Skip to main content

HIV-Related Sexual Behavior in Urban, Rural and Border Areas of Burkina Faso

This is a preview of subscription content, access via your institution.

Fig. 1.
Fig. 2.


  1. Venue verification interviews supported community informants’ reports that sexual risk behavior clustered at the most frequently cited venues that were selected for the individual interviews. Representatives of these venues were more likely to report that at their venues, men find women sex partners, women find men sex partners and sex workers solicit clients (92.0, 88.0 and 26.7%, respectively) than representatives of all other venues (72.6, 65.7 and 8.7%, respectively).[0] Individual interviews also confirmed that meeting sex partners on site was common, though it differed greatly by setting; only 15% of men and women in rural villages had ever met a partner on site, compared with 60% of men and women in the border area of Banfora and over 70% in urban Tenkodogo.


  • Anderson, R. (1999). Transmission dynamics of sexually transmitted infections. In K. K. Holmes, P. F. Sparling, P. A. Mardh, S. M. Lemon, W. E. Stamm, P. Piot P, & J. Wasserheit (Eds.), Sexually Transmitted Diseases, Third Edition (pp. 25–37). New York: McGraw-Hill, Health Professions Division.

  • Anderson, R., & May, R. (1988). Epidemiologic parameters of HIV transmission. Nature, 333, 514–519.

    Article  PubMed  CAS  Google Scholar 

  • Boerma, J. T., & Weir, S. S. (2005). Integrating demographic and epidemiological approaches to research on HIV/AIDS: the proximate-determinants framework. Journal of Infectious Diseases, 191(Suppl. 1), S61–S67.

    Article  PubMed  Google Scholar 

  • Boerma, J. T., Urassa, M., Klokke, A. H., Senkoro, K. P., & Ng’weshemi, J. Z. L. (1999). Spread of HIV in a rural area in Tanzania. AIDS, 13, 1233–1240.

    Article  PubMed  CAS  Google Scholar 

  • Caraël, M. (1997). Urban-rural differentials in HIV/STDs and sexual behavior. In G. Herdt (Ed.), Sexual Cultures and Migration in the Era of AIDS: Anthropological and Demographic Perspectives. New York: Oxford University Press.

    Google Scholar 

  • Catania, J., Chitwood, D., Gibson, D., & Coates, T. (1990). Methodological problems in AIDS behavioral research: influence on measurement error and participation bias in studies of sexual behavior. Psychological Bulletin, 108(3), 339–362.

    Article  PubMed  CAS  Google Scholar 

  • Cohen, D., Scribner, R., & Farley, T. (2000). A structural model of health behavior: A pragmatic approach to explain and influence health behaviors at the population level. Preventive Medicine, 30, 146–154.

    Article  PubMed  CAS  Google Scholar 

  • DRS Banfora: Direction Regionale de la Sante de Banfora. (1999). Plan de developpement sanitaire 2000–2004 du district sanitaire de Banfora. La ville de Banfora (Burkina Faso), Direction Regionale de la Sante de Banfora.

  • DRS Tenkodogo: Direction Régionale de la Santé de Tenkodogo. (2000). Plan de developpement sanitaire 2000--2004 du district sanitaire de Tenkodogo. La ville de Tenkodogo (Burkina Faso), Direction Regionale de la Sante de Tenkodogo.

  • Egger, M., Pauw, J., Lopatatzidis, A., Medrano, D., Paccaud, F., & Smith, G. D. (2000). Promotion of condom use in a high-risk setting in Nicaragua: a randomised controlled trial. Lancet, 355(9221), 2101–2105.

    Article  PubMed  CAS  Google Scholar 

  • FAO. (2003). HIV/AIDS: a rural issue. Accessed on April 6, 2005 at: HIV/AIDS:

  • INSD: Institut National de la Statistique et de la Demographique (INSD) et ORC Macro. (2003). Enquete Demographique et de Sante, Burkina Faso 2003. Calverton, Maryland (USA): INSD et ORC Macro.

    Google Scholar 

  • Kelly, J. A., St. Lawrence, J. S., Diaz, Y. E., Stevenson, L. Y., Hauth, A. C., & Brasfield, T. L. (1991). HIV risk behavior reduction following intervention with key opinion leaders of population: an experimental analysis. American Journal of Public Health, 81(2), 168–171.

    PubMed  CAS  Article  Google Scholar 

  • Latkin, C., Mandell, W., Vlahov, D., Oziemkowska, M., & Celantano, D. (1996). People and places: behavioral settings and personnel network characteristics as correlates of needle sharing. Journal of Acquired Immune Deficinecy Syndromes and Human Retrovirology, 13(3), 273–280.

    CAS  Google Scholar 

  • Lydie, N., & Robinson, N. (1998). West and Central Africa. International Migration, 36(4), 469–511.

    Article  PubMed  CAS  Google Scholar 

  • Marmot, M. (1998). Improvement of social environment to improve health. Lancet, 351, 57–60.

    Article  PubMed  CAS  Google Scholar 

  • Mwizarubi, B., Hamelmann, C., & Nyamuryekung’e, K. (1997). Working in high transmission areas: truck routes. In J. Z. L. Ng’weshemi (Ed.), HIV Prevention and AIDS care in Africa: A District Level Approach (pp. 137–149). Amsterdam: Royal Tropical Institute Press.

    Google Scholar 

  • Negroni-Belen, M., Vargas-Guadarrama, G., Rueda-Neria, C. M., Bassett-Hileman, S., Weir, S. S., & Bronfman, M. (2003). Identification of meeting places of sexual partners in 2 cities of the Southern Mexican borders, using the PLACE method. Salud Publica de Mexico, 45(Suppl. 5), S647–S656.

    PubMed  Google Scholar 

  • PLACE Study Group/Burkina Faso, prepared by Khan, M. (2003). Combating the Epidemic at the Level of the Health District: A Rapid Assessment of AIDS Prevention in Banfora and Tenkodogo Health Districts of Burkina Faso Using the PLACE Method, MEASURE/Evaluation Technical Report. Chapel Hill, North Carolina: MEASURE Evaluation Project, Carolina Population Center, University of North Carolina.

  • Potterat, J. J., Rothenberg, R. B., Woodhouse, D. E., Muth, J. B., Pratts, C. I., & Fogle, J. S., 2nd (1985). Gonorrhea as a social disease. Sexually Transmitted Diseases, 12(1), 25–32.

    PubMed  Article  CAS  Google Scholar 

  • Rojanapithayakorn, W., & Hanenberg, R. (1996). The 100% condom program in Thailand. AIDS, 10, 1–7.

    PubMed  Article  CAS  Google Scholar 

  • Rose, G. (1992). The Strategy of Preventive Medicine. New York: Oxford University Press.

    Google Scholar 

  • Serwadda, D., Wawer, M. J., Musgrave, S. D., Sewankambo, N. K., Kaplan, J. E., & Gray, R. H. (1992). HIV risk factors in three geographic strata of rural Rakai District, Uganda. AIDS, 6(9), 983–989.

    PubMed  Article  CAS  Google Scholar 

  • Stokols, D. (1996). Translating social ecological theory into guidelines for community health promotion. American Journal of Health Promotion, 10(4), 282–298.

    PubMed  CAS  Google Scholar 

  • Thomas, J. C., & Tucker, M. J. (1996). The development and use of the concept of a sexually transmitted disease core. Journal of Infectious Diseases, 174(Suppl. 2), S134–S143.

    PubMed  Google Scholar 

  • UNAIDS/IOM: Joint United Nations Programme on HIV/AIDS and the Internatinal Organization for Migration (1998). Migration and AIDS. International Migration, 36(4), 445–468.

    Article  Google Scholar 

  • UNAIDS/WHO: Joint United Nations Programme on HIV/AIDS and theWorld Health Organization (2004). UNAIDS Technical Update. Geneva, Switzerland: UNAIDS.

    Google Scholar 

  • Wasserheit, J., & Aral, S. (1996). The dynamic topology of sexually transmitted disease epidemics: implications for prevention strategies. Journal of Infectious Diseases, 174(Suppl. 2), S201–S213.

    PubMed  Google Scholar 

  • Weir, S. S., Pailman, C., Mahlalela, X., Coetzee, N., Meidany, F., & Boerma, J. T. (2003). People to places: focusing AIDS prevention efforts where it matters most. AIDS, 17(6), 895–903.

    Article  PubMed  Google Scholar 

  • Weir, S. S., Morroni, C., Coetzee, N., Spencer, J., & Boerma, J. T. (2002). A pilot study of a rapid assessment method to identify places for AIDS prevention in Cape Town, South Africa. Sexually Transmitted Infections, 78(Suppl. 1), i106–i113.

    Article  PubMed  Google Scholar 

  • de Wit, J. B., de Vroome, E. M., Sandfort, T. G., & van Griensven, G. J. (1997). Homosexual encounters in different venues. International Journal of STD & AIDS, 8(2), 130–134.

    Article  CAS  Google Scholar 

  • Wohlfeiler, D. (2000). Structural and environmental HIV prevention for gay and bisexual men. AIDS, 14(Suppl. 1), S52–S56.

    Article  PubMed  Google Scholar 

  • Zeger, S. L., & Liang, K. Y. (1986). Longitudinal data analysis for discrete and continuous outcomes. Biometrics, 42(1), 121–130.

    PubMed  Article  CAS  Google Scholar 

Download references


This study was made possible by support from the World Bank and USAID under terms of Cooperative Agreement HRN-A-00-97-00018-00. We wish to thank Dr. P Patnaik for technical assistance in the field and the Banfora and Tenkodoko Health District research teams for their diligence in data collection and data entry.

Author information

Authors and Affiliations


Corresponding author

Correspondence to Maria Khan.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Khan, M., Brown, L., Nagot, N. et al. HIV-Related Sexual Behavior in Urban, Rural and Border Areas of Burkina Faso. AIDS Behav 10, 607–617 (2006).

Download citation

  • Published:

  • Issue Date:

  • DOI:


  • Health District
  • Border Area
  • Sexually Transmitted Disease
  • Community Informant
  • Multiple Partnership