交易是怀孕的主要驱动力,因为受访者表示,当女孩觉得自己“欠”男方性行为时,它可以防止性行为下降或使用避孕套。此外,多变量Cox比例风险模型使用来自未婚和从未怀孕的少女(n = 1,853)显示,与其他未进行风险相关的性行为(例如使用安全套和性伴侣的数量)有关,从事性交易的女孩面临的初婚风险比未婚的同龄人高30%。识别和理解性交易在青少年怀孕中的作用对于设计有效的延迟妊娠的课程和计划很重要,并强调在青春期健康结局中解决获取经济资源的重要性。
更新日期:2019-08-05
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