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Gender Differences in the Risk of HIV Infection among Persons Reporting Abstinence, Monogamy, and Multiple Sexual Partners in Northern Tanzania

Author

Listed:
  • Keren Z Landman
  • Jan Ostermann
  • John A Crump
  • Anna Mgonja
  • Meghan K Mayhood
  • Dafrosa K Itemba
  • Alison C Tribble
  • Evaline M Ndosi
  • Helen Y Chu
  • John F Shao
  • John A Bartlett
  • Nathan M Thielman

Abstract

Background: Monogamy, together with abstinence, partner reduction, and condom use, is widely advocated as a key behavioral strategy to prevent HIV infection in sub-Saharan Africa. We examined the association between the number of sexual partners and the risk of HIV seropositivity among men and women presenting for HIV voluntary counseling and testing (VCT) in northern Tanzania. Methodology/ Principal Findings: Clients presenting for HIV VCT at a community-based AIDS service organization in Moshi, Tanzania were surveyed between November 2003 and December 2007. Data on sociodemographic characteristics, reasons for testing, sexual behaviors, and symptoms were collected. Men and women were categorized by number of lifetime sexual partners, and rates of seropositivity were reported by category. Factors associated with HIV seropositivity among monogamous males and females were identified by a multivariate logistic regression model. Of 6,549 clients, 3,607 (55%) were female, and the median age was 30 years (IQR 24–40). 939 (25%) females and 293 (10%) males (p

Suggested Citation

  • Keren Z Landman & Jan Ostermann & John A Crump & Anna Mgonja & Meghan K Mayhood & Dafrosa K Itemba & Alison C Tribble & Evaline M Ndosi & Helen Y Chu & John F Shao & John A Bartlett & Nathan M Thielma, 2008. "Gender Differences in the Risk of HIV Infection among Persons Reporting Abstinence, Monogamy, and Multiple Sexual Partners in Northern Tanzania," PLOS ONE, Public Library of Science, vol. 3(8), pages 1-6, August.
    • Handle: RePEc:plo:pone00:0003075
    DOI: 10.1371/journal.pone.0003075
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