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Research on sexual behaviour that transmits HIV: the GPA / WHO collaborative surveys -- preliminary findings.
In: Sexual behaviour and networking: anthropological and socio-cultural studies on the transmission of HIV, edited by Tim Dyson. Liege, Belgium, Editions Derouaux-Ordina, . 65-87.6 national surveys were conducted over the period 1988-90 in the Central African Republic, Cote d'Ivoire, Lesotho, Togo, Kenya, and Rwanda in collaboration with the WHO Global Program on AIDS. The surveys include questions on sexual behavior; preliminary findings are reported in this paper. The authors point out the limitations of the survey approach and acknowledge the need for complementary anthropological research. At the aggregate level, however, the researchers found a higher degree of sexual activity in urban compared with rural areas; younger age cohorts may be having more premarital and extramarital sex than did older cohorts during the same stage of their lives; and that the rate of casual sex is higher for men, with the incidence positively related to urban residence and educational level. The surveys also suggest that in some societies a large number of men have casual/commercial sex with a relatively small group of women, while small groups of older men in other societies have sex with larger groups of younger women. These differences may be associated with the decline of polygyny in much of East and southern Africa compared with its relative persistence in West Africa.