Dorina Onoya1, Khangelani Zuma2, Nompumelelo Zungu3, Olive Shisana4, Vuyelwa Mehlomakhulu1. 1. HIV/AIDS, STI and TB Program, Human Sciences Research Council, 13th Floor, Plein Park Building, 69-83 Plein Street, Cape Town 8000, South Africa. 2. Research Methodology Centre (RMC) Human Sciences Research Council, 134 Pretorius street, Pretoria, 0001, South Africa. 3. Office of the CEO, Human Sciences Research Council, 134 Pretorius street, Pretoria, 0001, South Africa. 4. Office of the CEO, Human Sciences Research Council, 134 Pretorius street, Pretoria, 0001, South Africa University of Cape Town, Private bag X3, Rondebosch, Cape Town, 7701, South Africa.
Abstract
BACKGROUND: This paper aims to examine determinants of multiple sexual partnerships (MSPs) among South African men and women using a nationally representative sample. METHODS: Quantitative and qualitative data from a 2008 population-based cross-sectional survey were used. The analysis focused on the 6990 (33.6% of total sample) who were 15 years and older and reported sexual activity in the prior 12 months. The qualitative component consisted of 15 focus group interviews investigating values underlying MSP behaviors. RESULTS: Predictors of MSP common across gender were race, having a history of STI, being in a short relationships (<1 year) and suspecting the current partner of infidelity. MSP among men enjoyed greater community acceptance and was mainly done for social status. Furthermore, men reporting MSP were mostly younger (15-24 years old) and use condom at last sex. Among women, determinants of MSP included economic vulnerability, younger age at sexual debut and living in formal urban rather than formal rural areas. CONCLUSIONS: The data presented in this paper reinforces the importance of MSP as a risk factor for HIV and outline factors that should strongly be considered in strengthening condom use promotion and of partner reduction programs messaging in South Africa.
BACKGROUND: This paper aims to examine determinants of multiple sexual partnerships (MSPs) among South African men and women using a nationally representative sample. METHODS: Quantitative and qualitative data from a 2008 population-based cross-sectional survey were used. The analysis focused on the 6990 (33.6% of total sample) who were 15 years and older and reported sexual activity in the prior 12 months. The qualitative component consisted of 15 focus group interviews investigating values underlying MSP behaviors. RESULTS: Predictors of MSP common across gender were race, having a history of STI, being in a short relationships (<1 year) and suspecting the current partner of infidelity. MSP among men enjoyed greater community acceptance and was mainly done for social status. Furthermore, men reporting MSP were mostly younger (15-24 years old) and use condom at last sex. Among women, determinants of MSP included economic vulnerability, younger age at sexual debut and living in formal urban rather than formal rural areas. CONCLUSIONS: The data presented in this paper reinforces the importance of MSP as a risk factor for HIV and outline factors that should strongly be considered in strengthening condom use promotion and of partner reduction programs messaging in South Africa.
Authors: Thabang Manyaapelo; Bart Van den Borne; Robert A C Ruiter; Sibusiso Sifunda; Priscilla Reddy Journal: Int J Environ Res Public Health Date: 2019-05-31 Impact factor: 3.390
Authors: Lucie Cluver; William E Rudgard; Elona Toska; Mark Orkin; Mona Ibrahim; Nontokozo Langwenya; Caroline Kuo; Nonhlanhla Xaba; Kai Roehm; Michael Smith; Sara Bernardini; Giovanni Giordana; Manaan Mumma; James Kingori; Rachel Yates; Lorraine Sherr Journal: J Int AIDS Soc Date: 2022-08 Impact factor: 6.707