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Partnership duration and concurrent partnering: implications for models of HIV prevalence

Author

Listed:
  • Alan G. Isaac

    (American University)

  • Larry Sawers

    (American University)

Abstract

Researchers and policy makers have argued that long-duration concurrent relationships promote the spread of HIV. The concurrency hypothesis proposes that concurrent partnering, particularly as manifested in formal and informal polygyny, is a primary contributor to the spread of HIV in sub-Saharan Africa. We investigate claims that agent-based models of concurrent partnering support this hypothesis. Specifically, we explore how assumptions about the duration and network structure of sexual partnerships affect the results of agent-based models of HIV propagation. We offer new support for the contention that long-duration concurrent partnering can be protective against HIV transmission rather than promoting it. Additionally, we argue that the focus on concurrency has misdirected attention away from the key role of exclusivity.

Suggested Citation

  • Alan G. Isaac & Larry Sawers, 2019. "Partnership duration and concurrent partnering: implications for models of HIV prevalence," Journal of Economic Interaction and Coordination, Springer;Society for Economic Science with Heterogeneous Interacting Agents, vol. 14(2), pages 293-315, June.
    • Handle: RePEc:spr:jeicoo:v:14:y:2019:i:2:d:10.1007_s11403-018-00234-1
    DOI: 10.1007/s11403-018-00234-1
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    References listed on IDEAS

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    1. Martina Morris & Mirjam Kretzschmar, 2000. "A microsimulation study of the effect of concurrent partnerships on the spread of HIV in Uganda," Mathematical Population Studies, Taylor & Francis Journals, vol. 8(2), pages 109-133.
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    4. Georges Reniers & Rania Tfaily, 2008. "Polygyny and HIV in Malawi," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 19(53), pages 1811-1830.
    5. Georges Reniers & Rania Tfaily, 2012. "Polygyny, Partnership Concurrency, and HIV Transmission in Sub-Saharan Africa," Demography, Springer;Population Association of America (PAA), vol. 49(3), pages 1075-1101, August.
    6. Alwyn Young, 2005. "The Gift of the Dying: The Tragedy of AIDS and the Welfare of Future African Generations," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 120(2), pages 423-466.
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    More about this item

    Keywords

    Concurrency; HIV; Sub-Saharan Africa; Partnership duration; Coital dilution; Exclusivity; Pair formation;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • C63 - Mathematical and Quantitative Methods - - Mathematical Methods; Programming Models; Mathematical and Simulation Modeling - - - Computational Techniques

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