WORKING PAPER 08/225
Title:
Concurrent Sexual Partnerships and
HIV Transmission in Khayelitsha, South
Africa
Author(s): Timothy Mah
Date of Publication: August 2008
Price: R 5.00
Abstract
Concurrent partnerships – two or more partnerships that overlap in time – play
a critical role in HIV transmission dynamics. By better understanding the
epidemiological and socio-cultural role of multiple concurrent partnerships,
primary behavior change approaches to HIV prevention can be more effective
and appropriately targeted in sexually-transmitted, generalized epidemics such
as in South Africa. This paper contributes to the growing body of knowledge
about the role that concurrent sexual partnerships play as a risk factor for HIV
infection. The first section reviews the literature on concurrent partnerships.
The second section presents data on the frequency of concurrent sexual
partnerships and correlates of such partnerships using a representative sample
of adults in Khayelitsha. The analysis found that 17% of adults in married or
regular partnerships reported concurrency, with men reporting significantly
more concurrency. Engaging in concurrency was correlated with being less
religious and with knowledge that your primary partner also had concurrent
partners.
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