Determinants of multiple sexual partnerships in South Africa

SOURCE: Journal of Public Health
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2014
TITLE AUTHOR(S): D.Onoya, K.Zuma, N.Zungu, O.Shisana, V.Mehlomakhulu
KEYWORDS: HIV/AIDS, MULTIPLE AND CONCURRENT PARTNERSHIPS (MCP), RISK BEHAVIOUR, SEXUAL BEHAVIOUR, TRANSACTIONAL SEX, VALUES IN SOCIETY
DEPARTMENT: Human and Social Capabilities (HSC), Office of the CEO (ERM), Office of the CEO (OCEO), Office of the CEO (IL), Office of the CEO (BS), Office of the CEO (IA)
Print: HSRC Library: shelf number 8608
HANDLE: 20.500.11910/1983
URI: http://hdl.handle.net/20.500.11910/1983

If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.

Abstract

This paper aims to examine determinants of multiple sexual partnerships (MSPs) among South African men and women using a nationally representative sample. Quantitative and qualitative data from a 2008 population-based cross-sectional survey were used. The analysis focused on the 6990 who were 15 years and older and reported sexual activity in the prior 12 months. The qualitative component consisted of 15 focus group interviews investigating values underlying MSP behaviors. Predictors of MSP common across gender were race, having a history of STI, being in a short relationships (1 year) and suspecting the current partner of infidelity. MSP among men enjoyed greater community acceptance and was mainly done for social status. Furthermore, men reporting MSP were mostly younger (15-24 years old) and use condom at last sex. Among women, determinants of MSP included economic vulnerability, younger age at sexual debut and living in formal urban rather than formal rural areas. The data presented in this paper reinforces the importance of MSP as a risk factor for HIV and outline factors that should strongly be considered in strengthening condom use promotion and of partner reduction programs messaging in South Africa.