ABSTRACT HIV and AIDS continue to pose a global health and development challenge, particularly in sub-Saharan Africa. South Africa has one of the largest numbers of people living with HIV in the world. Despite accelerated efforts to combat the HIV and AIDS epidemic there remains an unabated challenge, i.e. continuing new infections, particularly among young African adults. Studies suggest that risky sexual behaviours, including multiple sexual partnerships, are responsible for the spread of HIV. This study sought, among other objectives, to identify underlying socio-economic factors fuelling multiple sexual relationships occurring in the context of casual sexual partnerships known as “ukujola”. A generic qualitative study approach was used, drawing on in-depth interviews (n = 20), focus groups (n = 4) and key-informant interviews (n = 8) conducted with IsiZulu-speaking participants (aged 21–34) from KwaZulu-Natal. The study found that there are various socio-economic factors, including poverty and high levels of unemployment, sexual desire and the need for social approval, which promote multiple sexual relationships. In order to curb the further spread of HIV and AIDS, prevention efforts must target the reduction of partner concurrency.

中文翻译：

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了解社会经济因素在促进当代南非祖鲁人多重性伙伴关系中的作用

摘要 艾滋病毒和艾滋病继续构成全球健康和发展挑战，特别是在撒哈拉以南非洲地区。南非是世界上艾滋病毒感染者人数最多的国家之一。尽管加紧努力抗击艾滋病毒和艾滋病的流行，但仍然存在一个有增无减的挑战，即持续出现新的感染，特别是在非洲年轻人中。研究表明，包括多重性伙伴关系在内的危险性行为是导致艾滋病毒传播的原因。除其他目标外，本研究还寻求确定在被称为“ukujola”的临时性伙伴关系中产生多种性关系的潜在社会经济因素。使用了通用的定性研究方法，利用深度访谈（n = 20），焦点小组 (n = 4) 和关键线人访谈 (n = 8) 与来自夸祖鲁-纳塔尔的伊西祖鲁语参与者（21-34 岁）进行。研究发现，存在多种社会经济因素，包括贫困和高失业率、性欲和社会认可的需要，这些因素促进了多种性关系。为了遏制艾滋病毒和艾滋病的进一步传播，预防工作必须以减少合作伙伴并发为目标。