{"doi":"10.1016/j.ijid.2022.04.038","title":"Sexual partnership concurrency and age disparities associated with sexually transmitted infection and risk behavior in rural communities in Kenya and Uganda","abstract":"OBJECTIVES: We examined sex-specific associations of partner age disparity and relationship concurrency with Neisseria gonorrhoeae and/or Chlamydia trachomatis (NG/CT) infection, higher-risk relationships, and condom use as proxies for HIV risk. METHODS: Data were collected in 2016 from 2179 adults in 12 communities in Uganda and Kenya. Logistic regression models examined associations of age disparity and relationship concurrency with NG/CT infection, condom use, and higher-risk (commercial sex and other higher-risk) relationships in the past 6 months, controlling for covariates. RESULTS: Partner age and relationship concurrency were associated with NG/CT infection in women but not men. Relative to women in age-disparate relationships, women in both age-disparate and age-homogeneous relationships had higher odds of NG/CT infection (adjusted odds ratio [aOR]=3.82, 95% confidence interval [CI]: 1.46-9.98). Among men and women, partnership concurrency was associated with higher-risk partnerships. In addition, relative to those with a single age-homogeneous partner, those with concurrent age-homogeneous partners had higher odds of condom use (men: aOR=2.85, 95% CI: 1.89-4.31; women: aOR=2.99, 95% CI: 1.52-5.89). Concurrent age-disparate partnerships were associated with condom use among men only (aOR=4.02, 95% CI: 2.54-6.37). CONCLUSION: Findings underscore the importance of targeted HIV prevention efforts for couples in age-disparate and concurrent relationships.","journal":"International Journal of Infectious Diseases","year":2022,"id":264074,"datarank":0.38474240361923057,"base_score":2.5649493574615367,"endowment":2.5649493574615367,"self_citation_contribution":0.38474240361923057,"citation_network_contribution":0.0,"self_endowment_contribution":0.38474240361923057,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":12,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8082,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":274054,"name":"Monica Getahun","orcid":"0000-0002-2116-2637","position":1,"is_corresponding":false},{"id":449187,"name":"Sarah A. Gutin","orcid":"0000-0002-7634-1296","position":2,"is_corresponding":false},{"id":921624,"name":"Sarah Lebu","orcid":"0000-0002-5618-3091","position":3,"is_corresponding":false},{"id":922158,"name":"Joi Lee","orcid":null,"position":4,"is_corresponding":false},{"id":276260,"name":"Irene Maeri","orcid":null,"position":5,"is_corresponding":false},{"id":918942,"name":"Patrick Eyul","orcid":null,"position":6,"is_corresponding":false},{"id":255294,"name":"Elizabeth A. Bukusi","orcid":"0000-0002-2031-2808","position":7,"is_corresponding":false},{"id":255293,"name":"Craig R. Cohen","orcid":"0000-0001-8654-6634","position":8,"is_corresponding":false},{"id":75618,"name":"Torsten B. Neilands","orcid":"0000-0001-7936-9123","position":9,"is_corresponding":false},{"id":918345,"name":"Sarah Ssali","orcid":"0000-0002-5678-1868","position":10,"is_corresponding":false},{"id":255274,"name":"Edwin D. Charlebois","orcid":"0000-0001-7237-2119","position":11,"is_corresponding":false},{"id":255290,"name":"Carol S. Camlin","orcid":"0000-0001-5615-1164","position":12,"is_corresponding":false},{"id":589990,"name":"Jaffer Okiring","orcid":"0000-0003-3668-8997","position":0,"is_corresponding":true}],"reference_count":43,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T00:26:37.567338Z","pmid":"35472527","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}