Fleming Paul J, Mulawa Marta, Burke Holly, Shattuck Dominick, Mndeme Erasmus, Attafuah John, Mbwambo Jessie, Guest Greg
a FHI 360 , Durham , NC , USA.
AIDS Care. 2015;27(4):466-72. doi: 10.1080/09540121.2014.969675. Epub 2014 Oct 22.
Multiple concurrent partnerships are hypothesized to be important drivers of HIV transmission. Despite the demonstrated importance of relationship type (i.e., wife, girlfriend, casual partner, sex worker) on condom use, research on concurrency has not examined how different combinations of relationship types might affect condom use. We address this gap, using survey data from a sample of men from Ghana (GH: n = 807) and Tanzania (TZ: n = 800) who have at least three sexual partners in the past three months. We found that approximately two-thirds of men's reported relationships were classified as a girlfriend. Men were more likely to use a condom with a girlfriend if their other partner was a wife compared to if their other partner was a sex worker (GH: OR 3.10, 95% CI, 1.40, 6.86; TZ: OR 2.34, 95% CI 1.35, 4.06). These findings underscore the importance of considering relationship type when designing HIV prevention strategies in these settings.
多重并发伴侣关系被认为是艾滋病毒传播的重要驱动因素。尽管已证明关系类型（即妻子、女友、临时伴侣、性工作者）对使用避孕套有影响，但关于并发关系的研究尚未考察不同关系类型组合如何影响避孕套的使用。我们利用来自加纳（GH：n = 807）和坦桑尼亚（TZ：n = 800）的男性样本的调查数据填补了这一空白，这些男性在过去三个月中至少有三个性伴侣。我们发现，男性报告的关系中约三分之二被归类为女友关系。与其他伴侣是性工作者相比，如果男性的其他伴侣是妻子，他们更有可能与女友使用避孕套（GH：比值比3.10，95%置信区间1.40，6.86；TZ：比值比2.34，95%置信区间1.35，4.06）。这些发现强调了在这些环境中设计艾滋病毒预防策略时考虑关系类型的重要性。
