Abstract
Transactional sexual relationships (TSRs) are of concern because of the negative health outcomes associated with the practice. Lack of condom use and multiple concurrent partnerships increase the r...
Highlights
Transactional sex is a practice whereby money and/or goods are exchanged for sexual intercourse (Dunkle et al, 2004, 2007; Dunkle, Wingood, Camp, & DiClemente, 2010)
A further 96.23% do not believe it is acceptable to have more than one sexual partner, while just over half (52.02%) did not use a condom at last sexual intercourse
98.41% of the female respondents have at least one child. Of those who engage in transactional sexual relationships (TSRs), 92.40% are 15–19 years old, 75.49% do not live with parents, and 66% agree that it is acceptable to have more than one sexual partner
Summary
Transactional sex is a practice whereby money and/or goods are exchanged for sexual intercourse (Dunkle et al, 2004, 2007; Dunkle, Wingood, Camp, & DiClemente, 2010). Associated with lack of condom use, transactional sex is known to increase the risk of sexually transmitted infections (STI), including HIV/AIDS and unintended pregnancies (Dunkle et al, 2004; Leclerc-Madlala, 2003; Luke & Kurz, 2002). The reason for this is that youth who are receiving money or goods in exchange for sexual intercourse are unable to negotiate condom use for fear of not receiving the negotiated goods (Mwaba, Simbayi, & Kalichman, 2015; Pettifor et al, 2017). This means that when children are added to the model, the odds of TSR, which is already likely, increases
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