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Social networks and concurrent sexual relationships – a qualitative study among men in an urban South African community

Bibliographic Data

ID19440598
AuthorsAnders Ragnarsson (Karolinska Institutet, corresponding author), Loraine Townsend (South African Medical Research Council), Anna Thorson (0000-0002-8703-6561, Karolinska Institutet), Mickey Chopra (0000-0003-4020-2937, South African Medical Research Council), Anna Mia Ekström (0000-0002-3912-1171, Karolinska Institutet)
Year2009
Volume21
Issue10
Pages1253-1258
Publication date2009-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540120902814361
PMID20024701
OpenAlexW1967725914
LanguageEN
Citations received20
References cited24

The aim was to explore and describe characteristics of males' social and sexual networks in a South African peri-urban community. Twenty in-depth interviews were conducted with men participating in a larger quantitative study where the median age of the men was 28.7 years and almost 56% had some high-school education, 17.2% were unemployed and 94.7% were not married. A Thematic Question Guide with open-ended questions was used for the interviews. A thematic content analysis was conducted to explore the characteristics and dynamics of social and sexual relationships among these men. A high number of temporary and stable concurrent female sexual partners, geographic mobility and high levels of unprotected sex were common. Increased status as a man and lack of trust in women's fidelity were given as important reasons for concurrent female sexual relationships. Strong social networks within male core groups provided economic and social support for the pursuit and maintenance of this behaviour. Concurrent sexual relationships in combination with high viral loads among newly infected individuals unaware of their HIV status create an extremely high-risk environment for the spread of HIV in this population. Interventions targeting men at high risk of HIV need to challenge current societal norms of masculinity to help promote individual sexual risk reduction strategies. Such strategies should go beyond increasing condom use, to include a reduction in the number of concurrent sexual partners

Condom · Developmental psychology · Family medicine · Masculinity · Population · Psychiatry · Psychological intervention · Qualitative research · Sociology · Thematic analysis · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology · Gerontology

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Unique citing works20
Citations per year1,25
Citation span2010 - 2024 (15)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 20
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