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The Prevalence of Sexual Partner Concurrency Is Not Correlated with Markers of Poverty or Gender Inequality: An Ecological Analysis

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DOI: 10.4236/wja.2015.54035    4,187 Downloads   4,539 Views   Citations
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High rates of overlapping sexual relationships (concurrency) are believed to be important in the generation of generalized HIV epidemics in sub-Saharan Africa. Different authors favor socioeconomic, gender-equity or cultural explanations for the high concurrency rates in this region. We performed linear regression to analyze the association between the point-prevalence of concurrency in 15 - 49 years old males and various indicators of socioeconomic status and gender-equity using data from 11 countries surveyed in 1989/1990. We found no meaningful association between concurrency and the various markers of socioeconomic status and gender-equity. This analysis supports the findings of other studies that high concurrency rates in sub-Saharan Africa could be reduced without having to address socioeconomic and gender-equity factors.

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The authors declare no conflicts of interest.

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Kenyon, C. (2015) The Prevalence of Sexual Partner Concurrency Is Not Correlated with Markers of Poverty or Gender Inequality: An Ecological Analysis. World Journal of AIDS, 5, 322-327. doi: 10.4236/wja.2015.54035.


[1] Epstein, H. and Morris, M. (2011) Concurrent Partnerships and HIV: An Inconvenient Truth. Journal of the International AIDS Society, 14, 13.
[2] Kenyon, C. and Colebunders, R. (2012) Strong Association between Point-Concurrency and National Peak HIV Prevalence. International Journal of Infectious Diseases, 16, e826-e827.
[3] Mah, T.L. and Shelton, J.D. (2011) Concurrency Revisited: Increasing and Compelling Epidemiological Evidence. Journal of the International AIDS Society, 14, 33.
[4] Morris, M., Epstein, H. and Wawer, M. (2010) Timing Is Everything: International Variations in Historical Sexual Partnership Concurrency and HIV Prevalence. PLoS One, 5, e14092.
[5] Kenyon, C., Buyze, J. and Colebunders, R. (2013) HIV Prevalence by Race Co-Varies Closely with Concurrency and Number of Sex Partners in South Africa. PLoS One, 8, e64080.
[6] Lurie, M.N. and Rosenthal, S. (2010) Concurrent Partnerships as a Driver of the HIV Epidemic in Sub-Saharan Africa? The Evidence Is Limited. AIDS and Behavior, 14, 17-24; Discussion 25-18.
[7] Sawers, L. (2013) Measuring and Modelling Concurrency. Journal of the International AIDS Society, 16, 17431.
[8] Sawers, L. and Stillwaggon, E. (2010) Concurrent Sexual Partnerships Do Not Explain the HIV Epidemics in Africa: A Systematic Review of the Evidence. Journal of the International AIDS Society, 13, 34.
[9] Hunter, M. (2007) The Changing Political Economy of Sex in South Africa: The Significance of Unemployment and Inequalities to the Scale of the AIDS Pandemic. Social Science & Medicine, 64, 689-700.
[10] Jewkes, M.R (2010) Gender and Sexuality: Emerging Perspectives from the Heterosexual Epidemic in South Africa and Implications for HIV Risk and Prevention. Journal of the International AIDS Society, 13, 6.
[11] Leclerc-Madlala, S. (2009) Cultural Scripts for Multiple and Concurrent Partnerships in Southern Africa: Why HIV Prevention Needs Anthropology. Sexual Health, 6, 103-110.
[12] Halperin, D., Mugurungi, O., Hallett, T., Muchini, B., Campbell, B., et al. (2011) A Surprising Prevention Success: Why Did the HIV Epidemic Decline in Zimbabwe? PLoS Medicine, 8, e1000414.
[13] Kirby, D. (2008) Changes in Sexual Behaviour Leading to the Decline in the Prevalence of HIV in Uganda: Confirmation from Multiple Sources of Evidence. Sexually Transmitted Diseases, 84, ii35-ii41.
[14] Shisana, O. (2009) South African National HIV Prevalence, Incidence, Behaviour and Communication Survey, 2008: A Turning Tide among Teenagers? HSRC Press, Cape Town.
[15] Carael, M. (1995) Sexual Behaviour. In: Cleland, J.G. and Ferry, B., Eds., Sexual Behaviour and AIDS in the Developing World, Taylor & Francis, London, 89-103.
[16] Ferry, B., Deheneffe, J., Mamdani, M. and Ingham, R. (1995) Characteristics of Surveys and Data Quality. In: Cleland, J.G. and Ferry, B., Eds., Sexual Behaviour and AIDS in the Developing World, Taylor & Francis, London, 148-167.
[17] Leclerc-Madlala, S. (2003) Transactional Sex and the Pursuit of Modernity. Social Dynamics: A Journal of the Centre for African Studies University of Cape Town, 29, 213-233.
[18] UNDP (1990) Human Development Report 1990. Concept and Measurement of Human Development, United Nations Development Program, New York.
[19] UNDP (1995) Human Development Report 1995. United Nations Development Program, New York.
[20] Jewkes, R., Dunkle, K., Nduna, M. and Shai, N. (2010) Intimate Partner Violence, Relationship Power Inequity, and Incidence of HIV Infection in Young Women in South Africa: A Cohort Study. The Lancet, 376, 41-48.
[21] Shetty, N. and Shetty, P. (2003) Epidemiology of Disease in the Tropics. In: Cook, G.C. and Zumla, A., Eds., Manson’s Tropical Diseases, 21st Edition, Saunders, London, 19-31.
[22] Kenyon, C., Boulle, A., Badri, M. and Asselman, V. (2010) I Don’t Use a Condom (with My Regular Partner) Because I Know That I’m Faithful, but with Everyone Else I Do: The Cultural and Socioeconomic Determinants of Sexual Partner Concurrency in Young South Africans. Journal of Social Aspects of HIV/AIDS, 7, 35-43.
[23] Mishra, V. and Bignami-Van Assche, S. (2009) Concurrent Sexual Partnerships and HIV Infection: Evidence from National Population-Based Surveys. DHS Working Papers.
[24] Kenyon, C.R., Osbak, K., Buyze, J., Johnson, S. and van Lankveld, J. (2015) Variations of Sexual Scripts Relating to Concurrency by Race, Class, and Gender in South Africa. Journal of Sex Research, 52, 878-886.

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