Trends in Concurrency, Polygyny, and Multiple Sex Partnerships During a Decade of Declining HIV Prevalence in Eastern Zimbabwe
Identifieur interne : 001978 ( Main/Merge ); précédent : 001977; suivant : 001979Trends in Concurrency, Polygyny, and Multiple Sex Partnerships During a Decade of Declining HIV Prevalence in Eastern Zimbabwe
Auteurs : Jeffrey W. Eaton [Royaume-Uni] ; Felicia R. Takavarasha ; Christina M. Schumacher [États-Unis] ; Owen Mugurungi [Zimbabwe] ; Geoffrey P. Garnett [États-Unis] ; Constance Nyamukapa [Royaume-Uni] ; Simon Gregson [Royaume-Uni]Source :
- The Journal of Infectious Diseases [ 0022-1899 ] ; 2014.
Abstract
Url:
DOI: 10.1093/infdis/jiu415
PubMed: 25381376
PubMed Central: 4231639
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 000117
- to stream Pmc, to step Curation: 000117
- to stream Pmc, to step Checkpoint: 001007
- to stream Ncbi, to step Merge: 002C78
- to stream Ncbi, to step Curation: 002C78
- to stream Ncbi, to step Checkpoint: 002C78
Links to Exploration step
PMC:4231639Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Trends in Concurrency, Polygyny, and Multiple Sex Partnerships During a Decade of Declining HIV Prevalence in Eastern Zimbabwe</title><author><name sortKey="Eaton, Jeffrey W" sort="Eaton, Jeffrey W" uniqKey="Eaton J" first="Jeffrey W." last="Eaton">Jeffrey W. Eaton</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Imperial College London</institution>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Takavarasha, Felicia R" sort="Takavarasha, Felicia R" uniqKey="Takavarasha F" first="Felicia R." last="Takavarasha">Felicia R. Takavarasha</name><affiliation><nlm:aff id="af2"><institution>Biomedical Research and Training Institute</institution></nlm:aff></affiliation></author><author><name sortKey="Schumacher, Christina M" sort="Schumacher, Christina M" uniqKey="Schumacher C" first="Christina M." last="Schumacher">Christina M. Schumacher</name><affiliation wicri:level="2"><nlm:aff id="af4"><addr-line>Department of Pediatrics</addr-line>,<institution>Johns Hopkins University School of Medicine</institution>,<addr-line>Baltimore, Maryland</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Mugurungi, Owen" sort="Mugurungi, Owen" uniqKey="Mugurungi O" first="Owen" last="Mugurungi">Owen Mugurungi</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>AIDS and TB Unit</addr-line>,<institution>Zimbabwe Ministry of Health and Child Welfare</institution>,<addr-line>Harare</addr-line>,<country>Zimbabwe</country></nlm:aff><country xml:lang="fr">Zimbabwe</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Garnett, Geoffrey P" sort="Garnett, Geoffrey P" uniqKey="Garnett G" first="Geoffrey P." last="Garnett">Geoffrey P. Garnett</name><affiliation wicri:level="2"><nlm:aff id="af5"><addr-line>Global Health Program</addr-line>,<institution>Bill and Melinda Gates Foundation</institution>,<addr-line>Seattle, Washington</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Washington (État)</region></placeName><wicri:cityArea>Seattle</wicri:cityArea></affiliation></author><author><name sortKey="Nyamukapa, Constance" sort="Nyamukapa, Constance" uniqKey="Nyamukapa C" first="Constance" last="Nyamukapa">Constance Nyamukapa</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Imperial College London</institution>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation><nlm:aff id="af2"><institution>Biomedical Research and Training Institute</institution></nlm:aff></affiliation></author><author><name sortKey="Gregson, Simon" sort="Gregson, Simon" uniqKey="Gregson S" first="Simon" last="Gregson">Simon Gregson</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Imperial College London</institution>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation><nlm:aff id="af2"><institution>Biomedical Research and Training Institute</institution></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25381376</idno><idno type="pmc">4231639</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4231639</idno><idno type="RBID">PMC:4231639</idno><idno type="doi">10.1093/infdis/jiu415</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000117</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000117</idno><idno type="wicri:Area/Pmc/Curation">000117</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000117</idno><idno type="wicri:Area/Pmc/Checkpoint">001007</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001007</idno><idno type="wicri:Area/Ncbi/Merge">002C78</idno><idno type="wicri:Area/Ncbi/Curation">002C78</idno><idno type="wicri:Area/Ncbi/Checkpoint">002C78</idno><idno type="wicri:doubleKey">0022-1899:2014:Eaton J:trends:in:concurrency</idno><idno type="wicri:Area/Main/Merge">001978</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Trends in Concurrency, Polygyny, and Multiple Sex Partnerships During a Decade of Declining HIV Prevalence in Eastern Zimbabwe</title><author><name sortKey="Eaton, Jeffrey W" sort="Eaton, Jeffrey W" uniqKey="Eaton J" first="Jeffrey W." last="Eaton">Jeffrey W. Eaton</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Imperial College London</institution>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Takavarasha, Felicia R" sort="Takavarasha, Felicia R" uniqKey="Takavarasha F" first="Felicia R." last="Takavarasha">Felicia R. Takavarasha</name><affiliation><nlm:aff id="af2"><institution>Biomedical Research and Training Institute</institution></nlm:aff></affiliation></author><author><name sortKey="Schumacher, Christina M" sort="Schumacher, Christina M" uniqKey="Schumacher C" first="Christina M." last="Schumacher">Christina M. Schumacher</name><affiliation wicri:level="2"><nlm:aff id="af4"><addr-line>Department of Pediatrics</addr-line>,<institution>Johns Hopkins University School of Medicine</institution>,<addr-line>Baltimore, Maryland</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Mugurungi, Owen" sort="Mugurungi, Owen" uniqKey="Mugurungi O" first="Owen" last="Mugurungi">Owen Mugurungi</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>AIDS and TB Unit</addr-line>,<institution>Zimbabwe Ministry of Health and Child Welfare</institution>,<addr-line>Harare</addr-line>,<country>Zimbabwe</country></nlm:aff><country xml:lang="fr">Zimbabwe</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Garnett, Geoffrey P" sort="Garnett, Geoffrey P" uniqKey="Garnett G" first="Geoffrey P." last="Garnett">Geoffrey P. Garnett</name><affiliation wicri:level="2"><nlm:aff id="af5"><addr-line>Global Health Program</addr-line>,<institution>Bill and Melinda Gates Foundation</institution>,<addr-line>Seattle, Washington</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Washington (État)</region></placeName><wicri:cityArea>Seattle</wicri:cityArea></affiliation></author><author><name sortKey="Nyamukapa, Constance" sort="Nyamukapa, Constance" uniqKey="Nyamukapa C" first="Constance" last="Nyamukapa">Constance Nyamukapa</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Imperial College London</institution>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation><nlm:aff id="af2"><institution>Biomedical Research and Training Institute</institution></nlm:aff></affiliation></author><author><name sortKey="Gregson, Simon" sort="Gregson, Simon" uniqKey="Gregson S" first="Simon" last="Gregson">Simon Gregson</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Imperial College London</institution>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation><nlm:aff id="af2"><institution>Biomedical Research and Training Institute</institution></nlm:aff></affiliation></author></analytic><series><title level="j">The Journal of Infectious Diseases</title><idno type="ISSN">0022-1899</idno><idno type="eISSN">1537-6613</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><bold><italic>Background.</italic></bold> Observed declines in the prevalence of human immunodeficiency virus (HIV) infection in Zimbabwe have been attributed to population-level reductions in sexual partnership numbers. However, it remains unknown whether certain types of sex partnerships were more important to this decline. Particular debate surrounds the epidemiologic importance of polygyny (the practice of having multiple wives).</p><p><bold><italic>Methods.</italic></bold> We analyze changes in reported multiple partnerships, nonmarital concurrency, and polygyny in eastern Zimbabwe during a period of declining HIV prevalence, from 1998 to 2011. Trends are reported for adult men (age, 17–54 years) and women (age, 15–49 years) from 5 survey rounds of the Manicaland HIV/STD Prevention Project, a general-population open cohort study.</p><p><bold><italic>Results.</italic></bold> At baseline, 34.2% of men reported multiple partnerships, 11.9% reported nonmarital concurrency, and 4.6% reported polygyny. Among women, 4.6% and 1.8% reported multiple partnerships and concurrency, respectively. All 3 partnership indicators declined by similar relative amounts (around 60%–70%) over the period. Polygyny accounted for around 25% of male concurrency. Compared with monogamously married men, polygynous men reported higher levels of subsequent divorce/separation (adjusted relative risk [RR], 2.92; 95% confidence interval [CI], 1.87–4.55) and casual sex partnerships (adjusted RR, 1.63; 95% CI, 1.41–1.88).</p><p><bold><italic>Conclusions.</italic></bold> No indicator clearly dominated declines in partnerships. Polygyny was surprisingly unstable and, in this population, should not be considered a safe form of concurrency.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Halperin, Dt" uniqKey="Halperin D">DT Halperin</name></author><author><name sortKey="Mugurungi, O" uniqKey="Mugurungi O">O Mugurungi</name></author><author><name sortKey="Hallett, Tb" uniqKey="Hallett T">TB Hallett</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gregson, S" uniqKey="Gregson S">S Gregson</name></author><author><name sortKey="Garnett, Gp" uniqKey="Garnett G">GP Garnett</name></author><author><name sortKey="Nyamukapa, Ca" uniqKey="Nyamukapa C">CA Nyamukapa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gregson, S" uniqKey="Gregson S">S Gregson</name></author><author><name sortKey="Gonese, E" uniqKey="Gonese E">E Gonese</name></author><author><name sortKey="Hallett, Tb" uniqKey="Hallett T">TB Hallett</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stoneburner, Rl" uniqKey="Stoneburner R">RL Stoneburner</name></author><author><name sortKey="Low Beer, D" uniqKey="Low Beer D">D Low-Beer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sand Y, If" uniqKey="Sand Y I">IF Sandøy</name></author><author><name sortKey="Michelo, C" uniqKey="Michelo C">C Michelo</name></author><author><name sortKey="Siziya, S" uniqKey="Siziya S">S Siziya</name></author><author><name sortKey="Fylkesnes, K" uniqKey="Fylkesnes K">K Fylkesnes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mah, Tl" uniqKey="Mah T">TL Mah</name></author><author><name sortKey="Halperin, Dt" uniqKey="Halperin D">DT Halperin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lurie, Mn" uniqKey="Lurie M">MN Lurie</name></author><author><name sortKey="Rosenthal, S" uniqKey="Rosenthal S">S Rosenthal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shelton, Jd" uniqKey="Shelton J">JD Shelton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reniers, G" uniqKey="Reniers G">G Reniers</name></author><author><name sortKey="Watkins, S" uniqKey="Watkins S">S Watkins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Morris, M" uniqKey="Morris M">M Morris</name></author><author><name sortKey="Kretzschmar, M" uniqKey="Kretzschmar M">M Kretzschmar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eaton, Jw" uniqKey="Eaton J">JW Eaton</name></author><author><name sortKey="Hallett, Tb" uniqKey="Hallett T">TB Hallett</name></author><author><name sortKey="Garnett, Gp" uniqKey="Garnett G">GP Garnett</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Halperin, Dt" uniqKey="Halperin D">DT Halperin</name></author><author><name sortKey="Epstein, H" uniqKey="Epstein H">H Epstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reniers, G" uniqKey="Reniers G">G Reniers</name></author><author><name sortKey="Tfaily, R" uniqKey="Tfaily R">R Tfaily</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Santhakumaran, S" uniqKey="Santhakumaran S">S Santhakumaran</name></author><author><name sortKey="O Brien, K" uniqKey="O Brien K">K O'Brien</name></author><author><name sortKey="Bakker, R" uniqKey="Bakker R">R Bakker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gausset, Q" uniqKey="Gausset Q">Q Gausset</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carpenter, Lm" uniqKey="Carpenter L">LM Carpenter</name></author><author><name sortKey="Kamali, A" uniqKey="Kamali A">A Kamali</name></author><author><name sortKey="Ruberantwari, A" uniqKey="Ruberantwari A">A Ruberantwari</name></author><author><name sortKey="Malamba, Ss" uniqKey="Malamba S">SS Malamba</name></author><author><name sortKey="Whitworth, Ja" uniqKey="Whitworth J">JA Whitworth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lopman, B" uniqKey="Lopman B">B Lopman</name></author><author><name sortKey="Nyamukapa, C" uniqKey="Nyamukapa C">C Nyamukapa</name></author><author><name sortKey="Mushati, P" uniqKey="Mushati P">P Mushati</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gregson, S" uniqKey="Gregson S">S Gregson</name></author><author><name sortKey="Zhuwau, T" uniqKey="Zhuwau T">T Zhuwau</name></author><author><name sortKey="Ndlovu, J" uniqKey="Ndlovu J">J Ndlovu</name></author><author><name sortKey="Nyamukapa, Ca" uniqKey="Nyamukapa C">CA Nyamukapa</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Manzou, R" uniqKey="Manzou R">R Manzou</name></author><author><name sortKey="Schumacher, C" uniqKey="Schumacher C">C Schumacher</name></author><author><name sortKey="Gregson, S" uniqKey="Gregson S">S Gregson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reniers, G" uniqKey="Reniers G">G Reniers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carael, M" uniqKey="Carael M">M Caraël</name></author><author><name sortKey="Ali, M" uniqKey="Ali M">M Ali</name></author><author><name sortKey="Cleland, J" uniqKey="Cleland J">J Cleland</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mitsunaga, Tm" uniqKey="Mitsunaga T">TM Mitsunaga</name></author><author><name sortKey="Powell, Am" uniqKey="Powell A">AM Powell</name></author><author><name sortKey="Heard, Nj" uniqKey="Heard N">NJ Heard</name></author><author><name sortKey="Larsen, Um" uniqKey="Larsen U">UM Larsen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reniers, G" uniqKey="Reniers G">G Reniers</name></author><author><name sortKey="Tfaily, R" uniqKey="Tfaily R">R Tfaily</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fox, Am" uniqKey="Fox A">AM Fox</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Epstein, H" uniqKey="Epstein H">H Epstein</name></author><author><name sortKey="Stanton, D" uniqKey="Stanton D">D Stanton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Timaeus, Im" uniqKey="Timaeus I">IM Timaeus</name></author><author><name sortKey="Reynar, A" uniqKey="Reynar A">A Reynar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gregson, S" uniqKey="Gregson S">S Gregson</name></author><author><name sortKey="Zhuwau, T" uniqKey="Zhuwau T">T Zhuwau</name></author><author><name sortKey="Anderson, Rm" uniqKey="Anderson R">RM Anderson</name></author><author><name sortKey="Chandiwana, Sk" uniqKey="Chandiwana S">SK Chandiwana</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Langhaug, Lf" uniqKey="Langhaug L">LF Langhaug</name></author><author><name sortKey="Sherr, L" uniqKey="Sherr L">L Sherr</name></author><author><name sortKey="Cowan, Fm" uniqKey="Cowan F">FM Cowan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sawers, L" uniqKey="Sawers L">L Sawers</name></author><author><name sortKey="Isaac, Ag" uniqKey="Isaac A">AG Isaac</name></author><author><name sortKey="Stillwaggon, E" uniqKey="Stillwaggon E">E Stillwaggon</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Main/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001978 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 001978 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaSubSaharaV1
|flux= Main
|étape= Merge
|type= RBID
|clé= PMC:4231639
|texte= Trends in Concurrency, Polygyny, and Multiple Sex Partnerships During a Decade of Declining HIV Prevalence in Eastern Zimbabwe
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Merge/RBID.i -Sk "pubmed:25381376" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Merge/biblio.hfd \
| NlmPubMed2Wicri -a SidaSubSaharaV1
| This area was generated with Dilib version V0.6.32. |  |