Age and economic asymmetries in the sexual relationships of adolescent girls in sub-Saharan Africa

This literature review assesses the extent of age Mixing and economic transactions in the sexual relationships of adolescent girls in sub-Saharan Africa and the behavioral dynamics of girls and men involved in these partnerships. The examination of more than 45 quantitative and qudlitative studies finds that relationships with older partners and those that involve economic transactions are common and that these asymmetries are associated with ansafe sexual behaviors and increased risk of HIV infection. Although the reasons that adolesent girls engage in sexual relationships with older men are varied, receipt of financial benefits is a major motivation. The literature represents evidence that girls have considerable negotiating power over certain aspects of sexual relationships with older men, including partnerships formation and continuation; however, they have little control over sexual practices within partnerships, including condom use and violence. The review discusses directions for further research and the implications of current knowledge for future interventions.