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Sexual behaviour in developing countries: implications for HIV control

M Caraël1, J Cleland, J C Deheneffe

  • 1Global Programme on AIDS, World Health Organization, Geneva, Switzerland.

AIDS (London, England)
|October 1, 1995
PubMed
Summary
This summary is machine-generated.

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Sexual behavior varies greatly across cultures, with men more likely than women to report extramarital sex and condom use low. Demographic factors significantly influence sexual practices, challenging broad regional generalizations.

Area of Science:

  • Public Health
  • Epidemiology
  • Sociology

Background:

  • Understanding sexual behaviors is crucial for HIV prevention strategies.
  • Prevalence of extramarital sex and associated factors vary significantly across populations.
  • Limited cross-cultural data exists on sexual networking and HIV transmission risks.

Purpose of the Study:

  • To investigate patterns of pre- and extramarital sex in developing countries.
  • To identify demographic factors associated with sexual behaviors.
  • To assess condom use in relation to sexual networking and HIV transmission.

Main Methods:

  • Cross-sectional household survey conducted in 18 developing countries (Africa and Asia).
  • Face-to-face interviews with representative samples (1300-6995 individuals aged 15-49).

Related Experiment Videos

  • Data collected between 1989-1993.

    • Main Results:

    • Significant variability in reported extramarital sexual contacts (4-47% for men).
    • Contacts with sex workers ranged from 1-25%.
    • Women reported non-marital sex less frequently than men.

    Conclusions:

    • Generalizations about sexual networking are misleading due to high variability.
    • Gender, marital status, and age are key determinants of sexual behavior.
    • Low condom use was observed across most study sites, indicating a significant HIV risk factor.