African Journal of AIDS Research

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Kusvika taparadzaniswa nerufu' (Until death do us part)

N Spark-du Preez1, B Zaba, C Nyamukapa, M Mlilo, S Gregson


A cross-sectional study of 7 667 non-virgins between 15 and 54 years of age was carried out to assess the protective effect of marriage against HIV acquisition in a rural population in Zimbabwe, whilst taking into account gender-differentials in risk factors for seroconversion. Persons in stable first marriages and long-term consensual cohabiting unions had higher odds of HIV infection than never-married people but a lower risk than those who had been divorced or widowed, even after adjusting for known confounders and significant risk factors for infection. Partner-related risk factors appear to play a more pivotal role in determining HIV prevalence in females than for males, for whom personal sexual behaviour risk factors are more dominant.

Keywords: HIV, marital status, rural, Zimbabwe

African Journal of AIDS Research 2004, 3(1): 81–91
AJOL African Journals Online