Coital frequency and condom use in monogamous and concurrent sexual relationships in Cape Town, South Africa.
Identifieur interne : 001385 ( PubMed/Curation ); précédent : 001384; suivant : 001386Coital frequency and condom use in monogamous and concurrent sexual relationships in Cape Town, South Africa.
Auteurs : Wim Delva [Afrique du Sud] ; Fei Meng ; Roxanne Beauclair ; Nele Deprez ; Marleen Temmerman ; Alex Welte ; Niel HensSource :
- Journal of the International AIDS Society [ 1758-2652 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- MESH :
- geographic : South Africa.
- statistics & numerical data : Unsafe Sex.
- utilization : Condoms.
- Adolescent, Adult, Coitus, Cross-Sectional Studies, Female, Humans, Interviews as Topic, Male, Middle Aged, Sexual Partners, Young Adult.
Abstract
A decreased frequency of unprotected sex during episodes of concurrent relationships may dramatically reduce the role of concurrency in accelerating the spread of HIV. Such a decrease could be the result of coital dilution - the reduction in per-partner coital frequency from additional partners - and/or increased condom use during concurrency. To study the effect of concurrency on the frequency of unprotected sex, we examined sexual behaviour data from three communities with high HIV prevalence around Cape Town, South Africa.
PubMed: 23618365
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Wim.Delva@ugent.be</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>The South African Department of Science and Technology/National Research Foundation (DST/NRF), Centre of Excellence in Epidemiological Modelling and Analysis (SACEMA), Stellenbosch University, Stellenbosch</wicri:regionArea></affiliation></author><author><name sortKey="Meng, Fei" sort="Meng, Fei" uniqKey="Meng F" first="Fei" last="Meng">Fei Meng</name></author><author><name sortKey="Beauclair, Roxanne" sort="Beauclair, Roxanne" uniqKey="Beauclair R" first="Roxanne" last="Beauclair">Roxanne Beauclair</name></author><author><name sortKey="Deprez, Nele" sort="Deprez, Nele" uniqKey="Deprez N" first="Nele" last="Deprez">Nele Deprez</name></author><author><name sortKey="Temmerman, Marleen" sort="Temmerman, Marleen" uniqKey="Temmerman M" first="Marleen" last="Temmerman">Marleen Temmerman</name></author><author><name sortKey="Welte, Alex" sort="Welte, Alex" uniqKey="Welte A" first="Alex" last="Welte">Alex Welte</name></author><author><name sortKey="Hens, Niel" sort="Hens, Niel" uniqKey="Hens N" first="Niel" last="Hens">Niel Hens</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23618365</idno><idno type="pmid">23618365</idno><idno type="wicri:Area/PubMed/Corpus">001385</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001385</idno><idno type="wicri:Area/PubMed/Curation">001385</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001385</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Coital frequency and condom use in monogamous and concurrent sexual relationships in Cape Town, South Africa.</title><author><name sortKey="Delva, Wim" sort="Delva, Wim" uniqKey="Delva W" first="Wim" last="Delva">Wim Delva</name><affiliation wicri:level="1"><nlm:affiliation>The South African Department of Science and Technology/National Research Foundation (DST/NRF), Centre of Excellence in Epidemiological Modelling and Analysis (SACEMA), Stellenbosch University, Stellenbosch, South Africa. Wim.Delva@ugent.be</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>The South African Department of Science and Technology/National Research Foundation (DST/NRF), Centre of Excellence in Epidemiological Modelling and Analysis (SACEMA), Stellenbosch University, Stellenbosch</wicri:regionArea></affiliation></author><author><name sortKey="Meng, Fei" sort="Meng, Fei" uniqKey="Meng F" first="Fei" last="Meng">Fei Meng</name></author><author><name sortKey="Beauclair, Roxanne" sort="Beauclair, Roxanne" uniqKey="Beauclair R" first="Roxanne" last="Beauclair">Roxanne Beauclair</name></author><author><name sortKey="Deprez, Nele" sort="Deprez, Nele" uniqKey="Deprez N" first="Nele" last="Deprez">Nele Deprez</name></author><author><name sortKey="Temmerman, Marleen" sort="Temmerman, Marleen" uniqKey="Temmerman M" first="Marleen" last="Temmerman">Marleen Temmerman</name></author><author><name sortKey="Welte, Alex" sort="Welte, Alex" uniqKey="Welte A" first="Alex" last="Welte">Alex Welte</name></author><author><name sortKey="Hens, Niel" sort="Hens, Niel" uniqKey="Hens N" first="Niel" last="Hens">Niel Hens</name></author></analytic><series><title level="j">Journal of the International AIDS Society</title><idno type="eISSN">1758-2652</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Coitus</term><term>Condoms (utilization)</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Interviews as Topic</term><term>Male</term><term>Middle Aged</term><term>Sexual Partners</term><term>South Africa</term><term>Unsafe Sex (statistics & numerical data)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comportement sexuel à risque ()</term><term>Coït</term><term>Entretiens comme sujet</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Partenaire sexuel</term><term>Préservatifs masculins (utilisation)</term><term>République d'Afrique du Sud</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>South Africa</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Unsafe Sex</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" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Coitus</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Interviews as Topic</term><term>Male</term><term>Middle Aged</term><term>Sexual Partners</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comportement sexuel à risque</term><term>Coït</term><term>Entretiens comme sujet</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Partenaire sexuel</term><term>République d'Afrique du Sud</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Afrique du Sud</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A decreased frequency of unprotected sex during episodes of concurrent relationships may dramatically reduce the role of concurrency in accelerating the spread of HIV. Such a decrease could be the result of coital dilution - the reduction in per-partner coital frequency from additional partners - and/or increased condom use during concurrency. To study the effect of concurrency on the frequency of unprotected sex, we examined sexual behaviour data from three communities with high HIV prevalence around Cape Town, South Africa.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23618365</PMID><DateCreated><Year>2013</Year><Month>04</Month><Day>26</Day></DateCreated><DateCompleted><Year>2013</Year><Month>11</Month><Day>11</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1758-2652</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><PubDate><Year>2013</Year><Month>Apr</Month><Day>24</Day></PubDate></JournalIssue><Title>Journal of the International AIDS Society</Title><ISOAbbreviation>J Int AIDS Soc</ISOAbbreviation></Journal><ArticleTitle>Coital frequency and condom use in monogamous and concurrent sexual relationships in Cape Town, South Africa.</ArticleTitle><Pagination><MedlinePgn>18034</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.7448/IAS.16.1.18034</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">A decreased frequency of unprotected sex during episodes of concurrent relationships may dramatically reduce the role of concurrency in accelerating the spread of HIV. Such a decrease could be the result of coital dilution - the reduction in per-partner coital frequency from additional partners - and/or increased condom use during concurrency. To study the effect of concurrency on the frequency of unprotected sex, we examined sexual behaviour data from three communities with high HIV prevalence around Cape Town, South Africa.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a cross-sectional survey from June 2011 to February 2012 using audio computer-assisted self-interviewing to reconstruct one-year sexual histories, with a focus on coital frequency and condom use. Participants were randomly sampled from a previous TB and HIV prevalence survey. Mixed effects logistic and Poisson regression models were fitted to data from 527 sexually active adults reporting on 1210 relationship episodes to evaluate the effect of concurrency status on consistent condom use and coital frequency.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The median of the per-partner weekly average coital frequency was 2 (IQR: 1-3), and consistent condom use was reported for 36% of the relationship episodes. Neither per-partner coital frequency nor consistent condom use changed significantly during episodes of concurrency (aIRR=1.05; 95% confidence interval (CI): 0.99-1.24 and aOR=1.01; 95% CI: 0.38-2.68, respectively). Being male, coloured, having a tertiary education, and having a relationship between 2 weeks and 9 months were associated with higher coital frequencies. Being coloured, and having a relationship lasting for more than 9 months, was associated with inconsistent condom use.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">We found no evidence for coital dilution or for increased condom use during concurrent relationship episodes in three communities around Cape Town with high HIV prevalence. Given the low levels of self-reported consistent condom use, our findings suggest that if the frequency of unprotected sex with each of the sexual partners is sustained during concurrent relationships, HIV-positive individuals with concurrent partners may disproportionately contribute to onward HIV transmission.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Delva</LastName><ForeName>Wim</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>The South African Department of Science and Technology/National Research Foundation (DST/NRF), Centre of Excellence in Epidemiological Modelling and Analysis (SACEMA), Stellenbosch University, Stellenbosch, South Africa. 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DateType="Electronic"><Year>2013</Year><Month>04</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>J Int AIDS Soc</MedlineTA><NlmUniqueID>101478566</NlmUniqueID><ISSNLinking>1758-2652</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>X</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>PLoS One. 2009;4(5):e5340</RefSource><PMID Version="1">19412535</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Epidemiol. 2010 Dec;39(6):1541-55</RefSource><PMID Version="1">20630991</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS One. 2010;5(11):e14092</RefSource><PMID Version="1">21124829</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Womens Health Issues. 2012 May-Jun;22(3):e277-82</RefSource><PMID Version="1">22265179</PMID></CommentsCorrections><CommentsCorrections 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Version="1">19954832</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003075" MajorTopicYN="Y">Coitus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017280" MajorTopicYN="N">Condoms</DescriptorName><QualifierName UI="Q000656" MajorTopicYN="Y">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007407" MajorTopicYN="N">Interviews as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012747" MajorTopicYN="N">Sexual Partners</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013019" MajorTopicYN="N" Type="Geographic">South Africa</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D047568" MajorTopicYN="N">Unsafe Sex</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC3636421</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">HIV</Keyword><Keyword MajorTopicYN="N">South Africa</Keyword><Keyword MajorTopicYN="N">coital dilution</Keyword><Keyword MajorTopicYN="N">concurrency</Keyword><Keyword MajorTopicYN="N">condom use</Keyword><Keyword MajorTopicYN="N">sex frequency</Keyword><Keyword MajorTopicYN="N">sexual behaviour</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>08</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2013</Year><Month>02</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>02</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>4</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>4</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>11</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23618365</ArticleId><ArticleId 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