Comparison of key parameters of sexual behaviour in four African urban populations with different levels of HIV infection

Ferry, Barbara; Caraël, Michel; Buvé, Anne; Auvert, Bertran; Laourou, M.; Kanhonou, Lydie; Loenzien, Myriam de; Akam, E.; Chege, Jane; Kaona, F.

doi:10.1097/00002030-200108004-00005

Cited by 87 publications

(76 citation statements)

References 13 publications

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“…Two articles reported on the same data, and their information was therefore combined in the analysis, and they were treated as one study. 12,13 Information about sample characteristics, setting, study design, variables adjusted for and statistical results were extracted from the study by one reviewer (NK), and a confirmatory data extraction and quality appraisal were carried out by a second reviewer (HS). The quality appraisal was conducted using seven appraisal questions adapted from the graphical appraisal tool for epidemiological studies (GATE).…”

Section: Methodsmentioning

confidence: 99%

Is Early Sexual Debut a Risk Factor for HIV Infection Among Women in Sub‐Saharan Africa? A Systematic Review

Stöckl

Kalra²,

Jacobi

et al. 2012

American J Rep Immunol

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Section: Methodsmentioning

confidence: 99%

Is Early Sexual Debut a Risk Factor for HIV Infection Among Women in Sub‐Saharan Africa? A Systematic Review

Stöckl

Kalra²,

Jacobi

et al. 2012

American J Rep Immunol

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“…Overall, we find that men in Kisumu maintain ongoing relationships with nonmarital sexual partners. In fact, men's nonmarital relationships in Kisumu were the longest recorded in a comparative study across four African cities (Ferry et al 2001). Relationship duration also varies significantly by male economic status: Wealthier men's relationships are approximately 14 months in duration on average compared to approximately 12 months on average for poorer men.…”

Section: Female Partner Characteristicsmentioning

confidence: 98%

Economic Status, Informal Exchange, and Sexual Risk in Kisumu, Kenya

Luke

2008

Economic Development and Cultural Change

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Many observers believe that wealthy men play a disproportionate role in the continuing spread of HIV/AIDS infection in sub-Saharan Africa through their involvement in informal exchange relationships, where money and gifts (referred to as "transfers") are given to a range of nonmarital sexual partners. In this case, wealthier men are riskier sexual partners because they can afford to give larger transfers, which have been found to be negatively associated with condom use. Alternatively, wealthier men might have greater incentives to practice safe sex at later stages of the epidemic or wealthier men might match with female partners who have particularly strong preferences for condom use. Accordingly, economic status would be positively associated with condom use. We use survey data from urban Kisumu, Kenya, to investigate the various mechanisms through which economic status is associated with sexual risk behavior. Our results show that wealth is positively associated with transfers; wealth is uncorrelated with condom use, however. The characteristics of wealthier men's female partners also do not differ from the characteristics of poorer men's partners. We conclude that wealthier men have stronger preferences for condom use, which offsets the negative effect of larger transfers that they give to their sexual partners.

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“…Research in rural Malawi has shown that the husbands of HIV-positive women are more likely to be HIV positive and, in rural Uganda, especially if they are ten or more years older (Bracher et al, 2003;Kelly et al, 2003). Analysis revealing a negative correlation between median age at first marriage and HIV prevalence in four sub-Saharan African cities also supports the argument of the risks of early marriage (Ferry et al, 2001).…”

Section: Introductionmentioning

confidence: 84%

Hiv Status and Age at First Marriage Among Women in Cameroon

Adair¹

2007

J. Biosoc. Sci

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Recent research has highlighted the risk of HIV infection for married teenage women compared with their unmarried counterparts (Clark, 2004). This study assesses whether a relationship exists, for women who have completed their adolescence (age 20-29 years), between HIV status with age at first marriage and the length of time between first sex and first marriage. Multivariate analysis utilizing the nationally representative 2004 Cameroon Demographic and Health Survey shows that late-marrying women and those with a longer period of pre-marital sex have the highest risk of HIV. Although women in urban areas overall marry later than their rural counterparts, the positive relationship between age at marriage and HIV risk is stronger in rural areas. The higher wealth status and greater number of lifetime sexual partners of late-marrying women contribute to their higher HIV risk. Given that the age at first marriage and the gap between first marriage and first sex have increased in recent years, focusing preventive efforts on late-marrying women will be of much importance in reducing HIV prevalence among females.

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Comparison of key parameters of sexual behaviour in four African urban populations with different levels of HIV infection

Abstract: In these four African populations, differences in reported sexual behaviour could not explain the differences in rate of spread of HIV. In all four cities, high-risk sexual behaviour patterns were identified.

Cited by 87 publications

References 13 publications

Is Early Sexual Debut a Risk Factor for HIV Infection Among Women in Sub‐Saharan Africa? A Systematic Review

Is Early Sexual Debut a Risk Factor for HIV Infection Among Women in Sub‐Saharan Africa? A Systematic Review

Economic Status, Informal Exchange, and Sexual Risk in Kisumu, Kenya

Hiv Status and Age at First Marriage Among Women in Cameroon

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