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Concurrent sexual partnerships and HIV prevalence in five urban communities of sub-Saharan Africa

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dc.contributor.author Lagarde, E. en_US
dc.contributor.author Auvert, B. en_US
dc.contributor.author Caraël, M. en_US
dc.contributor.author Laourou, M. en_US
dc.contributor.author Ferry, B. en_US
dc.contributor.author Akam, E. en_US
dc.contributor.author Sukwa, T. en_US
dc.contributor.author Morison, L. en_US
dc.contributor.author Maury, E. en_US
dc.contributor.author Chege, J. en_US
dc.contributor.author N'Doye, I. en_US
dc.contributor.author Buvé, A. en_US
dc.date.accessioned 2007-12-06T14:47:24Z
dc.date.available 2007-12-06T14:47:24Z
dc.date.issued 2001 en_US
dc.identifier.issn 0269-9370 en_US
dc.identifier.other ITG-MLA en_US
dc.identifier.other MICRO en_US
dc.identifier.other U-HIVSTD en_US
dc.identifier.other JIF en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.uri http://hdl.handle.net/10390/1831
dc.description Not the final published version
dc.description.abstract OBJECTIVE: To estimate parameters of concurrent sexual partnerships in five urban populations in sub-Saharan Africa and to assess their association with levels of HIV infection and other sexually transmitted infections (STI). METHODS: Data were obtained from a multicentre study of factors which determine the differences in rate of spread of HIV in five African cities. Consenting participants were interviewed on sexual behaviour and at four of the five sites also provided a blood and a urine sample for testing for HIV and other STI. Data on sexual behaviour included the number of partnerships in the 12 months preceding the interview as well as the dates of the start and end of each partnership. Summary indices of concurrent sexual partnerships -- some of which were taken from the literature, while others were newly developed -- were computed for each city and compared to HIV and STI prevalence rates. RESULTS: A total of 1819 adults aged 15--49 years were interviewed in Dakar (Senegal), 2116 in Cotonou (Benin), 2089 in Yaoundé (Cameroon), 1889 in Kisumu (Kenya) and 1730 in Ndola (Zambia). Prevalence rates of HIV infection were 3.4% for Cotonou, 5.9% for Yaoundé, 25.9% for Kisumu and 28.4% for Ndola, and around 1% for Dakar. The estimated fraction of sexual partnerships that were concurrent at the time of interview (index k) was relatively high in Yaoundé (0.98), intermediate in Kisumu (0.44) and Cotonou (0.33) and low in Ndola (0.26) and in Dakar (0.18). An individual indicator of concurrency (iic) was developed which depends neither on the number of partners nor on the length of the partnerships and estimates the individual propensity to keep (positive values) or to dissolve (negative values) on-going partnership before engaging in another one. This measure iic did not discriminate between cities with high HIV infection levels and cities with low HIV infection levels. In addition, iic did not differ significantly between HIV-infected and uninfected people in the four cities where data on HIV status were collected. CONCLUSION: We could not find evidence that concurrent sexual partnerships were a major determinant of the rate of spread of HIV in five cities in sub-Saharan Africa. HIV epidemics are the result of many factors, behavioural as well as biological, of which concurrent sexual partnerships are only one. en_US
dc.language English en_US
dc.publisher Lippincott, Williams & Wilkins
dc.subject Viral diseases en_US
dc.subject HIV en_US
dc.subject Prevalence en_US
dc.subject Concurrency en_US
dc.subject Behavior en_US
dc.subject Transmission en_US
dc.subject Africa en_US
dc.title Concurrent sexual partnerships and HIV prevalence in five urban communities of sub-Saharan Africa en_US
dc.type Article en_US
dc.citation.jtitle AIDS en_US
dc.citation.volume 15 en_US
dc.citation.pages 877-884 en_US
dc.publisher.place Philadelphia
dc.contributor.corpauthor Study Group on Heterogeneity of HIV Epidemics in African Cities en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/11399960
dc.citation.jabbreviation AIDS en_US


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