Polygyny, Partnership Concurrency, and HIV Transmission in Sub-Saharan Africa

  title={Polygyny, Partnership Concurrency, and HIV Transmission in Sub-Saharan Africa},
  author={Georges Reniers and Rania Tfaily},
We study the relationship between polygyny and HIV infection using nationally representative survey data with linked serostatus information from 20 African countries. Our results indicate that junior wives in polygynous unions are more likely to be HIV positive than spouses of monogamous men, but also that HIV prevalence is lower in populations with more polygyny. With these results in mind, we investigate four explanations for the contrasting individual- and ecological-level associations… 

Is polygyny a risk factor in the transmission of HIV in sub- Saharan Africa? A systematic review.

Results showed that polygyny as an institution is perhaps less of a concern; rather the implication that men and women who are in polygamous relationships are also more likely to engage in extra-marital sex - raises secondary questions about their patterns of sexual networking and concurrent sexual partnerships.

Trends in Concurrency, Polygyny, and Multiple Sex Partnerships During a Decade of Declining HIV Prevalence in Eastern Zimbabwe

No indicator clearly dominated declines in partnerships and polygyny was surprisingly unstable and, in this population, should not be considered a safe form of concurrency.

The changing cultural and economic dynamics of polygyny and concurrent sexual partnerships in Iringa, Tanzania

Analysis of focus group discussions, in-depth interviews and key informant interviews indicate that contemporary concurrent partnerships differ from regional traditions of polygyny in Iringa, Tanzania, a region with traditions ofpolygyny and high prevalence of HIV.

Partnership duration, concurrency, and HIV in sub-Saharan Africa

It is shown that long-duration concurrent partnering can be protective against HIV transmission rather than promoting it, and plausible assumptions about partnership duration and at levels of concurrency found in the region, simulated HIV epidemics grow slowly or not at all.

Marital Concurrency and HIV Risk in 16 African Countries

Compared with regions where monogamous unions were more prevalent, the odds of having HIV were higher among individuals living in regions with more informal marital concurrency, but lower in areas with more polygamy, even accounting for individual-level sexual behavior.

Polygyny, Serodiscordance and HIV Prevention in Papua New Guinea: A Qualitative Exploration of Diverse Configurations

Polygyny is practised in vastly different cultural contexts, including in Papua New Guinea (PNG). The literature is contradictory, arguing that polygyny is either protective against HIV or a critical

Multilevel analysis of determinants of polygyny among married men in Ethiopia

Improving educational attainment and delaying men’s sexual debut could encourage the reduction of polygyny in Ethiopia.

Partnership Concurrency and Coital Frequency

This work investigates the relationship between partnership concurrency and coital frequency, and finds partial support for the coital dilution hypothesis, and discusses the findings in light of the current literature on concurrency.

Testing the concurrency hypothesis : an analysis of partnership concurrency and HIV incidence among married couples in two population-based cohort studies in rural Uganda

Concurrent partnerships are often considered a primary driver of the HIV epidemic in Sub-Saharan Africa. Due to data constraints, however, few studies have been able to demonstrate its effect using

Results Socio-economic and marital status The minimum age for men and women in the

Long-term, monogamous, relationships are often portrayed as protective in HIV prevention campaigns. Focusing on marriage in a community in south west Uganda, we examine why and how people enter long



Polygyny and HIV in Malawi.

It is found that men in polygynous marriages have more extramarital sex than men in monogamous unions and evidence of adverse selection of HIV positive women intopolygynous unions is found via an investigation of the relationship between marriage order and polygyny status.

Polygyny and fertility in Sub-Saharan Africa.

Future fertility trends in these areas are expected to remain high, even if age at marriage for women rises, because of lessened adherence to taboos of sexual abstinence, with continued lack of contraception.

Polygynists and Their Wives in Sub-Saharan Africa: An Analysis of Five Demographic and Health Surveys

Differential polygyny in Ghana, Kenya, Senegal, Uganda, and Zambia is investigated using individual-level Demographic and Health Surveys data. As well as contrasting polygynists' first wives with

Polygyny, concurrency, its impact and lack of impact on HIV

A negative association between the prevalence of HIV and polygyny is showed, independently of selected risk factors, which reflects the potential protective role of this specific form of concurrency, which contrasts with the common understanding that concurrency favors the spread of HIV.

Polygyny and reproductive behavior in sub-saharan Africa: A contextual analysis

It is argued that within countries there exist different polygyny regimes, each exhibiting a unique reproductive pattern, and using the 1988/1989 Kenya Demographic and Health Survey data, three distinct regimes are identified: low-polygyny, mid polygynny, and high-polygynny regimes.

The Demography of Polygyny in Sub-Saharan Africa

This paper investigates the contributions of age differences between spouses and widow remarriage in permitting high levels of polygyny in sub-Saharan Africa. Because the sex ratio below age 50 is

Partner Concurrency and the STD/HIV Epidemic

  • S. Aral
  • Psychology
    Current infectious disease reports
  • 2010
To address the need for agreed-upon standard definitions and measures of concurrent sexual partnerships, which will facilitate comparisons across time and settings, the Joint United Nations Program on HIV/AIDS (UNAIDS) Reference Group on Estimates, Modelling, and Projections convened a meeting in April 2009 and recommendations developed include suggestions for a definition, indicators, and Measures of concurrency.

The association between remarriage and HIV infection in 13 sub-Saharan African countries.

Results show that remarried individuals form a large portion of the population and have a higher-than-average HIV prevalence and should be acknowledged and taken into account by prevention strategies that rarely address this population.

Late marriage and the HIV epidemic in sub-Saharan Africa

The hypothesis of a link between a high average age at marriage and a long period of premarital intercourse during which partner changes are relatively common and facilitate the spread of HIV is supported.

Concurrent Partnerships as a Driver of the HIV Epidemic in Sub-Saharan Africa? The Evidence is Limited

Whether concurrency is a significant driver of the HIV epidemic in sub-Saharan Africa is a question that has yet to be answered and designing prevention interventions around concurrency without a better understanding of the intricacies of the relationship between concurrency and HIV transmission may well not produce the intended result of preventing new HIV infections.