Predictors of multiple sexual partnerships and condom use among men engaged in transactional sex: a recursive bivariate probit analysis of Demographic and Health Surveys from 26 Sub-Saharan African countries.

ABSTRACT:

Background

Men engaged in transactional sex (METS) are a critical population for HIV transmission dynamics in Sub-Saharan Africa (SSA). The interplay between multiple sexual partnerships and condom use, two key risk determinants, is complex and not fully understood. This study aimed to assess the prevalence and determinants of these interdependent behaviors among METS across SSA.

Methods

Cross-sectional data from 26 recent Demographic and Health Surveys (DHS) in SSA were pooled. A sample of 10,128 men who reported providing or receiving money or gifts in exchange for sex was analyzed. A recursive bivariate probit model was use to jointly model the propensity for multiple sexual partnerships and condom use, accounting for their potential correlation. Adjusted coefficients, pr

SUBMITTER: Yaya I 

PROVIDER: S-EPMC12690923 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature