Transactional 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.

性交易会增加少女和年轻女性 (AGYW) 的 HIV 风险。了解性交易的个体和二元性质可以为降低风险干预提供证据。多级逻辑回归用于横断面检查马拉维利隆圭 AGYW 中交易性行为的相关性。参与者 (N = 920) 报告了 1227 个关系。在离婚/丧偶（AOR 5.07, 95% CI 1.93, 13.25）、已婚（AOR 0.26, 95% CI 0.09, 0.72）或居住不稳定（AOR 7.11, 95% CI 2.74, 18.47）之间发现了个人层面的关联和性交易。在关系层面，性交易发生在以下关系中：非主要主要伴侣（AOR 4.06, 95% CI 2.37, 6.94），感知伴侣并发（AOR 1.85, 95% CI 1.11, 3.08），以及害怕与伴侣发生暴力艾滋病毒检测（AOR 2. 81, 95% CI 1.26, 6.29），并且不太可能发生在与儿童的关系中（AOR 0.15, 95% CI 0.06, 0.38）。多重同时发生的社会和结构性脆弱性增加了性交易参与，需要社会保护和性别变革方法。