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Men’s understanding of three different measures of transactional sex

A cognitive interview study among men in Rakai, Uganda

Dados Bibliográficos

ID23310682
AutoresHolly Nishimura (0000-0001-6572-5473, Johns Hopkins University, autor correspondente), Neema Nakyanjo (0000-0002-1908-7957, Rakai Health Sciences Program), Margaret W Gichane (0000-0001-8499-154X, University of California, San Francisco), William G Ddaaki (0000-0002-2395-7003, Rakai Health Sciences Program), Anne C Kiyingi (Rakai Health Sciences Program), Emmanuel Mukwana (Rakai Health Sciences Program), Fred Nalugoda (0000-0001-6119-9293, Rakai Health Sciences Program), Charles Ssekyewa (0000-0003-2240-4105, Rakai Health Sciences Program), Julie A Denison (0000-0002-4670-093X, Johns Hopkins University), M Kate Grabowski (0000-0002-4451-3436, Johns Hopkins University), Joseph Kagaayi (0000-0003-4101-3038, Rakai Health Sciences Program), Caitlin E Kennedy (0000-0001-6820-063X, Johns Hopkins University)
Ano2026
Páginas1-14
Data de publicação2026-07-29
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCulture Health & Sexuality (JOURNAL)
Identificadores do periódicoISSN: 1369-1058 • E-ISSN: 1464-5351
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2026.2692716
PMID42522565
OpenAlexW7171676468
IdiomaEN
Referências citadas36

Lack of valid and reliable measures and inconsistent transactional sex measurement has resulted in poor understanding of the practice, particularly among men. To improve transactional sex measurement and facilitate comparison across studies, we examined how men comprehend and respond to three common transactional sex measures. Cognitive interviews were conducted with 25 sexually active adult men in Rakai, Uganda and data were thematically analysed. Most men responded affirmatively to the three transactional sex measures, but there was variation in responses across measures. The two measures that assessed relationship motivation and gendered norms of material provision for sex showed better comprehension and consistency than the measure without these components. For these two measures, a substantial proportion of men answered "yes", but justified their answer by describing general expectations that men provide for their partners, rather than describing material exchange in a specific relationship, which was not what the measures intended capture. A measure developed by Wamoyi and colleagues appeared to most accurately measure transactional sex. Our findings support future measures that include a clear statement of motivation and account for gendered norms of giving and receiving. Given this heterogeneity in measurement, our study enhances understanding of common transactional sex measures.

Cognition · Comprehension · Consistency (knowledge bases) · Measure (data warehouse) · Transactional analysis · Transactional leadership · Transactional sex · Adolescent Sexual and Reproductive Health · Sexual function and dysfunction studies · Sexuality, Behavior, and Technology

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