AIDS and Behavior

, Volume 15, Issue 1, pp 132–141

HIV Risk Behaviours and their Relationship to Intimate Partner Violence (IPV) Among Men Who Have Multiple Female Sexual Partners in Cape Town, South Africa


    • Health Systems Research UnitMedical Research Council
  • Rachel Jewkes
    • Gender and Health Research UnitMedical Research Council
  • Catherine Mathews
    • Health Systems Research UnitMedical Research Council
    • School of Public Health and Family MedicineUniversity of Cape Town
  • Lisa Grazina Johnston
    • School of Public Health and Tropical MedicineTulane University
  • Alan J. Flisher
    • Division of Child and Adolescent Psychiatry and Adolescent Health Research UnitUniversity of Cape Town
  • Yanga Zembe
    • Health Systems Research UnitMedical Research Council
  • Mickey Chopra
    • United Nations Childrens Fund
Original Paper

DOI: 10.1007/s10461-010-9680-5

Cite this article as:
Townsend, L., Jewkes, R., Mathews, C. et al. AIDS Behav (2011) 15: 132. doi:10.1007/s10461-010-9680-5


HIV/AIDS and intimate partner violence (IPV) are growing public health concerns in South Africa. Knowledge about adult men’s perpetration of IPV and links between HIV risk behaviours and IPV is limited. Respondent driven sampling was used to recruit men who have multiple concurrent female sexual partners. Forty-one percent of the 428 recruited men had perpetrated IPV. Inconsistent condom use was associated with physical IPV; experiencing a symptom of a sexually transmitted infection and engaging in transactional sex were associated with physical and sexual IPV; problem alcohol use was associated with physical, and any IPV, but not sexual IPV; having five or more partners was associated with sexual IPV; perceptions of partners’ infidelity were associated with physical and any IPV. HIV risk reduction interventions among men, especially those with multiple female sex partners, should incorporate strategies to change the underlying construction of masculinity that combines the anti-social and risky behaviours of IPV perpetration, inconsistent condom use, transactional sex and heavy alcohol consumption.


Concurrent sexual partnershipsHIV preventionHigh risk heterosexual menIntimate partner violenceRespondent driven samplingSouth Africa

Copyright information

© Springer Science+Business Media, LLC 2010