Causes of multiple concurrent partnerships

Concurrent sexual partnerships and associated factors. Similar or larger reductions in multiple partnerships among adults have been reported in other national surveys. Two models of withinpartnership sexact rate are compared. Concurrent sexual partnerships, which can accelerate the spread of hiv infection through a sexual network, are more common among african americans than among us whites. Multiple sexual partnershipsparticularly overlapping or concurrent. Most partnerships that start out with promises of exclusivity soon run. After controlling for total number of sex acts, pseudoequilibrium. Helping young people understand and avoid hiv risks. Understanding the causes of sexual concurrency in a given geography and with a given group is an important step toward developing effective hiv prevention programming. Research has shown that the practice is considered as normal. The courses are taught in partnering high schools, by teachers who have been approved to teach vsu courses. We used logistic regression to build a multivariable model of factors.

Multiple concurrent partnerships provide a compelling, if partial, resolution of the apparent paradox of africas high hiv infection rates. Concurrent sexual partnership an overview sciencedirect topics. Multiple and concurrent sexual partnerships in southern africa. Multiple and concurrent sexual partnerships in malawi a formative qualitative study the summit consulting group 2009. Associated risk factors of stis and multiple sexual. Mcp, combined with reducing multiple concurrent partnerships. Multiple concurrent partnerships, which continues to be a source of debate and disagreement among hivaids activists, scholars, and scientists. Multiple sex partners driving hiv brand south africa. Multiple concurrent partnerships among men and women. Concurrent partnerships could cause aids epidemics. Recent multiple sexual partners and hiv transmission risks among people living with hivaids in botswana. This is according to a report released on monday following a meeting of experts convened by the southern african development community sadc. Characteristics of multiple and concurrent partnerships. Determinants of concurrent sexual partnerships within stable.

Marta pirzadeh is a technical officer on fhi 360s research utilization youth team. Concurrent sexual partnerships and the spread of hiv. Multiple concurrent partnerships has been identified as a key driver of hivaids in southern africa and it has been posited that one of the factors contributing to mcp is womens sexual dissatisfaction. For women, having concurrent relationships may be associated with relationship power imbalances and less ability to protect against hiv. Although concurrent sexual partnerships may play an important role in hiv. A survey of fcs institutions showed that 25 of the 28 colleges have partnerships with other colleges and universities. Individuals who have multiple sexual partners increase their risk of contracting hiv as each new relationship. Having multiple and concurrent partners, has been identified as one of the causes for rising hiv infections, particularly in southern africa. If you think politicians have a tough time staying monogamous, take a look at big corporations. Multiple partnerships can be concurrent or sequential. Mcp is the practice of having multiple longterm sexual partners that overlap in time, often for months or years.

The critics, writing in the journals aids and behavior and the lancet, argue that researchers lack a precise definition of concurrency or a standard way to measure it, and that the data do not show a significant. Concurrent enrollment program at virginia state university the concurrent enrollment partnerships cep program at vsu allows qualified high school students to earn college credits while completing high school. In one of the first studies to investigate multiple concurrent partnerships mcps among african men who have sex with men msm, just over half. Multiple and concurrent partnerships, the big house, spare tire, and sugar daddythese are just a few of the terms used to refer to multiple sexual partners. The practice of multiple sexual partnerships has been shown to be the most important risk factor in the transmission of hiv, 19 but the characteristics of each sexual partnership e. The latter pattern of multiple sexual partnerships. Florida supreme court adopts concurrent cause doctrine for property damage claims with multiple causes. An insurance theory stating that if loss or damages occur as a result of more than one cause, one of which is covered insured while the. Mcp or multiple concurrent partners can be described as when an individual has more.

Since presumably nearly all married people would have sex at least occasionally with their spouses and given that most adults in zimbabwe are married, this implies a sizeable reduction in the level of concurrent partnerships. Concurrent sexual partnerships among married zimbabweans implications for hiv prevention esther mugweni,1 stephen pearson,2 mayeh omar2 1ucl department of infection and population health, university college london, london, 2the nuffield centre for international health and development, university of leeds, leeds, uk background. Multiple and concurrent sexual partnerships among men who have. In a longstanding general population cohort in rural uganda we assessed the prevalence of concurrency and investigated its association with sociodemographic and behavioural factors and. What impact do multiple concurrent sexual partnerships. However, the effect of concurrent partnerships on hiv incidence has. Although concurrent sexual partnerships may play an important role in hiv transmission in africa, the lack of an agreed definition of concurrency and of standard methodological approaches has hindered studies.

Botswana teen club hosts multiple concurrent partnerships. Given the significant role of multiple sexual partners in sustaining the hiv epidemic, reducing sexual hiv transmission is an international hiv prevention priority. Multiple concurrent partnerships in which consistent condom use tends to be low, combined with low levels of male circumcision, are the key drivers of hivaids in southern africa. A youth hiv prevention campaign addressing multiple and. Social and sexual network characteristics and concurrent. Reason cited for engaging in multiple sexual partnership. Recent multiple sexual partners and hiv transmission risks. Multiple episodes of unprotected vaginal intercourse with. In plain english multiple concurrent partnership mcp means being sexually nonmonogamous, which could be mutually agreed on by the people involved or could be cheating. Irreverent and humorous, with strong, colorful visuals, the campaigns ads were markedly different from previous south african hiv prevention campaigns for youth. In this commentary, individual, social, economic, and cultural factors underlying multiple concurrent partnerships are discussed.

Sex ratio, poverty, and concurrent partnerships among men. Multiple and concurrent sexual partnerships in swaziland. In a longstanding general population cohort in rural uganda we assessed the prevalence of concurrency and investigated its association with sociodemographic and behavioural. Concurrent sexual partnerships and human immunodeficiency.

Launched on south african television in june 2008, the scrutinize campaign was a yearlong series of hiv prevention ads targeting multiple and concurrent sexual partnerships. This research report focuses on the linkages between multiple concurrent partnerships and sexual dissatisfaction in a sample of black women. Multiple and concurrent sexual partnerships in generalized. The practice by men and women of having more than one sexual partner at the same time, otherwise known as multiple concurrent sexual partners mcp, is a disturbing factor in our societies. Concurrency is a common partnership pattern among those youth with multiple partners, especially men. In this report, we meet a man who tells us why he has more than one partner.

It is clear, however, that multiple sexual partners, whether serial or concurrent. Our definition of multiple partnerships was based on numbers. Multiple concurrent partnerships among men and women aged. The purpose of the national multiple concurrent partnerships mcp campaign plan is to fulfil the commitment under the national operational plan for scaling up hiv prevention in botswana, 20082010 to a highprofile, national, multiyear behaviour change campaign specifically focussing on the acknowledged drivers of the epidemic. Florida supreme court adopts concurrent cause doctrine for. Concurrent partnerships are an important sexual network characteristic because of the way they connect people to. Sexual concurrency and multiple sex partnerships may contribute to high hiv.

Young people with multiple or concurrent partners also face increased hiv risk. Reducing multiple concurrent partnerships in mozambique. For the hypothesis to be valid, concurrency must be especially effective in spreading hiv. Multiple concurrent partnerships defining the problem. The goal of this study is to examine correlates of concurrent involvement in multiple sexual partnerships with social i. We examined parameters of sexual partnerships, including respondents participation in concurrency, belief that their partner had concurrent partnerships partners concurrency, and partnership intervals, among the 2,099 women in hiv prevention trials network 064, a study of women at high risk for hiv infection, in ten us communities. Some researchers question the sterngth of this link. Sociodemographic drivers of multiple sexual partnerships among women in three rural districts of tanzania. Other reasons described for multiple partnerships include. Botswana teen club hosts multiple concurrent partnerships mcp training.

The concurrency hypothesis asserts that the high prevalence of overlapping sexual partnerships known as concurrency or multiple concurrent partnering explains the extraordinarily high levels of hiv in subsaharan africa. Concurrent sexual partnerships among married zimbabweans. This paper was present at the pacanet consultation on mcp held at swaziland on 26th to 30th april 2010. It had only been a few days into the start of my threemonth internship at baylor as a teen club project assistant when i was given the opportunity to attend a fourday workshop on. Characteristics of multiple and concurrent partnerships among women at high risk for hiv infection article in jaids journal of acquired immune deficiency syndromes epub ahead of print1 july. Proponents of this dating link the hiv epidemic with the emergence of colonialism and growth of large colonial african cities, leading to social changes, including different patterns of sexual contact especially multiple, concurrent partnerships, the spread of prostitution, and the concomitant high frequency of genital ulcer diseases such as. Multiple and concurrent sexual partnerships among youth and adults in swaziland mobility, wealth inequalities, cultural factors and gender inequality, explain the high hiv prevalence in the region. However, for the two reasons described above, concurrency could. The theory that multiple, overlapping sexual partnerships are a key driver of generalised hiv epidemics in africa has been attacked as being based on insubstantial evidence. Multiple and concurrent sexual partnerships in southern africa executive summary southern africa remains the epicentre of the global hiv and aids epidemic, with an hivprevalence rate of approximately 11%. Another process, a sadc regional consultation on social change communication for hiv prevention was held in swaziland in october 2006. Prevalence and predictors of concurrent sexual partnerships in a predominantly african american population in jackson, mississippi article in aids and behavior 1812 may 2014 with 22 reads.