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Did AIDS mortality decrease the number of lifetime sexual partners in Kenya: an ecological analysis?

C R Kenyon1, I Schwartz2, J Buyze1

  • 1HIV/STI Unit,Institute of Tropical Medicine,Antwerp,Belgium.

Epidemiology and Infection
|July 11, 2015
PubMed
Summary
This summary is machine-generated.

The number of lifetime sexual partners for Kenyan men significantly decreased after the AIDS epidemic. This decline may be linked to AIDS mortality and reporting biases.

Keywords:
AIDSepidemiologysexually transmitted infections (STIs)

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Area of Science:

  • Public Health
  • Epidemiology
  • Sociology

Background:

  • The AIDS epidemic has had profound demographic and behavioral impacts globally.
  • Understanding changes in sexual behavior is crucial for public health interventions.
  • Kenya experienced a significant AIDS epidemic, necessitating an examination of its effects on societal norms.

Purpose of the Study:

  • To determine if there has been a decline in the median number of reported lifetime sexual partners among Kenyan men.
  • To compare sexual partner reporting between the pre- and post-peak AIDS epidemic periods in Kenya.

Main Methods:

  • Utilized data from the 1993 and 2008 Kenyan Demographic Health Surveys.
  • Employed the Wilcoxon rank-sum test to compare median and interquartile range (IQR) of lifetime sexual partners.
  • Focused analysis on men aged 20-54 years.

Main Results:

  • The median number of lifetime sexual partners for men aged 20-54 years declined from 10 (IQR 4-20) in 1993 to 3 (IQR 2-7) in 2008.
  • Statistical analysis showed a significant decline (P < 0.001).
  • Age-specific analysis indicated a plateauing trend in 1993, which was halved by 2008.

Conclusions:

  • A substantial decline in reported lifetime sexual partners among Kenyan men was observed.
  • This reduction is potentially attributable to a combination of AIDS-related mortality and changes in reporting behavior (misreporting bias).
  • Findings highlight the long-term behavioral impact of the AIDS epidemic on sexual networks.