INTRODUCTION Ugandan adolescent girls and young women are disproportionately impacted by human immunodeficiency virus, and this is largely driven by their engagement in transactional sex. Globally, parent-daughter communication about sex is associated with increased contraceptive use and delayed/decreased sexual activity, but research on parent-daughter communication about transactional sex is lacking. This paper elucidates local perspectives on, and experiences of parent-daughter communication about sex and transactional sex, to inform family-level comprehensive sexuality education interventions. METHODS We conducted a secondary, thematic analysis of 13 focus group discussions (n = 119) and 30 in-depth interviews collected between 2014 and 2015 with adolescent girls and young women aged 14+, and men and women in Kampala and Masaka. RESULTS We found that parents used three approaches to discuss sex and transactional sex with their daughters: (1) frightening their daughters into avoiding sex; (2) being "strict"; and (3) relying on mothers rather than fathers to "counsel" daughters. Mother-daughter communication about transactional sex was common, but frequently unidirectional. Adolescent girls and young women bringing home gifts sparked conversations about the risks of transactional sex, although less in poorer households. Mothers felt they lacked control over their daughters' sexual behaviors and thus restricted their movements and friendships to try to prevent them from having sex. In contrast to previous research, we found some evidence of mothers encouraging condom use and father-daughter communication about sex. CONCLUSIONS Family-level comprehensive sexuality education interventions targeting parent-daughter communication about sex could further highlight the role that fathers might play, and emphasize communication about the inequitable power dynamics in transactional sex and condom negotiation skills, while reducing fear surrounding parent-daughter communication.

中文翻译：

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一项定性研究，探索乌干达中部交流性和性交易的亲女方法：对全面性教育干预的影响。

简介 乌干达少女和年轻女性受到人类免疫缺陷病毒的影响尤为严重，这主要是由于她们从事性交易。在全球范围内，关于性行为的亲子沟通与避孕药具使用的增加和性活动的延迟/减少有关，但缺乏关于性交易的亲子沟通的研究。本文阐述了当地对性和性交易的亲子交流的看法和经验，为家庭层面的综合性教育干预提供信息。方法 我们对 2014 年至 2015 年间收集的 13 次焦点小组讨论 (n = 119) 和 30 次深度访谈进行了二次主题分析，这些访谈对象是坎帕拉和马萨卡的少女和 14 岁以上的年轻女性以及男性和女性。结果我们发现，父母在与女儿讨论性和性交易时使用了三种方法：（1）恐吓女儿避免性行为；(2) “严格”；(3) 依靠母亲而不是父亲来“劝告”女儿。关于性交易的母女交流很常见，但通常是单向的。带回家礼物的少女和年轻女性引发了关于性交易风险的讨论，尽管在较贫困的家庭中较少。母亲们觉得她们对女儿的性行为缺乏控制，因此限制了她们的活动和友谊，试图阻止她们发生性行为。与之前的研究相比，我们发现了一些母亲鼓励使用安全套和父女之间就性进行交流的证据。