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This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Young people in Sub-Saharan Africa are affected by HIV pandemic to a greater extent than elsewhere.

Transactional sex among adolescent school girls with older men commonly called “sugar daddies” is one of the major factors fueling the spread of the infection due to the extended sexual network.

Thus, this study aimed to assess the magnitude and factors associated with transactional sex among adolescent girls and “sugar daddies” in relation to HIV/AIDS. Mixed method cross-sectional study was done among 620 female students in Hawassa town, South Ethiopia, from September 2010 to May 2011.

A structured questionnaire and in-depth interview check list were used to collect the quantitative and qualitative data, respectively.

Most of the respondents who dated “sugar daddies” (93%) had multiple sexual partners concurrently and sequentially, and among them, only 22.7% had consistent condom use.

The extent of practicing in sexual relation between young females and “sugar daddies” is more prevalent in urban than rural areas [16, 17].

The higher risk of HIV infection among young girls can go beyond them due to sexual networking that makes the whole generation vulnerable [18].

The town is one of the most popular resort areas in Ethiopia visited by many foreigners and national tourists.

Study populations of the quantitative data were preparatory students (grade 11-12) from five randomly selected schools in Hawassa town in 2010/11 academic year.

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The sample size was calculated using single population proportion formula with assumptions of 95% level of confidence, 5% margin of error, and 25% proportion of TS with “sugar daddies” [20].

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