title: The role of relationship types on condom use among urban men with concurrent partners in Ghana and Tanzania.
abstract: Multiple concurrent partnerships are hypothesized to be important drivers of HIV transmission. Despite the demonstrated importance of relationship type (i.e., wife, girlfriend, casual partner, sex worker) on condom use, research on concurrency has not examined how different combinations of relationship types might affect condom use. We address this gap, using survey data from a sample of men from Ghana (GH: n = 807) and Tanzania (TZ: n = 800) who have at least three sexual partners in the past three months. We found that approximately two-thirds of men's reported relationships were classified as a girlfriend. Men were more likely to use a condom with a girlfriend if their other partner was a wife compared to if their other partner was a sex worker (GH: OR 3.10, 95% CI, 1.40, 6.86; TZ: OR 2.34, 95% CI 1.35, 4.06). These findings underscore the importance of considering relationship type when designing HIV prevention strategies in these settings.
authors.affiliation: a FHI 360 , Durham , NC , USA.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Fleming
authors.forename: Marta
authors.initials: M
authors.lastname: Mulawa
authors.forename: Holly
authors.initials: H
authors.lastname: Burke
authors.forename: Dominick
authors.initials: D
authors.lastname: Shattuck
authors.forename: Erasmus
authors.initials: E
authors.lastname: Mndeme
authors.forename: John
authors.initials: J
authors.lastname: Attafuah
authors.forename: Jessie
authors.initials: J
authors.lastname: Mbwambo
authors.forename: Greg
authors.initials: G
authors.lastname: Guest
mesh_terms: D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D005869:Ghana / Q000453:epidemiology; D015658:HIV Infections / Q000523:psychology / Q000635:transmission*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012309:Risk-Taking; D060386:Sex Workers / Q000523:psychology* / Q000706:statistics & numerical data; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D012747:Sexual Partners / Q000523:psychology*; D018454:Spouses / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D013636:Tanzania / Q000453:epidemiology; D014505:Urban Population
keywords: Ghana; HIV; Tanzania; concurrency; condom use; men