The Association of Food Security Status with Transactional Sex Engagement Among Female Adolescents Aged 15–24: Evidence from Cameroon.

Transactional sex has been identified as a risk factor for HIV acquisition. While studies have investigated the various factors associated with transactional sex among women, its association with food security status in sub-Saharan African countries remains largely unexplored. To address this gap, w...

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Published in:Archives of Sexual Behavior Vol. 54; no. 6; pp. 2085 - 2094
Main Authors: Dhillon, Satveer, Antabe, Roger, Amoak, Daniel, Sano, Yujiro
Format: Article
Published: Springer Nature Jun2025
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Jun2025
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      pub: Springer Nature
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        10.1007/s10508-025-03168-5
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        atl: The Association of Food Security Status with Transactional Sex Engagement Among Female Adolescents Aged 15–24: Evidence from Cameroon.
      aug:
        au:
          Dhillon, Satveer
          Antabe, Roger
          Amoak, Daniel
          Sano, Yujiro
        affil:
          https://ror.org/02grkyz14 Department of Geography and Environment, Western University, 1151 Richmond St., N6A 5C2, London, ON, Canada
          https://ror.org/03dbr7087 Department of Health and Society, University of Toronto Scarborough, Toronto, ON, Canada
          https://ror.org/05k14ba46 Department of Sociology and Anthropology, Nipissing University, North Bay, ON, Canada
      su:
        Cameroon
        Sub-Saharan Africa
        Food security
        Transactional sex
        Human sexuality
        Single women's sexual behavior
        Teenage girls
        Health surveys
      sug:
        subj:
          Food security
          Transactional sex
          Human sexuality
          Single women's sexual behavior
          Teenage girls
          Cameroon
          Sub-Saharan Africa
          Health surveys
      keyword:
        Adolescent girls and young women
        Cameroon Demographic and Health Survey
        Food security status
        HIV
        Medical and Health Sciences Public Health and Health Services
        Adolescent girls and young women
        Cameroon Demographic and Health Survey
        Food security status
        HIV
        Medical and Health Sciences Public Health and Health Services
      ab: Transactional sex has been identified as a risk factor for HIV acquisition. While studies have investigated the various factors associated with transactional sex among women, its association with food security status in sub-Saharan African countries remains largely unexplored. To address this gap, we utilized data from the 2018 Cameroon Demographic and Health Survey and applied multivariate logit models to examine the relationship between food security status and engagement in transactional sex among unmarried adolescent girls and young women in Cameroon. Our results indicated that unmarried adolescent girls and young women (aged 15–24 years) experiencing moderate (OR = 3.00, p < 0.001, 95% CI = 1.66, 5.42) and severe (OR = 3.33, p < 0.001, 95% CI = 1.82, 6.11) food insecurity were more likely to engage in transactional sex in the previous 12 months before the DHS survey was conducted, compared to those without any experience of food insecurity. Based on these findings, we propose several implications for policymakers and offer directions for future research.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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