, Volume 14, Issue 1, pp 25-28
Date: 09 Oct 2009

The Evidence for the Role of Concurrent Partnerships in Africa’s HIV Epidemics: A Response to Lurie and Rosenthal

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Introduction

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 [3]. 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

Response to: Lurie M.N. and Rosenthal S. 2009. Concurrent partnerships as a driver of the HIV epidemic in Sub-Saharan Africa? The evidence is limited. AIDS and Behavior. doi:10.1007/s10461-009-9583-5.