Giving or Receiving Something for Sex: A Cross-Sectional Study of Transactional Sex

Objective: This study sought to determine the prevalence of transactional sex among university students in Uganda and to assess the possible relationship between transactional sex and sexual coercion, physical violence, mental health, and alcohol use. Methods: In 2010, 1954 undergraduate students at a Ugandan university responded to a self-administered questionnaire that assessed mental health, substance use, physical violence and sexual behaviors including sexual coercion and transactional sex. The prevalence of transactional sex was assessed and logistic regression analysis was performed to measure the associations between various risk factors and reporting transactional sex. Results: Approximately 25% of the study sample reported having taken part in transactional sex, with more women reporting having accepted money, gifts or some compensation for sex, while more men reporting having paid, given a gift or otherwise compensated for sex. Sexual coercion in men and women was significantly associated with having accepted money, gifts or some compensation for sex. Men who were victims of physical violence in the last 12 months had higher probability of having accepted money, gifts or some compensation for sex than other men. Women who were victims of sexual coercion reported greater likelihood of having paid, given a gift or otherwise compensated for sex. Respondents who had been victims of physical violence in last 12 months, engaged in heavy episodic drinking and had poor mental health status were more likely to have paid, given a gift or otherwise compensated for sex. Conclusions: University students in Uganda are at high risk of transactional sex. Young men and women may be equally vulnerable to the risks and consequences of transactional sex and should be included in program initiatives to prevent transactional sex. The role of sexual coercion, physical violence, mental health, and alcohol use should be considered when designing interventions for countering transactional sex. Citation: Choudhry V, Östergren P-O, Ambresin A-E, Kyagaba E, Agardh A (2014) Giving or Receiving Something for Sex: A Cross-Sectional Study of Transactional Sex among Ugandan University Students. PLoS ONE 9(11): e112431. doi:10.1371/journal.pone.0112431 Editor: Matt A. Price, International AIDS Vaccine Initiative, United States of America Received April 23, 2014; Accepted October 3, 2014; Published November 11, 2014 Copyright: 2014 Choudhry et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability: The authors confirm that, for approved reasons, some access restrictions apply to the data underlying the findings. Data cannot be made available due to ethical restrictions. Data are available upon request from Anette Agardh ([email protected]). Funding: This study was supported by grants from the Swedish International Development Cooperation Agency (http://www.sida.se/english/), project grant number SWE-2004-200A. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing Interests: The authors have declared that no competing interests exist. * Email: [email protected]