Seeking a "Sponyo": Insights Into Motivations and Risks Around Intergenerational Transactional Sex Among Adolescent Boys and Girls in Kenya.
Seeking a "Sponyo": Insights Into Motivations and Risks Around Intergenerational Transactional Sex Among Adolescent Boys and Girls in Kenya.
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DOI：
10.1016/j.jadohealth.2020.09.027
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发表时间：
2021-05
影响因子：
7.6
通讯作者：
Hong-Ha M Truong
中科院分区：
文献类型：
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作者：
Zamudio-Haas, Sophia;Auerswald, Colette;Miller, Lara;Amboka, Sayo;Agot, Irene;Kadede, Kevin;Otieno, Beatrice;Odhiambo, Hannington;Odeny, Damaris;Onyango, John;Bukusi, Elizabeth A.;Hong-Ha M Truong
代际性交易（ITS）发生在撒哈拉以南非洲地区普遍贫困和就业机会有限的背景下。我们研究了青少年如何描述这些关系、为什么他们的同龄人参与 ITS，以及青少年的肩膀由此产生的影响。我们在肯尼亚基苏木的非正式定居点社区与 15 至 19 岁的男孩和女孩（N = 120）进行了 14 次焦点小组讨论。我们采用框架方法来指导数据分析。青少年将 ITS 关系中相对富裕的年长伴侣称为“赞助者”。事实证明，贫困是智能交通系统的主要驱动力。男孩和女孩注意到家庭和同伴通过赞助商提供“更好的生活”的压力，这些赞助商提供了三个层次的需求：紧急（食物）、紧急（学费）和物质（衣服）。青少年描述了多种风险，包括“无权”协商使用安全套。后果包括因社区耻辱而辍学、怀孕时的“遗弃”以及不安全堕胎。青少年面临着艰难的选择，是需要金钱来增加家庭收入，还是担保关系带来的不适和健康风险。由于贫困和脆弱性加剧，失学青少年和青少年母亲面临更大的赞助压力。结构性干预措施，例如取消学费，可以帮助减少青少年获得资助的必要性。我们的研究结果表明，需要更新学校和社区环境中的性健康和生殖健康咨询指南，公开讨论为什么 ITS 如此普遍，并与青少年进行减少风险的对话。
Intergenerational transactional sex (ITS) occurs in Sub-Saharan Africa within the context of widespread poverty and limited employment opportunities. We examined how adolescents describe these relationships, why their peers engage in ITS, and what repercussions adolescents’ shoulder as a result. We conducted 14 focus group discussions with boys and girls (N=120) ages 15–19 in informal settlement communities in Kisumu, Kenya. We employed a Framework Approach to guide data analysis. Adolescents referred to a relatively well-off older partner in ITS relationships as a ‘sponsor’. Poverty proved the main driver of ITS. Boys and girls noted family and peer pressure to have a ‘better life’ via sponsors who provided for three levels of need: urgent (food), critical (school fees), and material (clothes). Adolescents described multiple risks, including ‘no power’ to negotiate condom use. Repercussions included dropping out of school due to community stigma, ‘abandonment’ in the event of pregnancy, and unsafe abortions. Adolescents face the difficult choice between the need for money to contribute to their families’ income and the discomfort and health risks of a sponsor relationship. The pressure to have a sponsor was higher among out-of-school adolescents and adolescent mothers, due to heightened poverty and vulnerability. Structural interventions, such as eliminating school fees, could help reduce adolescents’ perceived need to acquire sponsors. Our findings suggest a need to update guidelines for sexual and reproductive health counseling in schools and community settings, to openly discuss why ITS is so commonplace and engage in risk reduction conversations with adolescents.
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影响因子：
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作者：
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通讯作者：
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DOI：
10.3390/ijerph15081682
发表时间：
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影响因子：
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发表时间：
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影响因子：
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作者：
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DOI：
10.1097/qai.0b013e31822f0d82
发表时间：
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影响因子：
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作者：
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通讯作者：
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