Characteristics of African American Women and their Partners with Perceived Concurrent Partnerships in Four Rural Counties in the Southeastern US
Published Date:Sep 2015
Source:Sex Transm Dis. 42(9):498-504.
Intimate Partner Violence
Sexually Transmitted Diseases
Southeastern United States
Pubmed Central ID:PMC4536574
Funding:1K24HD059358-01/HD/NICHD NIH HHS/United States
1U01PS000094-01/PS/NCHHSTP CDC HHS/United States
K23 MH094250/MH/NIMH NIH HHS/United States
K24 HD059358/HD/NICHD NIH HHS/United States
PS000084/PS/NCHHSTP CDC HHS/United States
PS000094/PS/NCHHSTP CDC HHS/United States
PS000097/PS/NCHHSTP CDC HHS/United States
PS05-107/PS/NCHHSTP CDC HHS/United States
U01 PS000094/PS/NCHHSTP CDC HHS/United States
To the individual with concurrent partners, it is thought that having concurrent partnerships confers no greater risk of acquiring HIV than having multiple consecutive partnerships. However, an individual whose partner has concurrent partnerships (partner's concurrency) is at increased risk of incident HIV infection. We sought to better understand relationships characterized by partner's concurrency among African American women.
A total of 1,013 African American women participated in a cross-sectional survey from four rural Southeastern counties.
Older age at first sex was associated with lower prevalence of partner's concurrency (PR, 95% CI: 0.70, 0.57-0.87), but the participant's age was not associated with partner's concurrency. After adjusting for covariates, ever having experienced intimate partner violence (IPV) or forced sex were most strongly associated with partner's concurrency (PRs, 95% CIs: 1.61, 1.23-2.11; 1.65, 1.20-2.26, respectively). Women in mutually monogamous partnerships were the most likely to receive economic support from their partners; women whose partners had concurrent partnerships did not report more economic benefit than those whose partners were monogamous.
Associations between history of IPV and forced sex with partner's concurrency suggest that women with these experiences may particularly benefit from interventions to reduce partner's concurrency in addition to support for reducing IPV and other sexual risks. To inform these interventions, further research to understand partnerships characterized by partner's concurrency is warranted.
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