The role of relationship types on condom use among urban men with concurrent partners in Ghana and Tanzania
Identifieur interne : 000428 ( Main/Exploration ); précédent : 000427; suivant : 000429The role of relationship types on condom use among urban men with concurrent partners in Ghana and Tanzania
Auteurs : Paul J. Fleming [États-Unis] ; Marta Mulawa [États-Unis] ; Holly Burke [États-Unis] ; Dominick Shattuck [États-Unis] ; Erasmus Mndeme [Tanzanie] ; John Attafuah [Ghana] ; Jessie Mbwambo [Tanzanie] ; Greg Guest [États-Unis]Source :
- AIDS care [ 0954-0121 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Comportement sexuel (), Comportement sexuel (psychologie), Conjoints (), Conjoints (psychologie), Enquêtes et questionnaires, Femelle, Ghana (épidémiologie), Humains, Infections à VIH (psychologie), Infections à VIH (transmission), Mâle, Partenaire sexuel (psychologie), Population urbaine, Prise de risque, Préservatifs masculins (), Préservatifs masculins (utilisation), Tanzanie (épidémiologie), Travailleurs du sexe (), Travailleurs du sexe (psychologie).
- MESH :
- psychologie : Comportement sexuel, Conjoints, Infections à VIH, Partenaire sexuel, Travailleurs du sexe.
- utilisation : Préservatifs masculins.
- épidémiologie : Ghana, Infections à VIH, Tanzanie.
- Adulte, Adulte d'âge moyen, Comportement sexuel, Conjoints, Enquêtes et questionnaires, Femelle, Humains, Mâle, Population urbaine, Prise de risque, Préservatifs masculins, Travailleurs du sexe.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adult, Condoms (statistics & numerical data), Condoms (utilization), Female, Ghana (epidemiology), HIV Infections (psychology), HIV Infections (transmission), Humans, Male, Middle Aged, Risk-Taking, Sex Workers (psychology), Sex Workers (statistics & numerical data), Sexual Behavior (psychology), Sexual Behavior (statistics & numerical data), Sexual Partners (psychology), Spouses (psychology), Spouses (statistics & numerical data), Surveys and Questionnaires, Tanzania (epidemiology), Urban Population.
- MESH :
- geographic , epidemiology : Ghana, Tanzania.
- psychology : HIV Infections, Sex Workers, Sexual Behavior, Sexual Partners, Spouses.
- statistics & numerical data : Condoms, Sex Workers, Sexual Behavior, Spouses.
- transmission : HIV Infections.
- utilization : Condoms.
- Adult, Female, Humans, Male, Middle Aged, Risk-Taking, Surveys and Questionnaires, Urban Population.
Abstract
Multiple concurrent partnerships are hypothesized to be important drivers of HIV transmission. Despite the demonstrated importance of relationship type (i.e. wife, girlfriend, casual partner, sex worker) on condom use, research on concurrency has not examined how different combinations of relationship types might affect condom use. We address this gap, using survey data from a sample of men from Ghana (n=807) and Tanzania (n=800) who have at least three sexual partners in the past three months. We found that approximately two-thirds of men's reported relationships were classified as a girlfriend. Men were more likely to use a condom with a girlfriend if their other partner was a wife compared to if their other partner was a sex worker (Ghana OR 3.10, 95% CI, 1.40, 6.86; Tanzania OR 2.34 95% CI 1.35, 4.06). These findings underscore the importance of considering relationship type when designing HIV prevention strategies in these settings.
Url:
DOI: 10.1080/09540121.2014.969675
PubMed: 25337930
PubMed Central: 4312535
Affiliations:
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Le document en format XML
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sortKey="Mbwambo, Jessie" sort="Mbwambo, Jessie" uniqKey="Mbwambo J" first="Jessie" last="Mbwambo">Jessie Mbwambo</name><affiliation wicri:level="1"><nlm:aff id="A3"> Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea> Muhimbili University of Health and Allied Sciences, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Guest, Greg" sort="Guest, Greg" uniqKey="Guest G" first="Greg" last="Guest">Greg Guest</name><affiliation wicri:level="2"><nlm:aff id="A1"> FHI360, 359 Blackwell Street, Durham, NC USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea> FHI360, 359 Blackwell Street, Durham</wicri:cityArea></affiliation></author></analytic><series><title level="j">AIDS care</title><idno type="ISSN">0954-0121</idno><idno type="eISSN">1360-0451</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Condoms (statistics & numerical data)</term><term>Condoms (utilization)</term><term>Female</term><term>Ghana (epidemiology)</term><term>HIV Infections (psychology)</term><term>HIV Infections (transmission)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Risk-Taking</term><term>Sex Workers (psychology)</term><term>Sex Workers (statistics & numerical data)</term><term>Sexual Behavior (psychology)</term><term>Sexual Behavior (statistics & numerical data)</term><term>Sexual Partners (psychology)</term><term>Spouses (psychology)</term><term>Spouses (statistics & numerical data)</term><term>Surveys and Questionnaires</term><term>Tanzania (epidemiology)</term><term>Urban Population</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comportement sexuel ()</term><term>Comportement sexuel (psychologie)</term><term>Conjoints ()</term><term>Conjoints (psychologie)</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Humains</term><term>Infections à VIH (psychologie)</term><term>Infections à VIH (transmission)</term><term>Mâle</term><term>Partenaire sexuel (psychologie)</term><term>Population urbaine</term><term>Prise de risque</term><term>Préservatifs masculins ()</term><term>Préservatifs masculins (utilisation)</term><term>Tanzanie (épidémiologie)</term><term>Travailleurs du sexe ()</term><term>Travailleurs du sexe (psychologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term><term>Tanzania</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Comportement sexuel</term><term>Conjoints</term><term>Infections à VIH</term><term>Partenaire sexuel</term><term>Travailleurs du sexe</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Infections</term><term>Sex Workers</term><term>Sexual Behavior</term><term>Sexual Partners</term><term>Spouses</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Condoms</term><term>Sex Workers</term><term>Sexual Behavior</term><term>Spouses</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Préservatifs masculins</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Condoms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Infections à VIH</term><term>Tanzanie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Risk-Taking</term><term>Surveys and Questionnaires</term><term>Urban Population</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comportement sexuel</term><term>Conjoints</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Population urbaine</term><term>Prise de risque</term><term>Préservatifs masculins</term><term>Travailleurs du sexe</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Multiple concurrent partnerships are hypothesized to be important drivers of HIV transmission. Despite the demonstrated importance of relationship type (i.e. wife, girlfriend, casual partner, sex worker) on condom use, research on concurrency has not examined how different combinations of relationship types might affect condom use. We address this gap, using survey data from a sample of men from Ghana (n=807) and Tanzania (n=800) who have at least three sexual partners in the past three months. We found that approximately two-thirds of men's reported relationships were classified as a girlfriend. Men were more likely to use a condom with a girlfriend if their other partner was a wife compared to if their other partner was a sex worker (Ghana OR 3.10, 95% CI, 1.40, 6.86; Tanzania OR 2.34 95% CI 1.35, 4.06). These findings underscore the importance of considering relationship type when designing HIV prevention strategies in these settings.</p></div></front></TEI><affiliations><list><country><li>Ghana</li><li>Tanzanie</li><li>États-Unis</li></country><region><li>Caroline du Nord</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li></settlement></list><tree><country name="États-Unis"><region name="Caroline du Nord"><name sortKey="Fleming, Paul J" sort="Fleming, Paul J" uniqKey="Fleming P" first="Paul J." last="Fleming">Paul J. Fleming</name></region><name sortKey="Burke, Holly" sort="Burke, Holly" uniqKey="Burke H" first="Holly" last="Burke">Holly Burke</name><name sortKey="Fleming, Paul J" sort="Fleming, Paul J" uniqKey="Fleming P" first="Paul J." last="Fleming">Paul J. Fleming</name><name sortKey="Guest, Greg" sort="Guest, Greg" uniqKey="Guest G" first="Greg" last="Guest">Greg Guest</name><name sortKey="Mulawa, Marta" sort="Mulawa, Marta" uniqKey="Mulawa M" first="Marta" last="Mulawa">Marta Mulawa</name><name sortKey="Shattuck, Dominick" sort="Shattuck, Dominick" uniqKey="Shattuck D" first="Dominick" last="Shattuck">Dominick Shattuck</name></country><country name="Tanzanie"><noRegion><name sortKey="Mndeme, Erasmus" sort="Mndeme, Erasmus" uniqKey="Mndeme E" first="Erasmus" last="Mndeme">Erasmus Mndeme</name></noRegion><name sortKey="Mbwambo, Jessie" sort="Mbwambo, Jessie" uniqKey="Mbwambo J" first="Jessie" last="Mbwambo">Jessie Mbwambo</name></country><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Attafuah, John" sort="Attafuah, John" uniqKey="Attafuah J" first="John" last="Attafuah">John Attafuah</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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