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Factors associated with multiple sexual partnerships among men in South Africa

Year: 2025

Type: article

Abstract: BACKGROUND: Multiple sexual partnerships are associated with a higher risk of sexually transmitted infections. This study aims to determine the prevalence and predictors of multiple sexual partnerships among men in South Africa. METHODS: This is a cross-sectional study using data from the 2016 South African Demographic and Health Survey, with a sample of 3,616 males aged 15-59 years. RESULTS: The prevalence rate of multiple sexual partnerships among men was 15,6%. Logistic regression results showed that the rate decreased with age: 25-34 years (AOR = 0.49, 95% CI: 0.34- 0.70), 35-44 years (AOR = 0.26, 95% CI: 0.16-0.42), and 45-59 years (AOR = 0.14, 95% CI: 0.07-0.25) using age 15-24 as reference category, but higher in rural areas (AOR = 1.80, 95% CI:1.23-2.62); and among men who had sexual debut before 16 years (AOR = 2.28, 95% CI: 1.32-3.94); men who had heard about STIs (AOR = 1.59, 95% CI: 1.15-2.19), transactional sex (AOR = 3.59, 95% CI: 2.20-5.86), coming from middle (AOR = 1.57, 95% CI: 1.07-2.30), and rich wealth index households (AOR = 1.75, 95% CI: 1.08-2.84), and higher when the recent sexual partner was an acquaintance (AOR = 1.97, 95% CI: 1.37-2.84). CONCLUSION: Intervention should be provided at all societal levels. Information and protective measures should be intensified for young men, alongside campaigns aimed at discouraging early sexual debut at a young age.

Source: BMC Public Health

DOI: 10.1186/s12889-025-26041-5

Authors: Disebo Maine, Karabo Mhele

Institution: North-West University

Language: English

Topic: Adolescent Sexual and Reproductive Health

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,290