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Concurrent sexual partnerships among men in the United States

Author

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  • Adimora, A.A.
  • Schoenbach, V.J.
  • Doherty, I.A.

Abstract

Objectives. We sought to determine the prevalence, distribution, and correlates of US men's involvement in concurrent sexual partnerships, a sexual network pattern that speeds population dissemination of HIV. Methods. For this analysis, we compared sexual partnership dates of 4928 male respondents in the 2002 National Survey of Family Growth to determine the prevalence of concurrent sexual partnerships and evaluated associations between concurrency and demographic risk characteristics. Results. Approximately 11% of men had concurrent sexual partnerships during the preceding year. Concurrency was associated with being unmarried (odds ratio [OR]=4.59; 95% confidence interval [CI]=2.54, 8.29), non-Hispanic Black (OR=2.56; 95% CI=1.61, 4.07) or Hispanic (OR=2.25; 95% CI=1.32, 3.85) race/ethnicity, and incarceration during the past year (OR=2.10; 95% CI=1.18, 3.74). Men with concurrent sexual partnerships were also more likely to report drug or alcohol intoxication during sexual intercourse (OR=2.10; 95% CI=1.37, 3.21), nonmonogamous female sexual partners (OR=6.11; 95% CI=4.10, 9.11), and history of sexual intercourse with a man (OR=1.93; 95% CI=1.09, 3.42), than those without concurrent partnerships. Conclusions. The higher concurrency prevalence in various groups, dense sexual networks, and mixing between high-risk subpopulations and the general population may be important factors in the US epidemic of heterosexual HIV infection.

Suggested Citation

  • Adimora, A.A. & Schoenbach, V.J. & Doherty, I.A., 2007. "Concurrent sexual partnerships among men in the United States," American Journal of Public Health, American Public Health Association, vol. 97(12), pages 2230-2237.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2006.099069_3
    DOI: 10.2105/AJPH.2006.099069
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    Cited by:

    1. Wendy Manning & Peggy Giordano & Monica Longmore & Christine Flanigan, 2012. "Young Adult Dating Relationships and the Management of Sexual Risk," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 31(2), pages 165-185, April.
    2. Knittel, Andrea K. & Snow, Rachel C. & Riolo, Rick L. & Griffith, Derek M. & Morenoff, Jeffrey, 2015. "Modeling the community-level effects of male incarceration on the sexual partnerships of men and women," Social Science & Medicine, Elsevier, vol. 147(C), pages 270-279.
    3. Elizabeth R Stevens & Kimberly A Nucifora & Mary K Irvine & Katherine Penrose & McKaylee Robertson & Sarah Kulkarni & Rebekkah Robbins & Bisrat Abraham & Denis Nash & R Scott Braithwaite, 2019. "Cost-effectiveness of HIV care coordination scale-up among persons at high risk for sub-optimal HIV care outcomes," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-16, April.
    4. Anna B Cope & Catalina Ramirez & Robert F DeVellis & Robert Agans & Victor J Schoenbach & Adaora A Adimora, 2016. "Measuring Concurrency Attitudes: Development and Validation of a Vignette-Based Scale," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-16, October.
    5. Jennings, Jacky M. & Taylor, Ralph B. & Salhi, Rama A. & Furr-Holden, C. Debra M. & Ellen, Jonathan M., 2012. "Neighborhood drug markets: A risk environment for bacterial sexually transmitted infections among urban youth," Social Science & Medicine, Elsevier, vol. 74(8), pages 1240-1250.
    6. Vidhura Tennekoon, 2017. "Counting unreported abortions: A binomial-thinned zero-inflated Poisson model," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 36(2), pages 41-72.
    7. Natalie M. Leblanc & Noelle M. St. Vil & Keosha T. Bond & Jason W. Mitchell & Adrian C. Juarez & Faith Lambert & Sadandaula R. Muheriwa & James McMahon, 2022. "Dimensions of Sexual Health Conversations among U.S. Black Heterosexual Couples," IJERPH, MDPI, vol. 20(1), pages 1-22, December.

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