Behavioral Convergence: Implications for Mathematical Models of Sexually Transmitted Infection Transmission

Recent trends in the behaviors of some groups with high sexual activity and of the general population in some countries suggest that sexual behavior profiles of high and low sexual activity categories may be converging and may call into question the assumptions around sexual mixing that are built in...

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Bibliographic Details
Published in:The Journal of infectious diseases 2014-12, Vol.210 (suppl 2), p.S600-S604, Article S600
Main Authors: Aral, Sevgi O., Ward, Helen
Format: Article
Language:English
Subjects:
Developing and Applying Theoretical Frameworks in the Epidemiology of Sexually Transmitted Infections
Gender discrimination
HIV Infections - epidemiology
HIV Infections - transmission
Human sexual behavior
Humans
Marital Status - statistics & numerical data
Men
Models, Statistical
Population dynamics
Risk-Taking
Sex tourism
Sex Work - statistics & numerical data
Sex Workers
Sexual Behavior - statistics & numerical data
Sexual Partners
Sexual transmission
Sexually transmitted diseases
Socioeconomics
Women
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Summary:Recent trends in the behaviors of some groups with high sexual activity and of the general population in some countries suggest that sexual behavior profiles of high and low sexual activity categories may be converging and may call into question the assumptions around sexual mixing that are built into theoretical models of sexually transmitted infections (STIs)/human immunodeficiency virus (HIV) transmission dynamics. One category of high sexual activity, sex work, has been undergoing modification in many societies, becoming more acceptable, more dispersed, and larger in volume in some societies and shrinking in others. Concurrent with changes in the characteristics of sex work, the accumulating data on the sexual behaviors of the general population suggest a shift toward those of sex workers, including large numbers of sex partners and short-duration partnerships. The closing of the gap between behaviors associated with high and low sexual activity may have important implications for theories of sexual structure and models of transmission dynamics for STIs, including HIV infection.
ISSN:0022-1899
1537-6613
DOI:10.1093/infdis/jiu431