Original Paper

AIDS and Behavior

, Volume 15, Issue 1, pp 132-141

First online:

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

  • Loraine TownsendAffiliated withHealth Systems Research Unit, Medical Research Council Email author 
  • , Rachel JewkesAffiliated withGender and Health Research Unit, Medical Research Council
  • , Catherine MathewsAffiliated withHealth Systems Research Unit, Medical Research CouncilSchool of Public Health and Family Medicine, University of Cape Town
  • , Lisa Grazina JohnstonAffiliated withSchool of Public Health and Tropical Medicine, Tulane University
  • , Alan J. FlisherAffiliated withDivision of Child and Adolescent Psychiatry and Adolescent Health Research Unit, University of Cape Town
  • , Yanga ZembeAffiliated withHealth Systems Research Unit, Medical Research Council
  • , Mickey ChopraAffiliated withUnited Nations Childrens Fund

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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 partnerships HIV prevention High risk heterosexual men Intimate partner violence Respondent driven sampling South Africa