What happened to multiple sexual partnerships in Swaziland? Analysis of five linked national surveys between 2002 and 2008.

Multiple sexual partnerships are a driver of the HIV epidemic in southern Africa. Five linked cluster surveys in 2002, 2005, 2006, 2007 and 2008 allowed us to measure changes in rates of multiple partnerships in these clusters in Swaziland. We selected a stratified random sample of census enumeratio...

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Publicado en:AIDS Care Vol. 22; no. 8; pp. 955 - 961
Autores principales: Cockcroft A, Andersson N, Ho-Foster A, Marokoane N, Mziyako B
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2010
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.1080/09540121.2010.482123
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        atl: What happened to multiple sexual partnerships in Swaziland? Analysis of five linked national surveys between 2002 and 2008.
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          Cockcroft A
          Andersson N
          Ho-Foster A
          Marokoane N
          Mziyako B
        affil: CIET Trust Botswana, Gaborone, Botswana.
      sug:
        subj:
          Disease Outbreaks Eswatini
          HIV Infections Epidemiology
          Sexual Partners
          Confidence Intervals
          Descriptive Statistics
          Female
          Funding Source
          HIV Infections Prevention and Control
          Human
          Male
          Odds Ratio
          Prospective Studies
          Random Sample
          Surveys
          Eswatini
          Female
          Male
      ab: Multiple sexual partnerships are a driver of the HIV epidemic in southern Africa. Five linked cluster surveys in 2002, 2005, 2006, 2007 and 2008 allowed us to measure changes in rates of multiple partnerships in these clusters in Swaziland. We selected a stratified random sample of census enumeration areas in 2002 and survey teams subsequently revisited this same sample (a random sub-sample in 2005 and 2006). For this study, analysis includes only people aged 18-29 years interviewed in communities included in all five surveys (1862 men and 2701 women). Among men, there was a significant fall in the proportion having multiple partners in the last 12 months (MP12), among those that had any, between 2002 (61%) and 2007 (46%), followed by a slight rise in 2008 (49%). For multiple partnerships in the last six months (MP6 - measured in 2005 and 2006), there was a decrease between 2005 (43%) and 2006 (25%). There was a significant decrease in multiple partnerships in the last month (MP1) between 2005 (35%) and 2006 (16%), followed by an increase in 2007 (24%) and 2008 (25%). Among women, there was a significant decrease in MP12 between 2002 (22%) and 2007 (9%), then a significant increase in 2008 (15%). There was little difference in women's MP6 between 2005 (7%) and 2006 (6%). There was also little change in women's MP1 between 2005 (5%) and 2006 (3%), with an increase from 2007 (3%) to 2008 (6%); the 2006-2008 difference was significant. A 2006 campaign to reduce multiple partnerships may have changed behaviour among men or it may have made them less likely to admit to multiple partners. The recent increase in MP12 and MP1, especially among women, may reflect behaviour or it could reflect increased willingness to report.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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