Age-disparate sex and HIV risk in Tanzania and Uganda

Download a PDF of the presentation here

Age-disparate sex – when adolescent girls or young women (AGYW) have sex with men ten years or older than they are – is associated with increased risk of HIV for these young women. However, little is known about the dynamics of such relationships from the perspectives of those who engage in it or about the communities in which these relationships are embedded. 

In Tanzania and Uganda, STRIVE researchers have explored the motivations of age-disparate sexual relationships for both AGYW and older men, as well as the social and sexual and reproductive health consequences of these relationships, including risk of HIV. The qualitative research involved participatory focus group discussions and in-depth interviews with young people (age 14-24) and adults (age 25-49) in rural and urban areas.

In this Learning Lab, Joyce Wamoyi (National Institute for Medical Research in Mwanza, Tanzania) and Nambusi Kygombe (LSHTM) present the findings from the study, and highlight the implications for girls’ sexual and reproductive health interventions. 

About the presenters

Dr Joyce Wamoyi is a social and behavioural researcher with expertise in sexual and reproductive health including: adolescents and young people’s sexual and reproductive health behaviour; sexually transmitted infections & HIV/AIDS prevention and treatment uptake; gender and sexuality. She is currently a co-leader of the STRIVE transactional sex working group

Dr Nambusi Kyegombe is an interdisciplinary social scientist working in global health and development. Nambusi’s research focuses on adolescent girls and young women and their vulnerability to violence and HIV and the potential of social norms approaches to reduce adolescent vulnerability to transactional sex and sexual exploitation. She is a member of the Gender Violence and Health Centre at LSHTM and has been involved in the STRIVE SASA! Project in Uganda.


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