Concurrent sexual partnerships and sexually transmitted diseases among African men in Cape Town, South Africa

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dc.creatorMaughan-Brown, Brendan
dc.date2012-12-03T12:07:04Z
dc.date2012-12-03T12:07:04Z
dc.date2011-11
dc.date.accessioned2015-05-28T10:05:06Z
dc.date.available2015-05-28T10:05:06Z
dc.date.issued2015-05-28
dc.descriptionBackground: Most studies that assess the relationship between concurrent sexual partnerships and sexually transmitted diseases (STDs) use dichotomous measures of whether concurrency was reported or not. However, different forms of concurrency have different degrees of associated risk for disease transmission, and this should be considered. This paper examines variation in both partner concurrency and individual concurrency among African men in Cape Town, South Africa, and assesses the relationship between different types of concurrent partnerships and STDs.Methods: Longitudinal data from sexual partner history tables were used to form measures of concurrency, and the type of partner (main vs. non-main) and degree of condom use (consistent vs. inconsistent) associated with these concurrent relationships. Cross-sectional data from a self-administered module were also employed to assess the number of partners men had had concurrently and duration of individual concurrency. The association between the concurrency measures and self-reported STD status was assessed using probit regression models.Results: Substantial differences between concurrent sexual partnerships were observed and these variations were associated with different disease risk. Men had a significantly greater chance of having an STD when partner concurrency was associated with main partners and inconsistent condom-use, and when individual concurrency involved a greater number of partners concurrently and long-term partnerships.Conclusion: Partnership dynamics must be taken into account in studies assessing the role of concurrency in STD transmission and in STD prevention programs. Reducing concurrency (either in terms of number of partners or duration) and/or encouraging consistent condom use in concurrent partnerships would help reduce STD infections.
dc.identifierhttp://hdl.handle.net/11090/55
dc.identifier.ris TY - Report DA - 2015-05-28 DB - OpenUCT DP - University of Cape Town KW - Health KW - Concurrency KW - Sex KW - STD KW - Cape Town KW - Concurrent partnerships LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 T1 - Concurrent sexual partnerships and sexually transmitted diseases among African men in Cape Town, South Africa TI - Concurrent sexual partnerships and sexually transmitted diseases among African men in Cape Town, South Africa UR - http://hdl.handle.net/11090/55 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11090/55
dc.language.isoeng
dc.publisherSouthern Africa Labour and Development Research Unit
dc.publisher.departmentSALDRUen_ZA
dc.publisher.facultyFaculty of Commerceen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subjectHealth
dc.subjectConcurrency
dc.subjectSex
dc.subjectSTD
dc.subjectCape Town
dc.subjectConcurrent partnerships
dc.titleConcurrent sexual partnerships and sexually transmitted diseases among African men in Cape Town, South Africa
dc.typeReport
uct.type.publicationResearchen_ZA
uct.type.resourceSALDRU Reporten_ZA
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