Age and economic asymmetries in the sexual relationships of adolescent girls in sub-Saharan Africa

Age and economic asymmetries in the sexual relationships of adolescent girls in sub-Saharan Africa
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DOI:
10.1111/j.1728-4465.2003.00067.x
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发表时间:
2003-06-01
影响因子:
2.1
通讯作者:
Luke, N
Luke, N
中科院分区:
医学2区
文献类型:
--
作者:
Luke, N

文献摘要

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这篇文献综述评估了撒哈拉以南非洲少女性关系中的年龄混合和经济交易的程度,以及参与这些伙伴关系的女孩和男子的行为动态。对超过45项定量和定性研究的审查发现,与老年伴侣的关系和涉及经济交易的关系很常见,这些不对称与不安全的性行为和艾滋病毒感染风险增加有关。尽管自愿女孩与年长男子发生性关系的原因多种多样,但获得经济利益是一个主要动机。文献表明,女孩在与老年男子的性关系的某些方面,包括伙伴关系的形成和延续方面,有相当大的谈判能力;但是,她们对伙伴关系中的性行为,包括使用避孕套和暴力行为,几乎没有控制权。该审查讨论了进一步研究的方向和现有知识对未来干预措施的影响。
This literature review assesses the extent of age Mixing and economic transactions in the sexual relationships of adolescent girls in sub-Saharan Africa and the behavioral dynamics of girls and men involved in these partnerships. The examination of more than 45 quantitative and qudlitative studies finds that relationships with older partners and those that involve economic transactions are common and that these asymmetries are associated with ansafe sexual behaviors and increased risk of HIV infection. Although the reasons that adolesent girls engage in sexual relationships with older men are varied, receipt of financial benefits is a major motivation. The literature represents evidence that girls have considerable negotiating power over certain aspects of sexual relationships with older men, including partnerships formation and continuation; however, they have little control over sexual practices within partnerships, including condom use and violence. The review discusses directions for further research and the implications of current knowledge for future interventions.