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Among 18-24-year-old young women who had sex prior to 18 (n = 982), those who ever engaged in transactional sex had 5.9 times [adjusted odds ratio (AOR); confidence interval (CI): 1.6\u201322.2] higher odds of having multiple sexual partners in the past year; 5.2 times (AOR; CI: 2.1\u201312.9) higher odds of infrequent condom use in the past year; 3.0 times (AOR; CI: 1.2\u20137.9) higher odds of hurting themselves intentionally; and 3.2 times (AOR; CI: 1.3\u20137.7) higher odds of having attitudes justifying spousal abuse than young women who never engaged in transactional sex. Interventions for transactional sex and HIV in Uganda should consider prioritizing prevention, harm-reduction and continued investment in adolescent girls\u2019 and young women\u2019s futures.<\/jats:p>","DOI":"10.1371\/journal.pone.0249064","type":"journal-article","created":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T20:14:54Z","timestamp":1616703294000},"page":"e0249064","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":23,"title":["Sexual risk behaviors, mental health outcomes and attitudes supportive of wife-beating associated with childhood transactional sex among adolescent girls and young women: Findings from the Uganda Violence Against Children Survey"],"prefix":"10.1371","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6893-0154","authenticated-orcid":true,"given":"Laura","family":"Chiang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashleigh","family":"Howard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Stoebenau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greta M.","family":"Massetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose","family":"Apondi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Hegle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mondo","family":"Kyatekka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Stamatakis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lydia","family":"Wasula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Aluzimbi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2021,3,25]]},"reference":[{"key":"pone.0249064.ref001","first-page":"1200","article-title":"Mapping HIV prevalence in sub-Saharan Africa between 2000 and 2017","volume":"15","author":"L Dwyer-Lindgren","year":"2019","journal-title":"Nature"},{"issue":"12","key":"pone.0249064.ref002","doi-asserted-by":"crossref","first-page":"e0208167","DOI":"10.1371\/journal.pone.0208167","article-title":"The DREAMS core package of interventions: A comprehensive approach to preventing HIV among adolescent girls and young women","volume":"13","author":"J Saul","year":"2018","journal-title":"PLoS One"},{"key":"pone.0249064.ref003","unstructured":"Joint Unite Nations Programme on HIV (UNAIDS). 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