To collect HIV data from high-risk men who have multiple, younger, female sex partners in a periurban township in South Africa.
Unlinked anonymous cross-sectional survey using respondent-driven sampling.
Survey conducted among men aged 18 years or older who reported having had sex with more than 1 female partner in the previous 3 months (one of whom was either 3 or more years younger than the participant or below the age of 24) and lived in the area of recruitment.
The median age of the 421 recruited men was 28 years (range: 18-62 years). They reported a median of 6 sexual partners (range: 2-39) during the past 3 months, and 51% (confidence interval: 45.0 to 59.6) reported inconsistent condom use with their casual partners. During the 3 months before the survey, 98% of men reported having concurrent sexual relationships. HIV prevalence was 12.3% (confidence interval: 8.3% to 16.9%). Being older than 24 years and not using a condom during the last sexual intercourse with a 1-time sexual partner were significantly associated with HIV infection.
This group of heterosexual urban men practice high levels of risky sexual behavior and are an important group that require more targeted HIV surveillance and prevention interventions.
From the *Health Systems Research Unit, Medical Research Council, Cape Town, South Africa; †Department of International Health and Development, Tulane University, School of Public Health and Tropical Medicine, Center for Global Health Equity, New Orleans, LA; ‡School of Public Health and Family Medicine, University of Cape Town, Rondebosch, South Africa; §HHS-Centers for Disease Control and Prevention/Global AIDS Program, Pretoria, South Africa; and ‖Department of Psychology, University of Stellenbosch, South Africa.
Received for publication September 23, 2008; accepted December 12, 2008.
Supported by fund from the Medical Research Council, South Africa, and the US Centers for Disease Control and Prevention/Global AIDS Program, Pretoria, South Africa.
Disclaimer: The findings and conclusions in this article are those of the authors and do not necessarily represent those of the Centers for Disease Control and Prevention.
Correspondence to: Prof Mickey Chopra, MSc, Health Systems Research Unit, Medical Research Council, Parow, 7505 Western Cape, South Africa (e-mail: firstname.lastname@example.org).