Trends in extra-partner sexual relationship and condom use in sub-Saharan Africa
Agbessi Amouzou, Elizabeth Glaser Pediatric AIDS Foundation
Stan Becker, Johns Hopkins University
Sub-Sahara Africa bears the largest burden of the HIV epidemic, hosting two thirds of the people living with the virus. Because HIV is transmitted mainly through sexual contacts in the region, prevention programs focus mainly on the three means for prevention: Abstinence, condom use, and faithfulness. This study uses data from Demographic and Health Survey in eleven sub-Saharan Africa countries to assess trends in extra-partner sexual relationship and condom use with such partners in the region. Preliminary results indicate a downward trend in both extra-partner relationship and condom use with such partners in the majority of countries. This is observed more among men than women and among unmarried than among married individuals. There is evidence of significant behavior change regarding HIV observed in the increase in condom use with extra-partner relationships. Strategies for HIV prevention must also focus on married or cohabiting couples where the risk of infection is increasing.