Patterns of sexual behaviour in a rural population in north-western Tanzania
Identifieur interne : 000324 ( Istex/Corpus ); précédent : 000323; suivant : 000325Patterns of sexual behaviour in a rural population in north-western Tanzania
Auteurs : Katua Munguti ; Heiner Grosskurth ; James Newell ; Kesheni Senkoro ; Frank Mosha ; James Todd ; Philippe Mayaud ; Awena Gavyole ; Maria Quigley ; Richard HayesSource :
- Social Science & Medicine [ 0277-9536 ] ; 1997.
English descriptors
- KwdEn :
- Baseline, Baseline survey, Behaviour, Casual partners, Comparison communities, Condom, Core groups, Current marriage, Direct question, Disease syndromes, Family planning, Field team, First marriage, Genitourinary medicine, Heterosexual, Heterosexual transmission, High risk, Human immunodeficiency virus type, Immune deficiency syndromes, Intervention programme, Katua munguti, Largest proportion, Lifetime partners, Limited value, Main reasons, Many individuals, Marital dissolution, Marital status, Moderate risk, Monogamous polygamous, More lifetime partners, More partners, Mosha, Mwanza, Mwanza region, Other risk factors, Other stds, Past year, Personal experience, Polygamous, Polygamous marriages, Previous marriage, Programme, Rapid heterosexual spread, Religion moslem catholic protestant, Risk factors, Rural areas, Rural communities, Rural mwanza, Rural population, Rural populations, Rural tanzania, Rural villages, Sexual activity, Sexual attitudes, Sexual behaviour, Sexual contacts, Sexual debut, Sexual partner, Sexual partner change, Sexual partners, Sexual practices, Significant trend, Social occasions, Social science medicine, Specific events, Std, Tanzania, Trend test, Urban centres, Urban populations.
- Teeft :
- Baseline, Baseline survey, Behaviour, Casual partners, Comparison communities, Condom, Core groups, Current marriage, Direct question, Disease syndromes, Family planning, Field team, First marriage, Genitourinary medicine, Heterosexual, Heterosexual transmission, High risk, Human immunodeficiency virus type, Immune deficiency syndromes, Intervention programme, Katua munguti, Largest proportion, Lifetime partners, Limited value, Main reasons, Many individuals, Marital dissolution, Marital status, Moderate risk, Monogamous polygamous, More lifetime partners, More partners, Mosha, Mwanza, Mwanza region, Other risk factors, Other stds, Past year, Personal experience, Polygamous, Polygamous marriages, Previous marriage, Programme, Rapid heterosexual spread, Religion moslem catholic protestant, Risk factors, Rural areas, Rural communities, Rural mwanza, Rural population, Rural populations, Rural tanzania, Rural villages, Sexual activity, Sexual attitudes, Sexual behaviour, Sexual contacts, Sexual debut, Sexual partner, Sexual partner change, Sexual partners, Sexual practices, Significant trend, Social occasions, Social science medicine, Specific events, Std, Tanzania, Trend test, Urban centres, Urban populations.
Abstract
The HIV epidemic in sub-Saharan Africa has been characterised by the predominance of heterosexual transmission. Patterns of sexual behaviour have been implicated in the spread of the epidemic, but few quantitative data are available on sexual behaviour in rural populations in Africa. This paper reports data from a survey of 1117 adults aged 15–54 years selected randomly from twelve rural communities in Mwanza Region, Tanzania. Sexual debut occurred early, 50% of women and 46% of men reporting first sex before age 16. On average, women married 1.8 years and men 6.1 years after their sexual debut. In women, age at sexual debut appears to have increased over time, in parallel with an increase in age at first marriage. Men were generally married later, to women around five to ten years younger than themselves. Marital dissolution and remarriage were common in both sexes. Reported numbers of sexual partners were compared with those recorded in a population survey in Britain. More men reported 10 or more lifetime partners, or three or more partners in the past year, in rural Mwanza (48% and 29%) than in Britain (24% and 6%). Women reported fewer partners, and results were broadly similar to British data. Casual sex during the past year was reported by 53% of the men and 15% of the women, but only 2% of men reported sexual contact with bar girls or commercial sex workers. Only 20% of men and 3% of women had ever used a condom. Interventions are needed to reduce the high levels of sexual partner change and casual sex, and low levels of condom use, recorded in this rural population. Targeting of interventions to traditional “core groups” may be of limited value in rural areas, and additional strategies are needed, focusing particularly on teenagers who are at high risk of HIV and other sexually transmitted diseases.
Url:
DOI: 10.1016/S0277-9536(97)00014-2
Links to Exploration step
ISTEX:87A176B89BA7271E974DCAA73B470037B7AA8B12Le document en format XML
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sort="Newell, James" uniqKey="Newell J" first="James" last="Newell">James Newell</name><affiliation><mods:affiliation>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</mods:affiliation></affiliation><affiliation><mods:affiliation>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</mods:affiliation></affiliation></author><author><name sortKey="Senkoro, Kesheni" sort="Senkoro, Kesheni" uniqKey="Senkoro K" first="Kesheni" last="Senkoro">Kesheni Senkoro</name><affiliation><mods:affiliation>National Institute for Medical Research, Mwanza, Tanzania</mods:affiliation></affiliation></author><author><name sortKey="Mosha, Frank" sort="Mosha, Frank" uniqKey="Mosha F" first="Frank" last="Mosha">Frank Mosha</name><affiliation><mods:affiliation>National Institute for Medical Research, Mwanza, Tanzania</mods:affiliation></affiliation></author><author><name sortKey="Todd, James" sort="Todd, James" uniqKey="Todd J" first="James" 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unit="volume">44</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1553">1553</biblScope><biblScope unit="page" to="1561">1561</biblScope></imprint><idno type="ISSN">0277-9536</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0277-9536</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Baseline</term><term>Baseline survey</term><term>Behaviour</term><term>Casual partners</term><term>Comparison communities</term><term>Condom</term><term>Core groups</term><term>Current marriage</term><term>Direct question</term><term>Disease syndromes</term><term>Family planning</term><term>Field team</term><term>First marriage</term><term>Genitourinary medicine</term><term>Heterosexual</term><term>Heterosexual transmission</term><term>High risk</term><term>Human immunodeficiency virus type</term><term>Immune deficiency syndromes</term><term>Intervention programme</term><term>Katua munguti</term><term>Largest proportion</term><term>Lifetime partners</term><term>Limited value</term><term>Main reasons</term><term>Many individuals</term><term>Marital dissolution</term><term>Marital status</term><term>Moderate risk</term><term>Monogamous polygamous</term><term>More lifetime partners</term><term>More partners</term><term>Mosha</term><term>Mwanza</term><term>Mwanza region</term><term>Other risk factors</term><term>Other stds</term><term>Past year</term><term>Personal experience</term><term>Polygamous</term><term>Polygamous marriages</term><term>Previous marriage</term><term>Programme</term><term>Rapid heterosexual spread</term><term>Religion moslem catholic protestant</term><term>Risk factors</term><term>Rural areas</term><term>Rural communities</term><term>Rural mwanza</term><term>Rural population</term><term>Rural populations</term><term>Rural tanzania</term><term>Rural villages</term><term>Sexual activity</term><term>Sexual attitudes</term><term>Sexual behaviour</term><term>Sexual contacts</term><term>Sexual debut</term><term>Sexual partner</term><term>Sexual partner change</term><term>Sexual partners</term><term>Sexual practices</term><term>Significant trend</term><term>Social occasions</term><term>Social science medicine</term><term>Specific events</term><term>Std</term><term>Tanzania</term><term>Trend test</term><term>Urban centres</term><term>Urban populations</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Baseline</term><term>Baseline survey</term><term>Behaviour</term><term>Casual partners</term><term>Comparison communities</term><term>Condom</term><term>Core groups</term><term>Current marriage</term><term>Direct question</term><term>Disease syndromes</term><term>Family planning</term><term>Field team</term><term>First marriage</term><term>Genitourinary medicine</term><term>Heterosexual</term><term>Heterosexual transmission</term><term>High risk</term><term>Human immunodeficiency virus type</term><term>Immune deficiency syndromes</term><term>Intervention programme</term><term>Katua munguti</term><term>Largest proportion</term><term>Lifetime partners</term><term>Limited value</term><term>Main reasons</term><term>Many individuals</term><term>Marital dissolution</term><term>Marital status</term><term>Moderate risk</term><term>Monogamous polygamous</term><term>More lifetime partners</term><term>More partners</term><term>Mosha</term><term>Mwanza</term><term>Mwanza region</term><term>Other risk factors</term><term>Other stds</term><term>Past year</term><term>Personal experience</term><term>Polygamous</term><term>Polygamous marriages</term><term>Previous marriage</term><term>Programme</term><term>Rapid heterosexual spread</term><term>Religion moslem catholic protestant</term><term>Risk factors</term><term>Rural areas</term><term>Rural communities</term><term>Rural mwanza</term><term>Rural population</term><term>Rural populations</term><term>Rural tanzania</term><term>Rural villages</term><term>Sexual activity</term><term>Sexual attitudes</term><term>Sexual behaviour</term><term>Sexual contacts</term><term>Sexual debut</term><term>Sexual partner</term><term>Sexual partner change</term><term>Sexual partners</term><term>Sexual practices</term><term>Significant trend</term><term>Social occasions</term><term>Social science medicine</term><term>Specific events</term><term>Std</term><term>Tanzania</term><term>Trend test</term><term>Urban centres</term><term>Urban populations</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The HIV epidemic in sub-Saharan Africa has been characterised by the predominance of heterosexual transmission. Patterns of sexual behaviour have been implicated in the spread of the epidemic, but few quantitative data are available on sexual behaviour in rural populations in Africa. This paper reports data from a survey of 1117 adults aged 15–54 years selected randomly from twelve rural communities in Mwanza Region, Tanzania. Sexual debut occurred early, 50% of women and 46% of men reporting first sex before age 16. On average, women married 1.8 years and men 6.1 years after their sexual debut. In women, age at sexual debut appears to have increased over time, in parallel with an increase in age at first marriage. Men were generally married later, to women around five to ten years younger than themselves. Marital dissolution and remarriage were common in both sexes. Reported numbers of sexual partners were compared with those recorded in a population survey in Britain. More men reported 10 or more lifetime partners, or three or more partners in the past year, in rural Mwanza (48% and 29%) than in Britain (24% and 6%). Women reported fewer partners, and results were broadly similar to British data. Casual sex during the past year was reported by 53% of the men and 15% of the women, but only 2% of men reported sexual contact with bar girls or commercial sex workers. Only 20% of men and 3% of women had ever used a condom. Interventions are needed to reduce the high levels of sexual partner change and casual sex, and low levels of condom use, recorded in this rural population. Targeting of interventions to traditional “core groups” may be of limited value in rural areas, and additional strategies are needed, focusing particularly on teenagers who are at high risk of HIV and other sexually transmitted diseases.</div></front></TEI><istex><corpusName>elsevier</corpusName><keywords><teeft><json:string>past year</json:string><json:string>sexual behaviour</json:string><json:string>tanzania</json:string><json:string>mwanza</json:string><json:string>std</json:string><json:string>more partners</json:string><json:string>mosha</json:string><json:string>condom</json:string><json:string>sexual debut</json:string><json:string>programme</json:string><json:string>first marriage</json:string><json:string>marital status</json:string><json:string>sexual partners</json:string><json:string>polygamous</json:string><json:string>heterosexual</json:string><json:string>rural tanzania</json:string><json:string>sexual partner change</json:string><json:string>baseline survey</json:string><json:string>rural mwanza</json:string><json:string>mwanza region</json:string><json:string>rural population</json:string><json:string>risk factors</json:string><json:string>sexual activity</json:string><json:string>casual partners</json:string><json:string>other stds</json:string><json:string>behaviour</json:string><json:string>sexual attitudes</json:string><json:string>rural areas</json:string><json:string>katua munguti</json:string><json:string>lifetime partners</json:string><json:string>immune deficiency syndromes</json:string><json:string>baseline</json:string><json:string>genitourinary medicine</json:string><json:string>core groups</json:string><json:string>sexual partner</json:string><json:string>heterosexual transmission</json:string><json:string>sexual practices</json:string><json:string>more lifetime partners</json:string><json:string>current marriage</json:string><json:string>main reasons</json:string><json:string>rapid heterosexual spread</json:string><json:string>marital dissolution</json:string><json:string>rural communities</json:string><json:string>religion moslem catholic protestant</json:string><json:string>rural populations</json:string><json:string>trend test</json:string><json:string>significant trend</json:string><json:string>polygamous marriages</json:string><json:string>high risk</json:string><json:string>previous marriage</json:string><json:string>intervention programme</json:string><json:string>urban centres</json:string><json:string>monogamous polygamous</json:string><json:string>largest proportion</json:string><json:string>direct question</json:string><json:string>specific events</json:string><json:string>social occasions</json:string><json:string>limited value</json:string><json:string>other risk factors</json:string><json:string>moderate risk</json:string><json:string>urban populations</json:string><json:string>personal experience</json:string><json:string>field team</json:string><json:string>many individuals</json:string><json:string>sexual contacts</json:string><json:string>social science medicine</json:string><json:string>rural villages</json:string><json:string>comparison communities</json:string><json:string>family planning</json:string><json:string>human immunodeficiency virus type</json:string><json:string>disease syndromes</json:string></teeft></keywords><author><json:item><name>Katua Munguti</name><affiliations><json:string>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</json:string></affiliations></json:item><json:item><name>Heiner Grosskurth</name><affiliations><json:string>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</json:string><json:string>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</json:string></affiliations></json:item><json:item><name>James Newell</name><affiliations><json:string>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</json:string><json:string>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</json:string></affiliations></json:item><json:item><name>Kesheni Senkoro</name><affiliations><json:string>National Institute for Medical Research, Mwanza, Tanzania</json:string></affiliations></json:item><json:item><name>Frank Mosha</name><affiliations><json:string>National Institute for Medical Research, Mwanza, Tanzania</json:string></affiliations></json:item><json:item><name>James Todd</name><affiliations><json:string>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</json:string><json:string>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</json:string></affiliations></json:item><json:item><name>Philippe Mayaud</name><affiliations><json:string>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</json:string><json:string>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</json:string></affiliations></json:item><json:item><name>Awena Gavyole</name><affiliations><json:string>Regional Medical Office, Mwanza, Tanzania</json:string></affiliations></json:item><json:item><name>Maria Quigley</name><affiliations><json:string>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</json:string></affiliations></json:item><json:item><name>Richard Hayes</name><affiliations><json:string>Author for correspondence.</json:string><json:string>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>sexual behaviour</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>rural</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Africa</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>population survey</value></json:item></subject><language><json:string>eng</json:string></language><originalGenre><json:string>Full-length article</json:string></originalGenre><abstract>The HIV epidemic in sub-Saharan Africa has been characterised by the predominance of heterosexual transmission. Patterns of sexual behaviour have been implicated in the spread of the epidemic, but few quantitative data are available on sexual behaviour in rural populations in Africa. This paper reports data from a survey of 1117 adults aged 15–54 years selected randomly from twelve rural communities in Mwanza Region, Tanzania. Sexual debut occurred early, 50% of women and 46% of men reporting first sex before age 16. On average, women married 1.8 years and men 6.1 years after their sexual debut. In women, age at sexual debut appears to have increased over time, in parallel with an increase in age at first marriage. Men were generally married later, to women around five to ten years younger than themselves. Marital dissolution and remarriage were common in both sexes. Reported numbers of sexual partners were compared with those recorded in a population survey in Britain. More men reported 10 or more lifetime partners, or three or more partners in the past year, in rural Mwanza (48% and 29%) than in Britain (24% and 6%). Women reported fewer partners, and results were broadly similar to British data. Casual sex during the past year was reported by 53% of the men and 15% of the women, but only 2% of men reported sexual contact with bar girls or commercial sex workers. Only 20% of men and 3% of women had ever used a condom. Interventions are needed to reduce the high levels of sexual partner change and casual sex, and low levels of condom use, recorded in this rural population. Targeting of interventions to traditional “core groups” may be of limited value in rural areas, and additional strategies are needed, focusing particularly on teenagers who are at high risk of HIV and other sexually transmitted diseases.</abstract><qualityIndicators><score>8</score><pdfVersion>1.2</pdfVersion><pdfPageSize>540 x 771 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>4</keywordCount><abstractCharCount>1838</abstractCharCount><pdfWordCount>5765</pdfWordCount><pdfCharCount>35038</pdfCharCount><pdfPageCount>9</pdfPageCount><abstractWordCount>307</abstractWordCount></qualityIndicators><title>Patterns of sexual behaviour in a rural population in north-western Tanzania</title><pii><json:string>S0277-9536(97)00014-2</json:string></pii><genre><json:string>research-article</json:string></genre><host><title>Social Science & 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Tanzania</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>ELSEVIER</p></availability><date>1997</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a">Patterns of sexual behaviour in a rural population in north-western Tanzania</title><author xml:id="author-0000"><persName><forename type="first">Katua</forename><surname>Munguti</surname></persName><affiliation>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Heiner</forename><surname>Grosskurth</surname></persName><affiliation>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</affiliation><affiliation>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</affiliation></author><author xml:id="author-0002"><persName><forename type="first">James</forename><surname>Newell</surname></persName><affiliation>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</affiliation><affiliation>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</affiliation></author><author xml:id="author-0003"><persName><forename type="first">Kesheni</forename><surname>Senkoro</surname></persName><affiliation>National Institute for Medical Research, Mwanza, Tanzania</affiliation></author><author xml:id="author-0004"><persName><forename type="first">Frank</forename><surname>Mosha</surname></persName><affiliation>National Institute for Medical Research, Mwanza, Tanzania</affiliation></author><author xml:id="author-0005"><persName><forename type="first">James</forename><surname>Todd</surname></persName><affiliation>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</affiliation><affiliation>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</affiliation></author><author xml:id="author-0006"><persName><forename type="first">Philippe</forename><surname>Mayaud</surname></persName><affiliation>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</affiliation><affiliation>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</affiliation></author><author xml:id="author-0007"><persName><forename type="first">Awena</forename><surname>Gavyole</surname></persName><affiliation>Regional Medical Office, Mwanza, Tanzania</affiliation></author><author xml:id="author-0008"><persName><forename type="first">Maria</forename><surname>Quigley</surname></persName><affiliation>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</affiliation></author><author xml:id="author-0009"><persName><forename type="first">Richard</forename><surname>Hayes</surname></persName><affiliation>Author for correspondence.</affiliation><affiliation>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</affiliation></author><idno type="istex">87A176B89BA7271E974DCAA73B470037B7AA8B12</idno><idno type="DOI">10.1016/S0277-9536(97)00014-2</idno><idno type="PII">S0277-9536(97)00014-2</idno></analytic><monogr><title level="j">Social Science & Medicine</title><title level="j" type="abbrev">SSM</title><idno type="pISSN">0277-9536</idno><idno type="PII">S0277-9536(00)X0052-4</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1997"></date><biblScope unit="volume">44</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1553">1553</biblScope><biblScope unit="page" to="1561">1561</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1997</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>The HIV epidemic in sub-Saharan Africa has been characterised by the predominance of heterosexual transmission. Patterns of sexual behaviour have been implicated in the spread of the epidemic, but few quantitative data are available on sexual behaviour in rural populations in Africa. This paper reports data from a survey of 1117 adults aged 15–54 years selected randomly from twelve rural communities in Mwanza Region, Tanzania. Sexual debut occurred early, 50% of women and 46% of men reporting first sex before age 16. On average, women married 1.8 years and men 6.1 years after their sexual debut. In women, age at sexual debut appears to have increased over time, in parallel with an increase in age at first marriage. Men were generally married later, to women around five to ten years younger than themselves. Marital dissolution and remarriage were common in both sexes. Reported numbers of sexual partners were compared with those recorded in a population survey in Britain. More men reported 10 or more lifetime partners, or three or more partners in the past year, in rural Mwanza (48% and 29%) than in Britain (24% and 6%). Women reported fewer partners, and results were broadly similar to British data. Casual sex during the past year was reported by 53% of the men and 15% of the women, but only 2% of men reported sexual contact with bar girls or commercial sex workers. Only 20% of men and 3% of women had ever used a condom. Interventions are needed to reduce the high levels of sexual partner change and casual sex, and low levels of condom use, recorded in this rural population. Targeting of interventions to traditional “core groups” may be of limited value in rural areas, and additional strategies are needed, focusing particularly on teenagers who are at high risk of HIV and other sexually transmitted diseases.</p></abstract><textClass><keywords scheme="keyword"><list><head>Keywords</head><item><term>sexual behaviour</term></item><item><term>rural</term></item><item><term>Africa</term></item><item><term>population survey</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1997">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/87A176B89BA7271E974DCAA73B470037B7AA8B12/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: tail"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla"><item-info><jid>SSM</jid><aid>97000142</aid><ce:pii>S0277-9536(97)00014-2</ce:pii><ce:doi>10.1016/S0277-9536(97)00014-2</ce:doi><ce:copyright type="unknown" year="1997"></ce:copyright></item-info><head><ce:title>Patterns of sexual behaviour in a rural population in north-western Tanzania</ce:title><ce:author-group><ce:author><ce:given-name>Katua</ce:given-name><ce:surname>Munguti</ce:surname><ce:cross-ref refid="AFF1"><ce:sup>1</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Heiner</ce:given-name><ce:surname>Grosskurth</ce:surname><ce:cross-ref refid="AFF1"><ce:sup>1</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup>2</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>James</ce:given-name><ce:surname>Newell</ce:surname><ce:cross-ref refid="AFF1"><ce:sup>1</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup>2</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Kesheni</ce:given-name><ce:surname>Senkoro</ce:surname><ce:cross-ref refid="AFF3"><ce:sup>3</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Frank</ce:given-name><ce:surname>Mosha</ce:surname><ce:cross-ref refid="AFF3"><ce:sup>3</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>James</ce:given-name><ce:surname>Todd</ce:surname><ce:cross-ref refid="AFF1"><ce:sup>1</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup>2</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Philippe</ce:given-name><ce:surname>Mayaud</ce:surname><ce:cross-ref refid="AFF1"><ce:sup>1</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup>2</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Awena</ce:given-name><ce:surname>Gavyole</ce:surname><ce:cross-ref refid="AFF4"><ce:sup>4</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Maria</ce:given-name><ce:surname>Quigley</ce:surname><ce:cross-ref refid="AFF2"><ce:sup>2</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Richard</ce:given-name><ce:surname>Hayes</ce:surname><ce:cross-ref refid="COR1"><ce:sup>∗</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup>2</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>1</ce:label><ce:textfn>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</ce:textfn></ce:affiliation><ce:affiliation id="AFF2"><ce:label>2</ce:label><ce:textfn>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</ce:textfn></ce:affiliation><ce:affiliation id="AFF3"><ce:label>3</ce:label><ce:textfn>National Institute for Medical Research, Mwanza, Tanzania</ce:textfn></ce:affiliation><ce:affiliation id="AFF4"><ce:label>4</ce:label><ce:textfn>Regional Medical Office, Mwanza, Tanzania</ce:textfn></ce:affiliation><ce:correspondence id="COR1"><ce:label>∗</ce:label><ce:text>Author for correspondence.</ce:text></ce:correspondence></ce:author-group><ce:abstract><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para>The HIV epidemic in sub-Saharan Africa has been characterised by the predominance of heterosexual transmission. Patterns of sexual behaviour have been implicated in the spread of the epidemic, but few quantitative data are available on sexual behaviour in rural populations in Africa. This paper reports data from a survey of 1117 adults aged 15–54 years selected randomly from twelve rural communities in Mwanza Region, Tanzania. Sexual debut occurred early, 50% of women and 46% of men reporting first sex before age 16. On average, women married 1.8 years and men 6.1 years after their sexual debut. In women, age at sexual debut appears to have increased over time, in parallel with an increase in age at first marriage. Men were generally married later, to women around five to ten years younger than themselves. Marital dissolution and remarriage were common in both sexes. Reported numbers of sexual partners were compared with those recorded in a population survey in Britain. More men reported 10 or more lifetime partners, or three or more partners in the past year, in rural Mwanza (48% and 29%) than in Britain (24% and 6%). Women reported fewer partners, and results were broadly similar to British data. Casual sex during the past year was reported by 53% of the men and 15% of the women, but only 2% of men reported sexual contact with bar girls or commercial sex workers. Only 20% of men and 3% of women had ever used a condom. Interventions are needed to reduce the high levels of sexual partner change and casual sex, and low levels of condom use, recorded in this rural population. Targeting of interventions to traditional “core groups” may be of limited value in rural areas, and additional strategies are needed, focusing particularly on teenagers who are at high risk of HIV and other sexually transmitted diseases.</ce:simple-para></ce:abstract-sec></ce:abstract><ce:keywords><ce:section-title>Keywords</ce:section-title><ce:keyword><ce:text>sexual behaviour</ce:text></ce:keyword><ce:keyword><ce:text>rural</ce:text></ce:keyword><ce:keyword><ce:text>Africa</ce:text></ce:keyword><ce:keyword><ce:text>population survey</ce:text></ce:keyword></ce:keywords></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Patterns of sexual behaviour in a rural population in north-western Tanzania</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Patterns of sexual behaviour in a rural population in north-western Tanzania</title></titleInfo><name type="personal"><namePart type="given">Katua</namePart><namePart type="family">Munguti</namePart><affiliation>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Heiner</namePart><namePart type="family">Grosskurth</namePart><affiliation>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</affiliation><affiliation>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">James</namePart><namePart type="family">Newell</namePart><affiliation>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</affiliation><affiliation>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kesheni</namePart><namePart type="family">Senkoro</namePart><affiliation>National Institute for Medical Research, Mwanza, Tanzania</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Frank</namePart><namePart type="family">Mosha</namePart><affiliation>National Institute for Medical Research, Mwanza, Tanzania</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">James</namePart><namePart type="family">Todd</namePart><affiliation>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</affiliation><affiliation>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Philippe</namePart><namePart type="family">Mayaud</namePart><affiliation>African Medical and Research Foundation (AMREF), Mwanza, Tanzania</affiliation><affiliation>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Awena</namePart><namePart type="family">Gavyole</namePart><affiliation>Regional Medical Office, Mwanza, Tanzania</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Maria</namePart><namePart type="family">Quigley</namePart><affiliation>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Richard</namePart><namePart type="family">Hayes</namePart><affiliation>Author for correspondence.</affiliation><affiliation>London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, England, U.K.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1997</dateIssued><copyrightDate encoding="w3cdtf">1997</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">The HIV epidemic in sub-Saharan Africa has been characterised by the predominance of heterosexual transmission. Patterns of sexual behaviour have been implicated in the spread of the epidemic, but few quantitative data are available on sexual behaviour in rural populations in Africa. This paper reports data from a survey of 1117 adults aged 15–54 years selected randomly from twelve rural communities in Mwanza Region, Tanzania. Sexual debut occurred early, 50% of women and 46% of men reporting first sex before age 16. On average, women married 1.8 years and men 6.1 years after their sexual debut. In women, age at sexual debut appears to have increased over time, in parallel with an increase in age at first marriage. Men were generally married later, to women around five to ten years younger than themselves. Marital dissolution and remarriage were common in both sexes. Reported numbers of sexual partners were compared with those recorded in a population survey in Britain. More men reported 10 or more lifetime partners, or three or more partners in the past year, in rural Mwanza (48% and 29%) than in Britain (24% and 6%). Women reported fewer partners, and results were broadly similar to British data. Casual sex during the past year was reported by 53% of the men and 15% of the women, but only 2% of men reported sexual contact with bar girls or commercial sex workers. Only 20% of men and 3% of women had ever used a condom. Interventions are needed to reduce the high levels of sexual partner change and casual sex, and low levels of condom use, recorded in this rural population. Targeting of interventions to traditional “core groups” may be of limited value in rural areas, and additional strategies are needed, focusing particularly on teenagers who are at high risk of HIV and other sexually transmitted diseases.</abstract><subject><genre>Keywords</genre><topic>sexual behaviour</topic><topic>rural</topic><topic>Africa</topic><topic>population survey</topic></subject><relatedItem type="host"><titleInfo><title>Social Science & Medicine</title></titleInfo><titleInfo type="abbreviated"><title>SSM</title></titleInfo><genre type="journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">199705</dateIssued></originInfo><identifier type="ISSN">0277-9536</identifier><identifier type="PII">S0277-9536(00)X0052-4</identifier><part><date>199705</date><detail type="volume"><number>44</number><caption>vol.</caption></detail><detail type="issue"><number>10</number><caption>no.</caption></detail><extent unit="issue pages"><start>1433</start><end>1602</end></extent><extent unit="pages"><start>1553</start><end>1561</end></extent></part></relatedItem><identifier type="istex">87A176B89BA7271E974DCAA73B470037B7AA8B12</identifier><identifier type="DOI">10.1016/S0277-9536(97)00014-2</identifier><identifier type="PII">S0277-9536(97)00014-2</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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