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

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  • Brendan Maughan-Brown

    (SALDRU, School of Economics, University of Cape Town)

Abstract

Background: 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.

Suggested Citation

  • Brendan Maughan-Brown, 2011. "Concurrent sexual partnerships and sexually transmitted diseases among African men in Cape Town, South Africa," SALDRU Working Papers 70, Southern Africa Labour and Development Research Unit, University of Cape Town.
    • Handle: RePEc:ldr:wpaper:70
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    References listed on IDEAS

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    1. Martina Morris & Mirjam Kretzschmar, 2000. "A microsimulation study of the effect of concurrent partnerships on the spread of HIV in Uganda," Mathematical Population Studies, Taylor & Francis Journals, vol. 8(2), pages 109-133.
    2. Cook, L.S. & Koutsky, L.A. & Holmes, K.K., 1994. "Circumcision and sexually transmitted diseases," American Journal of Public Health, American Public Health Association, vol. 84(2), pages 197-201.
    Full references (including those not matched with items on IDEAS)

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