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Title: Partner-concurrency associated with herpes simplex virus 2 infection in young South Africans
Authors: Kenyon, Chris
Colebunders, Robert
Buve, Anne
HENS, Niel 
Issue Date: 2013
Source: INTERNATIONAL JOURNAL OF STD & AIDS, 24 (10), p. 804-812
Abstract: Whilst much is known about the individual-level risk factors for herpes simplex virus 2 (HSV-2) infection, little is known about why only some populations develop generalized HSV-2 epidemics. This study aims to assess the extent to which partner-concurrency (a factor which operates at both the partnership-and network-level) may be responsible. We utilized multivariate logistic regression to analyse the relationship between HSV-2 seropositivity and potential risk factors in data from a representative cross-sectional survey of 14-24 year olds from a township in South Africa conducted in 1999. The overall prevalence of HSV-2 was 53.3% amongst women and 17% amongst men. For men, four factors remained significantly associated with HSV-2 infection in the multivariate regression analysis: total number of sex acts, being a migrant labourer, Zulu ethnicity and being human immunodeficiency virus (HIV) positive. For women, eight factors were associated with HSV-2 infection: increasing age, partner-concurrency (having a partner who had other partners), an older partner, total number of sex acts, using hormonal contraception, Xhosa ethnicity, syphilis seropositivity and being HIV positive. We conclude that partner-concurrency is associated with increased HSV-2 seropositivity in women.
Notes: [Kenyon, Chris; Colebunders, Robert] Univ Antwerp, Inst Trop Med, HIV STD Unit, B-2020 Antwerp, Belgium. [Kenyon, Chris] Univ Cape Town, Div Infect Dis & HIV Med, ZA-7925 Cape Town, South Africa. [Buve, Anne] Inst Trop Med, STI HIV Epidemiol & Control Unit, B-2000 Antwerp, Belgium. [Hens, Niel] Hasselt Univ, Ctr Stat, Diepenbeek, Belgium. [Hens, Niel] Univ Antwerp, Vaccine & Infect Dis Inst, Ctr Hlth Econ Res & Modelling Infect Dis, Antwerp, Belgium.
Keywords: HIV; AIDS; sexually transmitted infection; herpes simplex virus; HSV-2; risk factors; epidemiology; partner-concurrency; sexual network; South Africa;HIV; AIDS; sexually transmitted infection; herpes simplex virus; HSV-2; risk factors; epidemiology; partner-concurrency; sexual network; South Africa
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ISSN: 0956-4624
e-ISSN: 1758-1052
DOI: 10.1177/0956462413482810
ISI #: 000324582500007
Category: A1
Type: Journal Contribution
Validations: ecoom 2014
Appears in Collections:Research publications

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