The Evidence for the Role of Concurrent Partnerships in Africa’s HIV Epidemics: A Response to Lurie and Rosenthal
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Recently a growing number of HIV prevention programs have begun addressing multiple and concurrent partnerships, inspired by the increasing recognition of the association between such types of partnerships and related sexual networks, and the spread of HIV, especially in the most severe epidemics in Africa [1, 2]. In their Commentary, Lurie and Rosenthal raise some valid concerns noting that the evidence of this link is still not thoroughly demonstrated and requires more research . While we agree that HIV epidemics are complex and that prevention efforts should not be based on “magic bullet” solutions, we maintain that addressing concurrency and the resulting sexual networks is one critical component in the prevention response, particularly in the severe “hyper-epidemics” of southern and parts of east Africa. While a causal link between concurrency and HIV infection has not been demonstrated definitively (which has only been achieved for a limited number of potential ris ...
- SADC. Expert think tank meeting on HIV prevention in high-prevalence countries in southern Africa: report. www.sadc.int/archives/read/news/802 (2006). Accessed 25 June 2009.
- UNAIDS, Harvard AIDS Prevention Research Project, World Bank. Strategic considerations for communications on multiple and concurrent partnerships within broader HIV prevention in Southern Africa. www.unaidsrstesa.org (2008). Accessed 25 June 2009.
- Lurie MN, Rosenthal S. Concurrent partnerships as a driver of the HIV epidemic in sub-Saharan Africa: the evidence is limited. AIDS Behav. 2009; doi:10.1007/s10461-009-9583-5.
- Potts, M, Halperin, DT, Kirby, D, Swidler, A, Marseille, E, Klausner, JD (2008) Reassessing HIV prevention. Science 320: pp. 749-750 CrossRef
- Mah TL, Halperin DT. Concurrent sexual partnerships and the HIV epidemics in Africa: evidence to move forward. AIDS Behav. 2008; doi:10.1007/s10461-008-9433-x).
- Halperin, DT, Epstein, H (2004) Concurrent sexual partnerships help to explain Africa’s high HIV prevalence: Implications for prevention. Lancet 364: pp. 4-6 CrossRef
- Caraël M. Sexual behaviour. In: Cleland JG, Ferry B, editors. Sexual behaviour and AIDS in the developing world. London: Taylor & Francis, World Health Organization; 1995.
- Morris M. Partnership networks and HIV: global consequences of local decisions. In: NIH Advisory Council Meeting, June 2003.
- Gourvenec D, Taruberekera N, Mochaka O, Kasper T. Multiple concurrent partnerships among men and women aged 15–34 in Botswana—baseline study. www.psi.org/hiv/tools/index.html (2007). Accessed 25 June 2009.
- Harrison, A, Cleland, J, Frohlich, J (2008) Young people’s sexual partnerships in KwaZulu-Natal, South Africa: patterns, contextual influences, and HIV risk. Stud Fam Plann 39: pp. 295-308 CrossRef
- Campbell M, Mullins J, Hughes J, Deng W, Raugi D, Sorensen S, et al. Determination of transmission linkage in the partners in prevention study. In: 5th IAS conference on HIV pathogenesis, treatment and prevention, Cape Town, South Africa, 19–22 July 2009.
- Wellings, K, Collumbien, M, Slaymaker, E, Singh, S, Hodges, Z, Patel, D (2006) Sexual behaviour in context: a global perspective. Lancet 368: pp. 1706-1728 CrossRef
- Morris, M (2001) Concurrent partnerships and syphilis persistence: new thoughts on an old puzzle. Sex Transm Dis 28: pp. 504-507 CrossRef
- Potterat, JJ, Zimmerman-Rogers, H, Muth, SQ, Rothenberg, RB, Green, DL, Taylor, JE (1999) Chlamydia transmission: concurrency, reproduction number, and the epidemic trajectory. Am J Epidemiol 150: pp. 1331-1339
- Drumright, LN, Gorbach, PM, Holmes, KK (2004) Do people really know their sex partners? Concurrency, knowledge of partner behavior, and sexually transmitted infections within partnerships. Sex Transm Dis 31: pp. 437-442 CrossRef
- Koumans, E, Farley, T, Gibson, J, Langley, C, Ross, M, McFarlane, M (2001) Characteristics of persons with syphilis in areas of persisting syphilis in the United States: sustained transmission associated with concurrent partnerships. Sex Transm Dis 28: pp. 497-503 CrossRef
- Guwatudde, D, Wabwire-Mangen, F, Eller, LA, Eller, M, McCutchan, F, Kibuuka, H (2009) Relatively low HIV infection rates in rural Uganda, but with high potential for a rise: a cohort study in Kayunga District, Uganda. PLoS ONE 4: pp. e4145 CrossRef
- Gregson, S, Nyamukapa, CA, Garnett, GP, Mason, PR, Zhuwau, T, Caraël, M (2002) Sexual mixing patterns and sex-differentials in teenage exposure to HIV infection in rural Zimbabwe. Lancet 359: pp. 1896-1903 CrossRef
- Mishra V, Bignami-Van Assche S. Concurrent sexual partnerships and HIV infection: evidence from national population-based surveys. DHS Working Paper No. 62. www.measuredhs.com/pubs/ (2009). Accessed 20 June 2009.
- Leclerc-Madlala, S (2009) Cultural scripts for multiple and concurrent partnerships in southern Africa: why HIV prevention needs anthropology. Sex Health 6: pp. 103-110 CrossRef
- Soul City Institute Regional Programme. Multiple and concurrent sexual partnerships in Southern Africa: a ten country research report. www.soulcity.org/za (2008). Accessed 25 June 2009.
- Shelton, JD (2009) Why multiple sex partners?. Lancet 374: pp. 367-369 CrossRef
- UNAIDS Reference Group on Estimates Modelling and Projections. Consultation on concurrent sexual partnerships: recommendations from a meeting held in Nairobi, Kenya. http://www.epidem.org/publications.htm (2009). Accessed 25 June 2009.
- The Evidence for the Role of Concurrent Partnerships in Africa’s HIV Epidemics: A Response to Lurie and Rosenthal
AIDS and Behavior
Volume 14, Issue 1 , pp 25-28
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Industry Sectors
- Author Affiliations
- 1. Office of HIV/AIDS, United States Agency for International Development, Washington, DC, USA
- 3. 1300 Pennsylvania Ave NW, RRB 5-07.18, Washington, DC, 20523, USA
- 2. Department of Global Health and Population, Harvard School of Public Health, Boston, MA, USA