AIDS and Behavior

, Volume 15, Issue 1, pp 132–141 | Cite as

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 Townsend
  • Rachel Jewkes
  • Catherine Mathews
  • Lisa Grazina Johnston
  • Alan J. Flisher
  • Yanga Zembe
  • Mickey Chopra
Original Paper


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 


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Loraine Townsend
    • 1
  • Rachel Jewkes
    • 2
  • Catherine Mathews
    • 1
    • 3
  • Lisa Grazina Johnston
    • 4
  • Alan J. Flisher
    • 5
  • Yanga Zembe
    • 1
  • Mickey Chopra
    • 6
  1. 1.Health Systems Research UnitMedical Research CouncilCape TownSouth Africa
  2. 2.Gender and Health Research UnitMedical Research CouncilPretoriaSouth Africa
  3. 3.School of Public Health and Family MedicineUniversity of Cape TownCape TownSouth Africa
  4. 4.School of Public Health and Tropical MedicineTulane UniversityNew OrleansUSA
  5. 5.Division of Child and Adolescent Psychiatry and Adolescent Health Research UnitUniversity of Cape TownCape TownSouth Africa
  6. 6.United Nations Childrens FundNew YorkUSA

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