卢旺达中学女生的粮食不安全与易性交易行为。
Food Insecurity and Engagement in Transactional Sex Among Female Secondary Students in Rwanda.
机构信息
Division of Epidemiology, School of Public Health, University of California, Berkeley, Berkeley, USA.
African Population and Health Research Center, Nairobi, Kenya.
出版信息
AIDS Behav. 2024 Jan;28(1):135-140. doi: 10.1007/s10461-023-04173-2. Epub 2023 Oct 4.
The relationship between food insecurity and transactional sex is well recognized, but less is known about this relationship among adolescents. We analyzed cross-sectional baseline data from 3,130 female secondary students aged 12-19 enrolled in a three-arm, cluster randomized controlled trial to examine the association between food insecurity and transactional sex. The explanatory variable was food security and the outcome was ever engaging in transactional sex. Over one quarter (28.7%) reported any food insecurity and 1.9% of all participants (9.6% of sexually active participants) reported ever engaging in transactional sex. In adjusted models, ever experiencing any food insecurity was associated with a higher prevalence of ever transactional sex (PR: 1.60; 95% CI: 1.02, 2.49) compared to little to no food insecurity. These results provide insight into potential predictors of higher-risk sexual behavior in Rwanda; they also provide policy-makers with populations with whom to intervene on upstream determinants of transactional sex, notably poverty and food insecurity.
食物不安全与易性交易之间的关系已得到充分认识，但人们对青少年群体中这种关系的了解较少。我们分析了一项三臂、整群随机对照试验中 3130 名 12-19 岁女性中学生的横断面基线数据，以检验食物不安全与易性交易之间的关联。解释变量为食物安全，结果变量为曾经发生过易性交易。超过四分之一（28.7%）的人报告存在任何食物不安全，所有参与者中有 1.9%（性活跃参与者中有 9.6%）报告曾经发生过易性交易。在调整后的模型中，与几乎没有食物不安全相比，曾经经历过任何食物不安全与曾经发生过易性交易的更高流行率相关（PR：1.60；95%CI：1.02，2.49）。这些结果深入了解了卢旺达更高风险性行为的潜在预测因素；它们还为决策者提供了与易性交易的上游决定因素（尤其是贫困和食物不安全）进行干预的人群。
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