eprintid: 10161839 rev_number: 7 eprint_status: archive userid: 699 dir: disk0/10/16/18/39 datestamp: 2022-12-16 13:08:29 lastmod: 2022-12-16 13:08:29 status_changed: 2022-12-16 13:08:29 type: article metadata_visibility: show sword_depositor: 699 creators_name: Pichon, Marjorie creators_name: Howard-Merrill, Lottie creators_name: Wamoyi, Joyce creators_name: Buller, Ana Maria creators_name: Kyegombe, Nambusi title: A qualitative study exploring parent-daughter approaches for communicating about sex and transactional sex in Central Uganda: Implications for comprehensive sexuality education interventions ispublished: pub divisions: UCL divisions: B16 divisions: B14 divisions: J80 keywords: adolescent girls and young women, adolescent health, comprehensive sexuality education, parent-child communication, transactional sex, Uganda note: © 2022 The Authors. Journal of Adolescence published by Wiley Periodicals LLC on behalf of Foundation for Professionals in Services to Adolescents. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (http://creativecommons.org/licenses/by-nc-nd/4.0/). abstract: INTRODUCTION: Ugandan adolescent girls and young women are disproportionately impacted by human immunodeficiency virus, and this is largely driven by their engagement in transactional sex. Globally, parent–daughter communication about sex is associated with increased contraceptive use and delayed/decreased sexual activity, but research on parent–daughter communication about transactional sex is lacking. This paper elucidates local perspectives on, and experiences of parent–daughter communication about sex and transactional sex, to inform family-level comprehensive sexuality education interventions. METHODS: We conducted a secondary, thematic analysis of 13 focus group discussions (n = 119) and 30 in-depth interviews collected between 2014 and 2015 with adolescent girls and young women aged 14+, and men and women in Kampala and Masaka. RESULTS: We found that parents used three approaches to discuss sex and transactional sex with their daughters: (1) frightening their daughters into avoiding sex; (2) being “strict”; and (3) relying on mothers rather than fathers to “counsel” daughters. Mother–daughter communication about transactional sex was common, but frequently unidirectional. Adolescent girls and young women bringing home gifts sparked conversations about the risks of transactional sex, although less in poorer households. Mothers felt they lacked control over their daughters' sexual behaviors and thus restricted their movements and friendships to try to prevent them from having sex. In contrast to previous research, we found some evidence of mothers encouraging condom use and father–daughter communication about sex. CONCLUSIONS: Family-level comprehensive sexuality education interventions targeting parent–daughter communication about sex could further highlight the role that fathers might play, and emphasize communication about the inequitable power dynamics in transactional sex and condom negotiation skills, while reducing fear surrounding parent–daughter communication. date: 2022-08 date_type: published publisher: WILEY official_url: https://doi.org/10.1002/jad.12071 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1966531 doi: 10.1002/jad.12071 medium: Print-Electronic lyricists_name: Howard-Merrill, Lottie lyricists_id: LHOWA44 actors_name: Flynn, Bernadette actors_id: BFFLY94 actors_role: owner funding_acknowledgements: [Oak Foundation] full_text_status: public publication: Journal of Adolescence volume: 94 number: 6 pagerange: 880-891 pages: 12 event_location: England citation: Pichon, Marjorie; Howard-Merrill, Lottie; Wamoyi, Joyce; Buller, Ana Maria; Kyegombe, Nambusi; (2022) A qualitative study exploring parent-daughter approaches for communicating about sex and transactional sex in Central Uganda: Implications for comprehensive sexuality education interventions. Journal of Adolescence , 94 (6) pp. 880-891. 10.1002/jad.12071 <https://doi.org/10.1002/jad.12071>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10161839/1/Journal%20of%20Adolescence%20-%202022%20-%20Pichon%20-%20A%20qualitative%20study%20exploring%20parent%20daughter%20approaches%20for%20communicating%20about.pdf