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Sexual risk-taking puts adolescent girls at risk for adverse health outcomes, including HIV\/AIDS. Caregivers\u2019 beliefs about adolescent sexual risk-taking have implications for how and when they would discuss this topic with their children. In this study, we conducted semi-structured in-depth interviews with 58 caregivers of adolescent girls to explore their perspectives on factors that influence adolescent girls\u2019 decisions to engage in sexual risk-taking in Uganda. We employed a thematic analysis approach, combining both inductive and deductive methods to analyze the data. A range of protective and risk factors was identified across personal, proximal, and distal contexts. At the personal level, future goals, concerns about negative health consequences, religiosity, temperament, and puberty were identified as contributing factors. At the proximal level, family and peer-related factors were mentioned. At the distal level, poverty and program counseling were discussed. Study results point to the need for combination interventions that include both caregivers and their daughters to reduce sexual risk-taking among adolescent girls in Uganda.<\/jats:p>","DOI":"10.1371\/journal.pone.0338724","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T18:26:18Z","timestamp":1766082378000},"page":"e0338724","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Caregivers\u2019 perspectives on factors influencing adolescent girls\u2019 engagement in sexual risk-taking in Uganda: A qualitative study"],"prefix":"10.1371","volume":"20","author":[{"given":"Ozge","family":"Sensoy Bahar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fred M.","family":"Ssewamala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavia","family":"Namuwonge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florence","family":"Namuli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Proscovia","family":"Nabunya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"ICHAD Field Team","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"key":"pone.0338724.ref001","doi-asserted-by":"crossref","DOI":"10.1007\/978-1-4419-1005-9_670","article-title":"Sexual Risk Behavior.","volume-title":"Encyclopedia of Behavioral Medicine","author":"T. Senn","year":"2013"},{"key":"pone.0338724.ref002","volume-title":"High-risk sexual behaviour","author":"W Blahd","year":"2020"},{"issue":"1","key":"pone.0338724.ref003","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1186\/s12978-022-01429-3","article-title":"Risky sexual behavior and associated factors among sexually-experienced adolescents in Bangkok, Thailand: findings from a school web-based survey","volume":"19","author":"Celyn","year":"2022","journal-title":"Reprod Health"},{"key":"pone.0338724.ref004","doi-asserted-by":"crossref","first-page":"35","DOI":"10.4324\/9780429046582-5","article-title":"Adolescent sexuality: negative outcomes of a normative behavior","volume-title":"Adolescents at Risk","author":"CE Irwin","year":"2021"},{"key":"pone.0338724.ref005","doi-asserted-by":"crossref","DOI":"10.4159\/9780674028845","volume-title":"The ecology of human development: Experiments by nature and design","author":"U Bronfenbrenner","year":"1979"},{"issue":"2","key":"pone.0338724.ref006","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1363\/3507209","article-title":"Role of parents in adolescent sexual activity and contraceptive use in four African countries","volume":"35","author":"A Biddlecom","year":"2009","journal-title":"Int Perspect Sex Reprod Health"},{"key":"pone.0338724.ref007","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12978-015-0069-9","article-title":"Influence of parental factors on adolescents\u2019 transition to first sexual intercourse in nairobi, kenya: a longitudinal study","volume":"12","author":"CC Okigbo","year":"2015","journal-title":"Reproductive Health"},{"issue":"5","key":"pone.0338724.ref008","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1007\/s10964-020-01211-3","article-title":"Neighborhood disorder, family functioning, and risky sexual behaviors in adolescence","volume":"49","author":"CA Orihuela","year":"2020","journal-title":"J 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adolescents\u2019 sexual risk behaviour in a migration-affected community","volume":"15","author":"FC Anyanwu","year":"2020","journal-title":"Int J Qual Stud Health Well-being"},{"issue":"2","key":"pone.0338724.ref015","first-page":"147","article-title":"Influences of family structure dynamics on sexual debut in Africa: implications for research, practice and policies in reproductive health and social development","volume":"16","author":"BK Defo","year":"2012","journal-title":"Afr J Reprod Health"},{"issue":"3","key":"pone.0338724.ref016","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1080\/17450128.2013.842027","article-title":"Family structure effects on early sexual debut among adolescent girls in Rakai, Uganda","volume":"9","author":"NA Pilgrim","year":"2014","journal-title":"Vulnerable Child Youth Stud"},{"issue":"10","key":"pone.0338724.ref017","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0206197","article-title":"The protective role of family structure 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Robert","year":"2022","journal-title":"Development"},{"key":"pone.0338724.ref026","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1186\/s12978-015-0099-3","article-title":"Perceptions and experiences of adolescents, parents and school administrators regarding adolescent-parent communication on sexual and reproductive health issues in urban and rural Uganda","volume":"12","author":"WW Muhwezi","year":"2015","journal-title":"Reprod Health"},{"issue":"1","key":"pone.0338724.ref027","doi-asserted-by":"crossref","first-page":"2129","DOI":"10.1186\/s12889-022-14561-3","article-title":"Level and comfort of caregiver-young adolescent communication on sexual and reproductive health: a cross-sectional survey in south-western Uganda","volume":"22","author":"C Akatukwasa","year":"2022","journal-title":"BMC Public Health"},{"key":"pone.0338724.ref028","unstructured":"UNAIDS. Global HIV & AIDS Statistics--Fact Sheet. https:\/\/www.unaids.org\/en\/resources\/fact-sheet. 2023."},{"key":"pone.0338724.ref029","unstructured":"Uganda Ministry of Health. Facts on HIV and AIDS in Uganda. https:\/\/uac.go.ug\/media\/attachments\/2021\/09\/13\/final-2021-hiv-aids-factsheet.pdf. 2021. Accessed 2023 October 2."},{"issue":"3","key":"pone.0338724.ref030","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.jadohealth.2022.04.008","article-title":"The short-term impact of a combination intervention on depressive symptoms among school-going adolescent girls in Southwestern Uganda: the suubi4her cluster randomized trial","volume":"71","author":"W Byansi","year":"2022","journal-title":"J Adolesc Health"},{"key":"pone.0338724.ref031","volume-title":"Beck depression inventory","author":"AT Beck","year":"1987"},{"key":"pone.0338724.ref032","doi-asserted-by":"crossref","DOI":"10.1016\/0147-1767(85)90062-8","volume-title":"Naturalistic inquiry","author":"YS Lincoln","year":"1985"},{"key":"pone.0338724.ref033","volume-title":"Basics Of Qualitative Research Techniques","author":"A Strauss","year":"1998","edition":"2"},{"issue":"1","key":"pone.0338724.ref034","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/S0277-9536(02)00017-5","article-title":"Unsafe 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hierarchical regression to examine the predictors of sexual risk-taking attitudes among adolescents living with human immunodeficiency virus in Uganda","volume":"73","author":"S Kizito","year":"2023","journal-title":"J Adolesc Health"},{"issue":"1","key":"pone.0338724.ref054","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/j.jadohealth.2023.08.006","article-title":"Peer Pressure and Risk-Taking Behaviors Among Adolescent Girls in a Region Impacted by HIV\/AIDS in Southwestern Uganda","volume":"74","author":"F Namuwonge","year":"2024","journal-title":"J Adolesc Health"},{"issue":"3","key":"pone.0338724.ref055","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1177\/0272431615602756","article-title":"Self-esteem and future orientation predict adolescents\u2019 risk engagement","volume":"37","author":"DM Jackman","year":"2016","journal-title":"The Journal of Early 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