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Adolescent pregnancy has been linked to adverse outcomes for mothers and children. Most studies proposing potential risk pathways for adolescent pregnancy in South Africa are qualitative, hypothesizing links among age-disparate relationships, reduced condom use and higher pregnancy rates. No known South African studies have quantitatively explored pathways to adolescent pregnancy. This study aimed to: i identify which literature-hypothesized factors were associated with adolescent pregnancy and ii explore a hypothesized pathway of risk by assessing whether condom use mediated the relationship between age-disparate sexual relationships defined as having ever had a sexual partner more than 5 years older than participants and adolescent pregnancy. A cross-sectional survey in six urban and rural health districts of three South African provinces.
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Existing research illustrates that the motivations for transactional sex are complex. We use a mixed-methods approach to explore the relationship between transactional sex and consumption patterns among young women in rural Mpumalanga province, South Africa. In the secondary analysis of sexually active young women, we use factor analysis to group the different consumption items and we use multivariable logistic regression to demonstrate the relationship between transactional sex and consumption patterns. The quantitative results show that young women that engage in transactional sex have higher odds of consuming items for entertainment e. However, young women seem aware of the risks associated with such relationships.
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