Self-Esteem as an Indicator of Transactional Sex among Young Women in Rural South Africa (HPTN 068)

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Citation

Giovenco, Danielle; Kahn, Kathleen; Hughes, James P.; MacPhail, Catherine Lorne; Wagner, Ryan G.; & Pettifor, Audrey E. (2020). Self-Esteem as an Indicator of Transactional Sex among Young Women in Rural South Africa (HPTN 068). AIDS and Behavior, 24(3), 823-826. PMCID: PMC7226909

Abstract

Transactional sex (TS) has been shown to contribute to the HIV epidemic in sub-Saharan Africa. Previous research has yet to identify psychosocial factors that make young women vulnerable to engaging in TS. This analysis examined the association between self-esteem and TS among young women in rural South Africa. A post hoc analysis of post-intervention survey data from HPTN 068 was conducted. Log-binomial regression was used to compute a prevalence ratio measure of association. Among 1942 young women, the prevalence of TS among those with lower self-esteem was 4.7 times the prevalence of TS among those with higher self-esteem (p < 0.001). Findings provide support for the association between lower self-esteem and TS in this context and may inform intervention development.

URL

http://dx.doi.org/10.1007/s10461-019-02698-z

Reference Type

Journal Article

Year Published

2020

Journal Title

AIDS and Behavior

Author(s)

Giovenco, Danielle
Kahn, Kathleen
Hughes, James P.
MacPhail, Catherine Lorne
Wagner, Ryan G.
Pettifor, Audrey E.

Article Type

Regular

PMCID

PMC7226909

Data Set/Study

HIV Prevention Trials Network (HPTN)

Continent/Country

South Africa

Sex/Gender

Women

ORCiD

Pettifor - 0000-0002-3387-0817
Giovenco - 0000-0002-2137-5309