Multiple Sexual Partners, Higher-Risk Sexual Partners, and Condom Use

 

Percentage of all women and men and of young women and men who had multiple sexual partners, higher-risk sexual partners, condom use with multiple partners, and condom use at last high-risk sex

 

Definition

 

1)      Percentage of women and men age 15-49, and of young women and men age 15-24, who had two or more sexual partners in the past 12 months.

2)      Percentage of women and men age 15-49, and of young women and men age 15-24, who had intercourse in the past 12 months with a person who was neither their spouse nor lived with them.

3)      Percentage of women and men age 15-49, and of young women and men age 15-24, with 2+ partners in the past 12 months who used a condom at last sexual intercourse.

4)      Among women and men age 15-49, and of young women and men age 15-24, who had intercourse in the past 12 months with a person who was neither their spouse nor lived with them, percentage who used a condom as last sexual intercourse with such a partner.

 

Coverage:

Population base: Women and men age 15-49; Young women and men age 15-24 (IR file, MR file)

Time period: 12 months preceding the survey

 

Numerators:

1)      Number of women (or men) age 15-49, or young women (or men) age 15-24, who reported two or more sexual partners in the 12 months preceding the survey:

Women:       (v527 in 100:251,300:311 & v766b in 2:99)

Men:             (mv527 in 100:251,300:311 & mv766b in 2:99)

2)      Number of women (or men) age 15-49, or young women (or men) age 15-24, who had sexual intercourse in the 12 months preceding the survey with a person who was neither their spouse nor lived with them:

Women:       risk1 = (v527 in 100:251,300:311 & v767a in 2:6, 96) (last partner)

                        risk2 = (v527 in 100:251,300:311 & v767b in 2:6, 96) (next-to-last partner)

                        risk3 = (v527 in 100:251,300:311 & v767c in 2:6, 96) (third-to-last partner)

                        Number of women with (risk1 or risk2 or risk3).

Men:             risk1 = (mv527 in 100:251,300:311 & mv767a in 2:6, 96) (last partner)

                        risk2 = (mv527 in 100:251,300:311 & mv767b in 2:6, 96) (next-to-last partner)

                        risk3 = (mv527 in 100:251,300:311 & mv767c in 2:6, 96) (third to last partner)

                                Number of men with (risk1 or risk2 or risk3)

3)      Number of women (or men) age 15-49, or young women (or men) age 15-24, with two or more sexual partners in the past 12 months who used a condom at last sexual intercourse:

Women:      (v527 in 100:251,300:311 & v766b in 2:99 & v761 = 1)

Men:             (mv527 in 100:251,300:311 & mv766b in 2:99 & mv761 = 1)

4)      Number of women (or men) age 15-49, or young women (or men) age 15-24, who used a condom the last time they had sexual intercourse with a person who was neither their spouse nor lived with them:

Women:      ((risk1 & v761 = 1) or

                                (not risk1 & risk2 & v761b = 1) or

                                (not risk1 & not risk2 & risk3 & v761c = 1))

Men:             ((risk1 & mv761 = 1) or

                                (not risk1 & risk2 & mv761b = 1) or

                                (not risk1 & not risk2 & risk3 & mv761c = 1))

 

Denominators:

a)       Number of women (or men) age 15-49 (women: v012 in 15:49; men: mv012 in 15:49), or number of young women (or men) age 15-24 (women: v012 in 15:24; men: mv012 in 15:24)

b)      Number of women (or men) age 15-49 (women: v012 in 15:49; men: mv012 in 15:49), or number of young women (or men) age 15-24 (women: v012 in 15:24; men: mv012 in 15:24)

c)       Number of women (or men) age 15-49, or young women (or men) age 15-24, who reported two or more sexual partners in the 12 months preceding the survey (women: v527 in 100:251,300:311 & v766b in 2:99; men: mv527 in 100:251,300:311 & mv766b in 2:99)

d)      Number of women (or men) age 15-49, or young women (or men) age 15-24, who had sexual intercourse in the 12 months preceding the survey with a person who was neither their spouse nor lived with them (women: v527 in 100:251,300:311 & risk1 or risk2 or risk3; men: mv527 in 100:251,300:311 & risk1 or risk2 or risk3)

                                                                                         

Variables: IR file, MR file.

v012

Current age (women)

v527

Time since last sex (women)

v766b

Number of sex partners, including spouse, in last 12 months (women)

v767a

Relationship with most recent sex partner (women)

v767b

Relationship with 2nd to most recent sex partner (women)

v767c

Relationship with 3rd to most recent sex partner (women)

v761

Condom used during last sex with most recent partner (women)

v761b

Condom used during last sex with 2nd to most recent partner (women)

v761c

Condom used during last sex with 3rd to most recent partner (women)

v005

Woman’s individual sample weight

mv012

Current age (men)

mv527

Time since last sex (men)

mv766b

Number of sex partners, including spouse, in last 12 months (men)

mv767a

Relationship with most recent sex partner (men)

mv767b

Relationship with 2nd to most recent sex partner (men)

mv767c

Relationship with 3rd to most recent sex partner (men)

mv761

Condom used during last sex with most recent partner (men)

mv761b

Condom used during last sex with 2nd to most recent partner (men)

mv761c

Condom used during last sex with 3rd to most recent partner (men)

mv005

Man’s individual sample weight

 

Calculation

 

The numerator divided by the denominator, expressed as a percentage.

 

Handling of Missing Values

 

Time since last sex: If the time since last sex is reported as missing or “don’t know” it is assumed to be more than 12 months ago.

 

Number of sexual partners in the past 12 months: If the number of partners in the past 12 months is missing or “don’t know” the respondent is still considered to have had 2+ partners in the past 12 months as the direct question on number of partners in the past 12 months is only asked if at least 3 partners are listed in the sexual partner history. Otherwise the number of sexual partners is calculated from the exact number listed in the history. See Notes and Considerations below.

 

Relationship with partner: If the relationship to the partner is missing it is not considered as high-risk sex. If the response to a question concerning condom use with a partner is missing it is assumed that a condom was not used with that partner.

 

Notes and Considerations

 

Number of sexual partners in the past 12 months, respondent’s relationship to sexual partner, and condom use are all self-reported and based on questions in the sexual partner history section of the individual questionnaire. If a respondent had sexual intercourse in the past 12 months, a series of questions is repeated for the respondent’s most-recent, next-to-most recent, and third-to-most recent sexual partners. At the end of the series of questions for the most-recent and next-to-most recent partners, the respondent is asked, “Apart from this person, have you had sexual intercourse with any other person in the last 12 months?” Respondents who answer “Yes” to this question when it is asked at the end of the series of questions about the most-recent sexual partner are considered to have had two or more sexual partners in the past 12 months. At the end of the series of questions for the third-to-most recent partner, the respondent is asked “In total, with how many different people have you had sexual intercourse in the last 12 months?”

 

Changes over Time

 

In earlier final reports, percentage of women or men who had intercourse in the past 12 months with a person who was neither their spouse nor lived with them and who used a condom as last sexual intercourse with such a partner, was based on using a condom with any such partner in the last 12 months rather than the most recent such partner. Previous calculation was as follows:

 

Women:      ((risk1 & v761 = 1) or

                                (risk2 & v761b = 1) or

                                (risk3 & v761c = 1))

Men:             ((risk1 & mv761 = 1) or

                                (risk2 & mv761b = 1) or

                                (risk3 & mv761c = 1))

 

References

 

UNAIDS. 2017. Global AIDS Monitoring 2018: Indicators for monitoring the 2016 United Nations Political Declaration on Ending AIDS http://www.unaids.org/sites/default/files/media_asset/global-aids-monitoring_en.pdf#page=95

 

Resources

 

DHS-8 Tabulation plan: Table 13.3.1 and 13.3.2, and 13.14.1 and 13.14.2

 

API Indicator IDs:

Women:

HA_HRSX_W_HRS, HA_HRSX_W_CND, HA_MSXP_W_2PP, HA_MSXP_W_CND

(API link, STATcompiler link)

 

Men:

HA_HRSX_M_HRS, HA_HRSX_M_CND, HA_MSXP_M_2PP, HA_MSXP_M_CND

Young women and men: HA_MSPY_W_2PP, HA_MSPY_W_CND, HA_MSPY_M_2PP, HA_MSPY_M_CND

(API link, STATcompiler link)

 

UNAIDS Global AIDS Monitoring (GAM) indicator 1.14: “Condom use at last high-risk sex”

 

MICS6 Indicator TM.22: Multiple sexual partnerships

MICS6 Indicator TM.23: Condom use at last sex among people with multiple sexual partnerships

MICS6 Indicator TM.27: Sex with non-regular partners

MICS6 Indicator TM.28: Condom use with non-regular partners

 


 

Mean number of lifetime sexual partners

 

Definition

 

Mean number of lifetime sexual partners.

 

Coverage:

Population base: Women and men age 15-49 who ever had sexual intercourse (IR file, MR file)

Time period: Lifetime of the respondent

 

Numerator: Sum of number of lifetime sexual partners reported in response to the question, “In total, with how many different people have you had sexual intercourse in your lifetime?” Excludes non-numeric answers such as “don’t know” (women: v836; men: mv836).

 

Denominator: Number of women (or men) age 15-49 who ever had sexual intercourse and who gave a numeric response to the question on number of lifetime sexual partners (women: v836 in 1:95; men: mv836 in 1:95)

 

Variables: IR file, MR file.

v836

Total lifetime number of sex partners (women)

v005

Woman’s individual sample weight

mv836

Total lifetime number of sex partners (men)

mv005

Man’s individual sample weight

 

Calculation

 

Numerator divided by the denominator.

 

Handling of Missing Values

 

Respondents with missing or non-numeric values for number of lifetime sexual partners are excluded from the numerator and denominator.

 

References

 

Lo, N.C., A. Lowe, and E. Bendavid. "Abstinence funding was not associated with reductions in HIV risk behavior in sub-Saharan Africa." Health affairs 35, no. 5 (2016): 856-863.

 

Resources

 

DHS-8 Tabulation plan: Tables 13.3.1 and 13.3.2

 

API Indicator IDs:

HA_MSXP_W_MNP, HA_MSXP_M_MNP

(API link, STATcompiler link)