AIDS Care. 2025 Nov 6:1-9. doi: 10.1080/09540121.2025.2580401. Online ahead of print.
ABSTRACT
Transactional sexual relationships are a key driver of adverse sexual and reproductive health outcomes among adolescent girls and young women (AGYW) in South Africa. A prominent subtype, the “Blessed” relationship, involves older, relatively wealthier men (Blessers) who exchange material support for sexual relationships. While motivations within these partnerships have been studied, limited attention has been paid to the structural and economic factors shaping AGYW’s engagement in such relationships. This study explored the socio-economic conditions influencing involvement with Blessers, amongst 5025 AGYW, aged 15-24, across eight South African provinces in 2024. Key socio-economic indicators included household wealth, food insecurity, education, employment, and orphanhood. AGYW from the wealthiest households were significantly less likely to report involvement with a Blesser than those from the poorest households, underscoring the role of poverty in shaping transactional partnerships. Food insecurity further amplified vulnerability, with participants who reported going without food multiple times, substantially more likely to have a Blesser. Education appeared protective: school attendance and completion of secondary education were both associated with a reduced likelihood of involvement with a Blesser. Findings underscore the role of structural inequality, poverty, and disrupted education in shaping AGYW’s relationship choices.
PMID:41196570 | DOI:10.1080/09540121.2025.2580401
