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乌干达中部社区对交易性行为在何种程度上被视为性剥削的看法。

Community perspectives on the extent to which transactional sex is viewed as sexual exploitation in Central Uganda.

机构信息

Department of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.

Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.

出版信息

BMC Int Health Hum Rights. 2020 May 1;20(1):11. doi: 10.1186/s12914-020-00228-w.


DOI:10.1186/s12914-020-00228-w
PMID:32354329
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7193338/
Abstract

BACKGROUND: Definitions of child sexual exploitation vary. Sexual exploitation violates children's rights and exposes them to mental and physical harm. There exist differences in views of behaviour that is considered exploitative, including transactional sex. This paper explores community perspectives on the extent to which transactional sex is considered exploitative. METHODS: In 2014, we conducted 19 focus group discussions and 44 in-depth interviews with young people and adults in two communities in Uganda. Participants were presented with vignettes describing sexual encounters between adolescent girls and young women and men to explore under what conditions participants considered the scenario to be exploitative and why. Interviews were conducted in Luganda using a semi-structured tool, audio recorded and transcribed verbatim. Analysis was thematic and complemented by constant comparison and deviant case analysis techniques. RESULTS: Definitions by multilateral, bilateral, and non-governmental organisations of the sexual exploitation of children shared similarities with community conceptualisations of wrong or unfair sex. Although in community conceptualisations there was no consensus on what constituted sexual exploitation, transactional sex was condemned to the extent to which it involved sex with a minor or misled a naïve or immature girl; involved lack of consent, particularly in relationships characterised by power differentials; or worsened the pre-existing status of the girl. Also relevant was the extent to which a man's intentions were considered inappropriate; the adolescent girl or young woman was considered vulnerable; and the adolescent girl or young woman was considered responsible for 'her situation'. CONCLUSIONS: Existing social norms that condemn sex with a minor or sex that involves deception, sexual coercion or misleading an immature girl, present opportunities to mobilise communities to protect adolescent girls and young women at risk. Any intervention must, however, be designed with full cognisance of the social and structural drivers that underlie transactional sex and limit adolescent girls' and young women's opportunities to provide for themselves without recourse to sexual relationships with men. Interventions must also be designed to recognise that girls in transactional sex relationships may not consider themselves as exploited, thus requiring engagement with them based on their own concerns, aspirations, and expectations.

摘要

背景:儿童性剥削的定义各不相同。性剥削侵犯了儿童的权利,使他们面临身心伤害。对于被认为具有剥削性的行为,包括交易性性行为,存在不同的看法。本文探讨了社区对交易性性行为在多大程度上被认为具有剥削性的看法。

方法:2014 年,我们在乌干达的两个社区进行了 19 次焦点小组讨论和 44 次深入访谈,参与者被介绍了一些描述青少年女孩和年轻女性与男性之间性接触的情景,以探讨在什么情况下参与者认为这种情景具有剥削性,以及原因。访谈以卢干达语进行,使用半结构化工具,录音并逐字记录。分析采用主题方法,并辅以恒比比较和异常案例分析技术。

结果:多边、双边和非政府组织对儿童性剥削的定义与社区对错误或不公平性行为的概念化有相似之处。尽管在社区概念化中,对于什么构成性剥削没有共识,但交易性性行为在以下情况下受到谴责:涉及与未成年人发生性关系,或误导天真或不成熟的女孩;涉及缺乏同意,特别是在权力差异较大的关系中;或恶化女孩的现有地位。同样相关的是,男人的意图被认为是不适当的程度;青少年女孩或年轻妇女被认为是脆弱的;以及青少年女孩或年轻妇女被认为对“她的处境”负责。

结论:现有的社会规范谴责与未成年人发生性关系或涉及欺骗、性胁迫或误导不成熟女孩的性行为,为动员社区保护处于危险中的青少年女孩和年轻妇女提供了机会。然而,任何干预措施都必须充分认识到交易性性行为背后的社会和结构驱动因素,这些因素限制了青少年女孩和年轻妇女在不依赖与男性性关系的情况下为自己提供生活所需的机会。干预措施还必须设计为承认处于交易性性关系中的女孩可能不认为自己受到剥削,因此需要根据她们自己的关注、愿望和期望与她们接触。

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[2]
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本文引用的文献

[1]
Sexual health of adolescent girls and young women in Central Uganda: exploring perceived coercive aspects of transactional sex.

Sex Reprod Health Matters. 2020-12

[2]
Is transactional sex exploitative? A social norms perspective, with implications for interventions with adolescent girls and young women in Tanzania.

PLoS One. 2019-4-2

[3]
Proposing a Conceptual Framework to Address Social Norms That Influence Adolescent Sexual and Reproductive Health.

J Adolesc Health. 2019-4

[4]
"Eat and you will be eaten": a qualitative study exploring costs and benefits of age-disparate sexual relationships in Tanzania and Uganda: implications for girls' sexual and reproductive health interventions.

Reprod Health. 2018-12-13

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Constrained relationship agency as the risk factor for intimate partner violence in different models of transactional sex.

Afr J AIDS Res. 2017-12

[6]
Transactional sex and risk for HIV infection in sub-Saharan Africa: a systematic review and meta-analysis.

J Int AIDS Soc. 2016-11-2

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Revisiting the understanding of "transactional sex" in sub-Saharan Africa: A review and synthesis of the literature.

Soc Sci Med. 2016-11

[8]
Transactional sex among young women in rural South Africa: prevalence, mediators and association with HIV infection.

J Int AIDS Soc. 2016-7-27

[9]
The feminine ideal and transactional sex: Navigating respectability and risk in Swaziland.

Soc Sci Med. 2016-6

[10]
Transactional sex and HIV risks - evidence from a cross-sectional national survey among young people in Uganda.

Glob Health Action. 2015-5-21

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