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Risk factors of sexually transmitted infections among migrant and non-migrant sexual partnerships from rural South Africa

Published online by Cambridge University Press:  02 February 2005

K. ZUMA ,
M. N. LURIE ,
B. G. WILLIAMS ,
D. MKAYA-MWAMBURI ,
G. P. GARNETT  and
A. W. STURM
K. ZUMA
Affiliation:
Department of Statistics, University of Waikato, Hamilton, New Zealand Human Sciences Research Council, Pretoria, South Africa
M. N. LURIE
Affiliation:
Department of Community Health, Brown University School of Medicine and Miriam Hospital, Providence RI, USA
B. G. WILLIAMS
Affiliation:
16 rue de la Cononniere, Geneva, Switzerland
D. MKAYA-MWAMBURI
Affiliation:
Department of Medical Microbiology, University of Natal, Durban, South Africa
G. P. GARNETT
Affiliation:
Infectious Disease Epidemiology, Imperial College School of Medicine, London, UK
A. W. STURM
Affiliation:
Department of Medical Microbiology, University of Natal, Durban, South Africa
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Abstract

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In October 1998, cohorts of circular migrant men and their non-migrant sexual partners, and non-migrant men and their non-migrant sexual partners from rural South Africa were recruited and followed-up every 4 months until October 2001. At each visit, information on socio-demographic, sexual behaviour, sexually transmitted infections (STIs) and HIV was collected. In total, 553 individuals aged between 18 and 69 years were recruited. A man and his sexual partner(s) form a sexual partnership. Migration status, age, marital status, age at sexual debut, recent sexual partners and HIV status were found to be important determinants of STI. The risk of STI varies (σ2=1·45, P<0·001) significantly across sexual partnerships even after controlling for important determinants. The variance implies substantial correlation (0·59) between members of the same sexual partnership. Ignoring this correlation leads to incorrect inference. Migration contributes significantly to the spread of STIs. Community interventions of HIV/STI should target co-transmitter sexual partnerships rather than high-risk individuals.

Type
Research Article
Information
Epidemiology & Infection , Volume 133 , Issue 3 , June 2005 , pp. 421 - 428
Copyright
© 2005 Cambridge University Press