The role of relationship types on condom use among urban men with concurrent partners in Ghana and Tanzania.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Fleming, PJ; Mulawa, M; Burke, H; Shattuck, D; Mndeme, E; Attafuah, J; Mbwambo, J; Guest, G

Published Date

  • January 2015

Published In

Volume / Issue

  • 27 / 4

Start / End Page

  • 466 - 472

PubMed ID

  • 25337930

Pubmed Central ID

  • PMC4312535

Electronic International Standard Serial Number (EISSN)

  • 1360-0451

International Standard Serial Number (ISSN)

  • 0954-0121

Digital Object Identifier (DOI)

  • 10.1080/09540121.2014.969675


  • eng