Predictors of multiple sexual partnerships among women and men in two urban townships in Bhutan
Introduction: Multiple sexual partnering is a known predictor for risk of STI and HIV transmission. This study explored the multiple sexual partnering and its predictors among people who visited public social venues (bars, restaurants, hotels, lodges, cafes, karaokes and discos) in Bhutan’s two larg...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Khesar Gyalpo University of Medical Sciences of Bh
2016-05-01
|
| Series: | Bhutan Health Journal |
| Online Access: | https://bhj.com.bt/index.php/bhj/article/view/18 |
| _version_ | 1797650145102266368 |
|---|---|
| author | Gampo Dorji Chukwuemeka Umeh B.M. Ramesh Shajy Isac Robert Lorway James Blanchard |
| author_facet | Gampo Dorji Chukwuemeka Umeh B.M. Ramesh Shajy Isac Robert Lorway James Blanchard |
| author_sort | Gampo Dorji |
| collection | DOAJ |
| description | Introduction: Multiple sexual partnering is a known predictor for risk of STI and HIV transmission. This study explored the multiple sexual partnering and its predictors among people who visited public social venues (bars, restaurants, hotels, lodges, cafes, karaokes and discos) in Bhutan’s two largest townships of Thimphu and Phuntsholing.
Methods: We interviewed 755 sexually active venue patrons from 102 randomly selected venues (56 in Thimphu, 46 in Phuntsholing) from a list of all venues identified as having sex workers or patrons seeking sexual partners. Both bivariate and multivariate analyses were carried out to characterize the predictors of multiple sexual partnering among 755 respondents who had previously had sex.
Results: Of the 755 patrons, 46.09% had one sexual partner while the remaining 54.91% had multiple sex partners (greater than or equal to 2 sexual partners) in the 12 months preceding the study. Overall, 6.23% of respondents had received payment from someone at least once for sex; 34.61% of male respondents had paid someone at least once for sex. Nearly all patrons (97.72%) had heard about HIV/ AIDS. About one quarter (24.20%) felt that they were at risk of being infected with HIV, while 37.28% had taken an HIV test in the 12 months preceding the study. In multivariate analysis, males had higher odds of multiple sexual partners compared to females (OR =3.19, 95% CI 1.90-5.20). The odds of having multiple sexual partners was 2.24 (95% CI 1.30-3.90) times higher in those never married compared to those who were married/divorced or separated; multiple partnering increased with increasing age (OR = 1.07 per year, 95% CI 1.02-1.13). Between the townships of Phuentsholing and Thimphu, the odds of multiple sexual partnering did not vary.
Conclusions: Venue patrons had a high prevalence of multiple sexual partnering and have the potential for creating sexual networks that could propagate wider transmission of infection, including to their monogamous partner. Targeting HIV prevention program to these groups of people in urban locations presents an opportunity to make a great impact in maintaining Bhutan’s current low HIV epidemic level. |
| first_indexed | 2024-03-11T15:56:02Z |
| format | Article |
| id | doaj.art-8e93b85467c9479aad9920231a146048 |
| institution | Directory Open Access Journal |
| issn | 2413-2993 2415-1114 |
| language | English |
| last_indexed | 2024-03-11T15:56:02Z |
| publishDate | 2016-05-01 |
| publisher | Khesar Gyalpo University of Medical Sciences of Bh |
| record_format | Article |
| series | Bhutan Health Journal |
| spelling | doaj.art-8e93b85467c9479aad9920231a1460482023-10-25T10:27:40ZengKhesar Gyalpo University of Medical Sciences of BhBhutan Health Journal2413-29932415-11142016-05-0121131710.47811/bhj.1718Predictors of multiple sexual partnerships among women and men in two urban townships in BhutanGampo Dorji0Chukwuemeka Umeh1B.M. Ramesh2Shajy Isac3Robert Lorway4James Blanchard5World Health Organization, New Delhi, India. The University of Newcastle, Australia.Boston University School of Public Health,USA.Center for Global Public Health (CGPH), University of Manitoba, Canada.Center for Global Public Health (CGPH), University of Manitoba, Canada.Center for Global Public Health (CGPH), University of Manitoba, Canada.Center for Global Public Health (CGPH), University of Manitoba, Canada.Introduction: Multiple sexual partnering is a known predictor for risk of STI and HIV transmission. This study explored the multiple sexual partnering and its predictors among people who visited public social venues (bars, restaurants, hotels, lodges, cafes, karaokes and discos) in Bhutan’s two largest townships of Thimphu and Phuntsholing. Methods: We interviewed 755 sexually active venue patrons from 102 randomly selected venues (56 in Thimphu, 46 in Phuntsholing) from a list of all venues identified as having sex workers or patrons seeking sexual partners. Both bivariate and multivariate analyses were carried out to characterize the predictors of multiple sexual partnering among 755 respondents who had previously had sex. Results: Of the 755 patrons, 46.09% had one sexual partner while the remaining 54.91% had multiple sex partners (greater than or equal to 2 sexual partners) in the 12 months preceding the study. Overall, 6.23% of respondents had received payment from someone at least once for sex; 34.61% of male respondents had paid someone at least once for sex. Nearly all patrons (97.72%) had heard about HIV/ AIDS. About one quarter (24.20%) felt that they were at risk of being infected with HIV, while 37.28% had taken an HIV test in the 12 months preceding the study. In multivariate analysis, males had higher odds of multiple sexual partners compared to females (OR =3.19, 95% CI 1.90-5.20). The odds of having multiple sexual partners was 2.24 (95% CI 1.30-3.90) times higher in those never married compared to those who were married/divorced or separated; multiple partnering increased with increasing age (OR = 1.07 per year, 95% CI 1.02-1.13). Between the townships of Phuentsholing and Thimphu, the odds of multiple sexual partnering did not vary. Conclusions: Venue patrons had a high prevalence of multiple sexual partnering and have the potential for creating sexual networks that could propagate wider transmission of infection, including to their monogamous partner. Targeting HIV prevention program to these groups of people in urban locations presents an opportunity to make a great impact in maintaining Bhutan’s current low HIV epidemic level.https://bhj.com.bt/index.php/bhj/article/view/18 |
| spellingShingle | Gampo Dorji Chukwuemeka Umeh B.M. Ramesh Shajy Isac Robert Lorway James Blanchard Predictors of multiple sexual partnerships among women and men in two urban townships in Bhutan Bhutan Health Journal |
| title | Predictors of multiple sexual partnerships among women and men in two urban townships in Bhutan |
| title_full | Predictors of multiple sexual partnerships among women and men in two urban townships in Bhutan |
| title_fullStr | Predictors of multiple sexual partnerships among women and men in two urban townships in Bhutan |
| title_full_unstemmed | Predictors of multiple sexual partnerships among women and men in two urban townships in Bhutan |
| title_short | Predictors of multiple sexual partnerships among women and men in two urban townships in Bhutan |
| title_sort | predictors of multiple sexual partnerships among women and men in two urban townships in bhutan |
| url | https://bhj.com.bt/index.php/bhj/article/view/18 |
| work_keys_str_mv | AT gampodorji predictorsofmultiplesexualpartnershipsamongwomenandmenintwourbantownshipsinbhutan AT chukwuemekaumeh predictorsofmultiplesexualpartnershipsamongwomenandmenintwourbantownshipsinbhutan AT bmramesh predictorsofmultiplesexualpartnershipsamongwomenandmenintwourbantownshipsinbhutan AT shajyisac predictorsofmultiplesexualpartnershipsamongwomenandmenintwourbantownshipsinbhutan AT robertlorway predictorsofmultiplesexualpartnershipsamongwomenandmenintwourbantownshipsinbhutan AT jamesblanchard predictorsofmultiplesexualpartnershipsamongwomenandmenintwourbantownshipsinbhutan |