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Interviews were audio-recorded, transcribed, and analyzed using analytic memos and coding with constant comparison techniques.

The data revealed that in a setting of high levels of addiction and poverty, sex was an important commodity for acquiring methamphetamine.

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The prevalence of online sex-seeking was high, with 39.4% (209/530) of MSM in Lesotho and 43.8% (141/322) of MSM in Swaziland reporting meeting a new male sexual partner online.

In the multivariable analysis, younger age (adjusted odds ratio [a OR] 0.37, 95% confidence interval [CI] 0.27-0.50 per 5 years in Lesotho; a OR 0.68, 95% CI 0.49-0.93 in Swaziland), having more than a high school education (a OR 18.2, 95% CI 7.09-46.62 in Lesotho; a OR 4.23, 95% CI 2.07-8.63 in Swaziland), feeling scared to walk around in public places (a OR 1.89, 95% CI 1.00-3.56 in Lesotho; a OR 2.06, 95% CI 1.23-3.46 in Swaziland), and higher numbers of male anal sex partners within the past 12 months (a OR 1.27, 95% CI 1.01-1.59 per 5 partners in Lesotho; a OR 2.98, 95% CI 1.51-5.89 in Swaziland) were significantly associated with meeting sex partners online in both countries.

However, few studies have examined the correlates of online sexual partner seeking among MSM in sub-Saharan Africa.

Worldwide, a quarter of all new HIV infections are of women aged between 15 and 24.

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Individual in-depth interviews were conducted with 30 active methamphetamine users (17 men and 13 women) recruited from the community.

Interviews were conducted in local languages using a semi-structured guide that included questions on sex trading experiences and perceptions of sex trading among methamphetamine users.

The vast majority of these young women live in sub-Saharan Africa, where six out of every 10 people living with HIV are women.

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