Spontaneous categorization along competence in partner and leader evaluations

Successful cooperation requires a partner both willing and capable of contributing to a joint endeavour. Accordingly, partner choice psychology should include mechanisms to distinguish between people with good and bad intentions, and between people who are competent and incompetent. While it is well established that intentions influence partner choice, the literature offers mixed evidence concerning people's ability to gauge competence in social interactions. Theoretical accounts in leadership-followership psychology and food-sharing imply that partner competence can influence the estimated future benefits from cooperation. The available empirical evidence, however, is limited to leadership evaluations in the political science literature. This paper thus investigates if people have dedicated cognitive mechanisms, which have evolved to categorize potential social partners on competence. It looks at competence both in regular social partnerships and leader-follower relations. In a series of four experiments relying on the memory confusion protocol, it demonstrates that people spontaneously distinguish between competent and incompetent social partners. This mental categorization is present equally in partner and leader evaluations. These results have interesting implications for partner choice literature and evolutionary leadership theories.     

Vocal characteristics of presidential candidates can predict the outcome of actual elections

During political elections, voters rely on various cues that signal good social leadership, such as indicators of physical strength and masculinity. In adult men, masculine traits are related to testosterone levels, and one of those traits is low-pitched voice. Hence, lower pitch in a presidential candidate may be related to the election's outcome. This prediction is supported by experimental evidence showing that people prefer to vote for a candidate with a low-pitched voice. The aim of this study was to investigate the relationship between presidential candidates' vocal characteristics and actual election outcomes in 51 presidential elections held across the world. After analysis of the voices of opposing candidates, results showed that winners had lower-pitched voices with less pitch variability. Moreover, regression analysis revealed an interaction effect of voice pitch and voice pitch variability on the election outcome. Candidates with lower-pitched voices had greater likelihood of winning the election if they had higher pitch variability. This study extends previous findings, shows the importance of assessing vocal characteristics other than voice pitch, and offers external validity for the experimental evidence that candidates' vocal characteristics are related to the election outcome.     

The relative importance of intra- and intersexual selection on human male sexually dimorphic traits

Recent evidence suggests that in sexual selection on human males, intrasexual competition plays a larger role than female choice. In a sample of men (N?=?164), we sought to provide further evidence on the effects of men's physical dominance and sexual attractiveness on mating success and hence in sexual selection. Objective measures and subjective ratings of male sexually dimorphic traits purportedly under sexual selection (height, vocal and facial masculinity, upper body size from 3D scans, physical strength, and baseline testosterone) and observer perceptions of physical dominance and sexual attractiveness based on self-presentation video recordings were assessed and associated with mating success (sociosexual behaviour and number of potential conceptions) in a partly longitudinal design. Results from structural equation models and selection analyses revealed that physical dominance, but not sexual attractiveness, predicted mating success. Physical dominance mediated associations of upper body size, physical strength, as well as vocal and facial physical dominance and attractiveness with mating success. These findings thus suggest a greater importance of intrasexual competition than female choice in human male sexual selection.     

Who suppresses female sexuality? An examination of support for Islamic veiling in a secular Muslim democracy as a function of sex and offspring sex

Whether it is men or women who suppress female sexuality has important implications for understanding gendered relations, ultimately providing insight into one widespread cause of female disadvantage. The question of which sex suppresses female sexuality more avidly, however, neglects that our interests are never unambiguously masculine or feminine; each of us has a combination of male and female kin which alters how much of our future fitness derive from each sex. Here we exploit a nationally representative sample of 600 Tunisians to test whether support for Islamic veiling—a proxy for female sexual suppression—is more common amongst one sex than the other, and is affected by the relative sex of one's offspring (i.e., the number of sons relative to daughters). We find that men are more supportive of Islamic veiling than women, but women with more sons are more supportive of veiling and more likely to wear veils than women with fewer sons. All effects were robust to the inclusion of religiosity, which was weaker amongst men and unrelated to the number of sons a woman had. The number of daughters affected neither religiosity nor support for veiling, but did increase women's likelihood of wearing contemporary, fashionable Tunisian veils compared with no head covering. We further found that men were more religious if they had more sons. Overall, these findings highlight that far from being the fixed strategy of one sex or the other, female sexual suppression manifests facultatively to promote one's reproductive interests directly or indirectly by creating conditions beneficial to one's descendent kin. These results show that both men and women can suppress female sexuality, although the function in either case appears more closely aligned with male rather than female interests.     

Assessing age,breeding stage,and mating activity as drivers of variation in the reproductive microbiome of female tree swallows

Sexually transmitted microbes are hypothesized to influence the evolution of reproductive strategies. Though frequently discussed in this context, our understanding of the reproductive microbiome is quite nascent. Indeed, testing this hypothesis first requires establishing a baseline understanding of the temporal dynamics of the reproductive microbiome and of how individual variation in reproductive behavior and age influence the assembly and maintenance of the reproductive microbiome as a whole. Here, we ask how mating activity, breeding stage, and age influence the reproductive microbiome. We use observational and experimental approaches to explain variation in the cloacal microbiome of free‐living, female tree swallows (Tachycineta bicolor). Using microsatellite‐based parentage analyses, we determined the number of sires per brood (a proxy for female mating activity). We experimentally increased female sexual activity by administering exogenous 17ß‐estradiol. Lastly, we used bacterial 16S rRNA amplicon sequencing to characterize the cloacal microbiome. Neither the number of sires per brood nor the increased sexual activity of females significantly influenced female cloacal microbiome richness or community structure. Female age, however, was positively correlated with cloacal microbiome richness and influenced overall community structure. A hypothesis to explain these patterns is that the effect of sexual activity and the number of mates on variation in the cloacal microbiome manifests over an individual''s lifetime. Additionally, we found that cloacal microbiome alpha diversity (Shannon Index, Faith''s phylogenetic distance) decreased and community structure shifted between breeding stages. This is one of few studies to document within‐individual changes and age‐related differences in the cloacal microbiome across successive breeding stages. More broadly, our results contribute to our understanding of the role that host life history and behavior play in shaping the cloacal microbiomes of wild birds.     

Women Tend to Defect in a Social Dilemma Game in Southwest China

Cooperation theories assume that interacting individuals can change their strategies under different expected payoffs, depending on their social status or social situations. When looking at sex differences in cooperation, the existing studies have found that the genders cooperate at similar frequencies. However, the majority of the data originate within Western human societies. In this paper, we explore whether there are gender differences in cooperation in China. An Iterated Prisoner’s Dilemma game with a punishment option was used to gather data about Southwest Chinese subjects in a culture in which men have a hierarchical advantage over women. Results indicate that men invested into partners significantly more than women did (34% ♂ vs. 24% ♀) while women, in turn, were more likely to defect (65% ♀ vs. 50% ♂). In this region, women have customarily held less economic power and they are used to obtain a payoff typically lower than men. We suggest that the women’s willingness to invest in cooperation has decreased throughout evolutionary time, providing us with an illustration of a culturally-driven shift towards a disparity in gender cooperation interests.     

Sociosexuality,testosterone, and life history status: prospective associations and longitudinal changes among men in Cebu,Philippines

Sociosexuality is defined as an individual's interest in uncommitted sexual activity and can be measured in terms of both psychological orientations and behavioral expression. In socio-ecological contexts in which adults monogamously partner and cooperate to raise children, individuals with unrestricted sociosexuality are likely to prioritize mating/competition over committed partnering and parenting. Given the importance of mother-father cooperation in the evolutionary past, humans may have the capacity to facultatively and opportunistically downregulate sociosexuality to focus on priorities related to invested partnering and parenting. To date, no prior studies have used longitudinal data to track within-individuals changes in sociosexuality as it relates to such life history transitions. Given the lack of prior longitudinal research in this area, it is likewise unknown what physiological mechanisms might mediate within-individual changes in sociosexuality through time but testosterone is a plausible candidate. To explore these questions, we drew on a large, long-running study of Filipino men (n?=?288), who were single non-fathers at 25.9?years of age and were followed up 4–5?years later. We found that men with more unrestricted sociosexuality at baseline were more likely to experience relationship dissolution by follow-up, consistent with past work. Compared to men who remained single non-fathers at follow-up, men who became married residential fathers showed shifts towards more restricted global sociosexuality as well as sociosexual behavior. Relative to their own baseline values, married residential fathers also had more restricted sociosexuality in all domains at follow-up. They were the only group for whom this was found. We found theoretically-consistent but modest support for positive correlations between men's testosterone and their sociosexuality, but no evidence that the two change in tandem together through time. Our results suggest that some amount of between-individual differences in sociosexuality are not stable and can facultatively shift alongside other aspects of male reproductive effort.     

Sexual Conflict and Gender Gap Effects: Associations between Social Context and Sex on Rated Attractiveness and Economic Status

Human mate choice research often concerns sex differences in the importance of traits such as physical attractiveness and social status. A growing number of studies indicate that cues to social context, including other people who appear in stimulus photographs, can alter that individual’s attractiveness. Fewer studies, however, consider judgements of traits other than physical attractiveness, such as wealth. Here we manipulate the presence/absence of other people in photographs of target models, and test the effects on judgments of both attractiveness and earnings (a proxy for status). Participants (N = 2044) rated either male or female models for either physical attractiveness or social/economic status when presented alone, with same sex others or with opposite sex others. We collectively refer to this manipulation as ‘social context’. Male and female models received similar responses for physical attractiveness, but social context affected ratings of status differently for women and men. Males presented alongside other men received the highest status ratings while females presented alone were given the highest status ratings. Further, the status of females presented alongside a male was constrained by the rated status of that male. Our results suggests that high status may not directly lead to high attractiveness in men, but that status is more readily attributed to men than to women. This divide in status between the sexes is very clear when men and women are presented together, possibly reflecting one underlying mechanism of the modern day gender gap and sexist attitudes to women’s economic participation. This adds complexity to our understanding of the relationship between attractiveness, status, and sex in the light of parental investment theory, sexual conflict and economic theory.     

Investigating the link between television viewing and men's preferences for female body size and shape in rural Nicaragua

The different levels of media access in otherwise very similar villages in rural Nicaragua provided a natural laboratory to explore the effect of television (TV) access on men's preferences for female body size and shape. In study 1 we compared the female body ideals of men from three discrete villages who experienced different levels of TV but otherwise inhabited a similar ecological and sociocultural environment. 3D modelling software enabled participants to create their ideal female body with more precision than simply choosing a figure from a limited range of 2D images. In study 2 we further explored local men's perceptions of female physical attractiveness and attitudes towards television using focus group discussions. Results from study 1 showed that men in the high TV villages preferred significantly slimmer bodies compared to those in the low TV village. Regression analyses showed TV access to be a significant predictor of ideal body size and upper body shape, but not of ideal lower body shape. The central theme to emerge from study 2 was the importance of the relationship between lower body shape, movement, and sex in the men's judgments of female attractiveness: the curvaceous body was perceived by the men to be a reliable cue to potential sexual promise, rather than valued simply for its visual aesthetic. Overall, findings suggest that TV access is linked to rural Nicaraguan men's perceptions of ideal female body weight and breast size, but preferences for a curvaceous lower body shape may be driven primarily by judgments of female sexual promise.     

Fertility in the cycle predicts women's interest in sexual opportunism

Research over the past decade has documented clear, robust changes in women's sexual preferences and interests across the ovarian cycle. When fertile, women are particularly attracted to a number of masculine male features (e.g., masculine faces, voices, scents and bodies) and other traits, and especially when they evaluate men's “sexiness” rather than their attractiveness as long-term partners. The current research extended this line of research by examining changes in women's self-reported sexual interests across the cycle. We asked 68 normally ovulating women in committed romantic relationships to fill out questionnaires about their sexual preferences and interests (at that time, not in general) twice across their cycles: once when fertile and once during the luteal phase. Relative to during the luteal phase, fertile women expressed (a) greater emphasis on the physical attractiveness of a partner; (b) greater arousal at the sight or thought of attractive male bodily features; (c) greater willingness to engage in and interest in sex with attractive men, even ones who they do not know well (interest in sexual opportunism). These findings importantly extend our understanding of women's fertile-phase sexuality.     

Marching into battle: synchronized walking diminishes the conceptualized formidability of an antagonist in men

Paralleling behaviours in other species, synchronized movement is central to institutionalized collective human activities thought to enhance cooperation, and experiments demonstrate that synchrony has this effect. The influence of synchrony on cooperation may derive from an evolutionary history wherein such actions served to signal coalitional strength to both participants and observers—including adversaries. If so, then synchronous movement should diminish individuals'' estimations of a foe''s formidability. Envisioned physical size and strength constitute the dimensions of a representation that summarizes relative fighting capacity. Experiencing synchrony should therefore lead individuals to conceptualize an antagonist as smaller and weaker. We found that men who walked synchronously with a male confederate indeed envisioned a purported criminal as less physically formidable than did men who engaged in this task without synchronizing.     

Fertile women evaluate male bodies as more attractive,regardless of masculinity

Ovulatory cycle shifts in women's mate preferences have been documented for several physical and behavioral traits. Research suggests that, at peak fertility, women tend to prefer men with characteristics that reflect good genes for short-term sexual relationships. However, existing findings have been criticized for methodological flexibility and failing attempts to replicate core results. In a large (N = 157), pre-registered, within-subject study spanning two ovulatory cycles, we investigated cycle shifts in women's mate preferences for masculine bodies. Using a large set of natural stimuli, we found that when fertile, women's ratings of male bodies increased for sexual as well as for long-term attractiveness. Both effects were partially mediated by the estradiol-to-progesterone-ratio. Furthermore, moderation analyses revealed that both shifts were only evident in women in relationships, but not in singles. Contrary to previous findings, male masculine traits did not interact with cycle phase to predict attraction, indicating that women's preferential priorities do not shift. Taken together, our results do not support women's mate preference shifts, as assumed by the good genes ovulatory shift hypothesis, but are consistent with shifting motivational priorities throughout the cycle. Implications of these results for female estrus theories and methodological recommendations for future research are discussed.     

Willingness to Act upon Beliefs about ‘Treatment as Prevention’ among Australian Gay and Bisexual Men

HIV ‘treatment as prevention’ (TasP) is highly effective in reducing HIV transmission in serodiscordant couples. There has been little examination of gay and bisexual men’s attitudes towards TasP, particularly regarding men’s willingness to act on beliefs about TasP. We conducted an online cross-sectional survey of Australian men in late 2012 to investigate knowledge and beliefs about new developments in HIV prevention. Amongst 839 men (mean age 39.5 years), men tended to disagree that TasP was sufficiently effective to justify reduced condom use, although HIV-positive men had more favourable attitudes. Only a minority of men were aware of any evidence for TasP; and one-quarter incorrectly believed that evidence for the effectiveness of TasP already existed for the homosexual population. One-fifth (20.5%) of men reported that they would be willing to have condomless anal intercourse with an opposite-status sexual partner when the HIV-positive partner was taking HIV treatments. Factors independently associated with such willingness were: HIV-positive serostatus, reporting any serodiscordant or serononconcordant condomless anal intercourse with a regular male partner in the previous six months, reporting any condomless anal intercourse with a casual male partner in the previous six months, and having greater beliefs in the effectiveness of TasP. This indicated that the men most willing to rely on TasP to prevent transmission were already engaging in higher risk practices. Biomedical HIV prevention represents a rapidly changing environment with new research as well as community and policy responses emerging at a fast pace. For men with serodiscordant sexual partners to successfully apply TasP to reducing transmission risk, more support and education is needed to enable better utilisation of TasP in specific relational and sexual contexts.     

Is there a link between paternity concern and female genital cutting in West Africa?

Here we explore the relationship between female genital cutting (FGC), sexual behaviour, and marriage opportunities in five West African countries. Using large demographic datasets (n 72,438 women, 12,704 men, 10,695 couples) we explore key (but untested) assumptions of an evolutionary proposal that FGC persists because it provides evolutionary fitness benefits for men by reducing non-paternity rates. We identify and test three assumptions implicit in this proposal. We test whether cut women have reduced extra-pair sex before or within marriage; whether FGC is associated with a younger age at marriage as an indication of partner preference; and whether individual and group-level indicators of paternity concern are associated with a stronger preference for marriage to women with FGC.Our results show that FGC status does not affect the odds of women engaging in several indicators of premarital sex, however women with FGC have significantly lower odds of having more than one lifetime sexual partner. We also show that women with FGC get married at a younger age which supports the argument that FGC status influences women's marriage opportunities, even when it does not restrict sexual activity. Finally, we find that in population groups where reported sexual activity and perceived risk of women's extra-pair sex is high, men have higher odds of marrying a first wife with FGC. Together, these results indicate that paternity certainty may be one of several factors contributing to the persistence of FGC in this sample, and that group-level sexual norms are key to maintaining the practice of FGC through the marriage market.     

Self-control and honesty depend on exposure to pictures of the opposite sex in men but not women

Research has shown that viewing stimuli that induce mating or sex motivation can push men towards greater impulsivity, a manifestation of lower self-control. Recent advances in research on the connection between self-control and moral behavior indicate that low self-control is associated with increased dishonesty. From an evolutionary perspective, when mating motivation is activated, men may behave in dishonest ways by projecting characteristics in line with women's mate preferences to enhance their sexual attractiveness. We tested the possibility that exposure to pictures of sexually appealing women would engender lower self-control, leading men to behave dishonestly. The results showed that a state of lower self-control was observed in males who viewed women rated high on sexual attractiveness but not in males who viewed women rated low on sexual attractiveness or in females who viewed men (Experiment 1). Compared with control participants, male participants exposed to pictures of sexy women were less likely to return excess money received for participating (Experiment 2) and more likely to cheat in a matrix task (Experiments 3 and 4). State self-control mediated the link between exposure to sexual stimuli and dishonest behavior in men (Experiments 2 and 4). For men whose mating motivation is heightened by exposure to sexual stimuli, dishonesty appears to be a tactic for projecting characteristics preferred by women (e.g., large economic resources).     

Methodological Challenges in Collecting Social and Behavioural Data Regarding the HIV Epidemic among Gay and Other Men Who Have Sex with Men in Australia

Background

Behavioural surveillance and research among gay and other men who have sex with men (GMSM) commonly relies on non-random recruitment approaches. Methodological challenges limit their ability to accurately represent the population of adult GMSM. We compared the social and behavioural profiles of GMSM recruited via venue-based, online, and respondent-driven sampling (RDS) and discussed their utility for behavioural surveillance.

Methods

Data from four studies were selected to reflect each recruitment method. We compared demographic characteristics and the prevalence of key indicators including sexual and HIV testing practices obtained from samples recruited through different methods, and population estimates from respondent-driven sampling partition analysis.

Results

Overall, the socio-demographic profile of GMSM was similar across samples, with some differences observed in age and sexual identification. Men recruited through time-location sampling appeared more connected to the gay community, reported a greater number of sexual partners, but engaged in less unprotected anal intercourse with regular (UAIR) or casual partners (UAIC). The RDS sample overestimated the proportion of HIV-positive men and appeared to recruit men with an overall higher number of sexual partners. A single-website survey recruited a sample with characteristics which differed considerably from the population estimates with regards to age, ethnically diversity and behaviour. Data acquired through time-location sampling underestimated the rates of UAIR and UAIC, while RDS and online sampling both generated samples that underestimated UAIR. Simulated composite samples combining recruits from time-location and multi-website online sampling may produce characteristics more consistent with the population estimates, particularly with regards to sexual practices.

Conclusion

Respondent-driven sampling produced the sample that was most consistent to population estimates, but this methodology is complex and logistically demanding. Time-location and online recruitment are more cost-effective and easier to implement; using these approaches in combination may offer the potential to recruit a more representative sample of GMSM.     

Straight but Not Narrow; Within-Gender Variation in the Gender-Specificity of Women’s Sexual Response

Gender differences in the specificity of sexual response have been a primary focus in sexual psychophysiology research, however, within-gender variability suggests sexual orientation moderates category-specific responding among women; only heterosexual women show gender-nonspecific genital responses to sexual stimuli depicting men and women. But heterosexually-identified or “straight” women are heterogeneous in their sexual attractions and include women who are exclusively androphilic (sexually attracted to men) and women who are predominantly androphilic with concurrent gynephilia (sexually attracted to women). It is therefore unclear if gender-nonspecific responding is found in both exclusively and predominantly androphilic women. The current studies investigated within-gender variability in the gender-specificity of women’s sexual response. Two samples of women reporting concurrent andro/gynephilia viewed (Study 1, n = 29) or listened (Study 2, n = 30) to erotic stimuli varying by gender of sexual partner depicted while their genital and subjective sexual responses were assessed. Data were combined with larger datasets of predominantly gyne- and androphilic women (total N = 78 for both studies). In both studies, women reporting any degree of gynephilia, including those who self-identified as heterosexual, showed significantly greater genital response to female stimuli, similar to predominantly gynephilic women; gender-nonspecific genital response was observed for exclusively androphilic women only. Subjective sexual arousal patterns were more variable with respect to sexual attractions, likely reflecting stimulus intensity effects. Heterosexually-identified women are therefore not a homogenous group with respect to sexual responses to gender cues. Implications for within-gender variation in women’s sexual orientation and sexual responses are discussed.     

Mate preferences and choices for facial and body hair in heterosexual women and homosexual men: influence of sex,population, homogamy,and imprinting-like effect

Recent research has reported that male body and facial hair influence women's mate preferences. However, it is not clear whether such preferences are typical for women or for individuals who prefer males as sexual partners. Here we explored body and facial hair in preferred and actual partners among men and women who prefer men as sexual partners. Including homosexual individuals provides a unique opportunity to investigate whether evolved mating psychologies are specific to the sex of the individual or sex of the partner. Based on an online survey of 1577 participants from Brazil and the Czech Republic, we found that, on average, homosexual men preferred hairier stimuli than heterosexual women, supporting past findings that homosexual men have strong preferences for masculine traits. Preferences for facial and body hair appear to be influenced less by sex of the preferred partner than sex of the individual, pointing to a possible sex-specific mating psychology. Further, Brazilians preferred bigger beards than Czechs, which was positively associated with the self-reported amount of beardedness in Brazil, suggesting that familiarity effects underpin cross-cultural differences in preferences for facial hair. Moreover, homosexual men preferred a self-similar degree of beardedness, and Czech women preferred a similar degree of beardedness as their fathers had during their childhood. However, these effects were not associated with the level of facial hair in their actual partners; in general, mate preferences and actual mate choices for facial and body hair differed. Thus, individual differences in some self-reported characteristics, cultural factors, and aspects of personal experience may modulate differences in preferences for masculine traits.     

Gender differences in sexual jealousy: Adaptionist or social learning explanation?

It has often been speculated, and some evidence suggests, that men and women differ in the elicitation of jealousy: Men appear to be more likely than women to become upset over threats to sexual exclusivity; whereas women are more likely than men to react negatively to potential loss of partner time and attention. Both adaptionist and traditional social learning theories have been used to explain these apparent gender differences. In the present article we outline both explanations and review the relevant psychological literature on gender differences in the elicitation of jealousy. We propose that the difference in men's and women's psychological mechanisms for elicitation of jealousy is best characterized (at least in this culture) as a greater sensitivity among men to cues indicative of possible sexual infidelity rather than greater emotional upset in response to the occurence of extradyadic sex on the part of one's mate. We also provide data testing a traditional social learning explanation for the elicitation of jealousy. Results of a survey administered to college students (N = 223) demonstrate the subtle nature of gender differences in the elicitation of jealousy within this culture. Men and women were most likely to differ (in the hypothesized directions) when items pertained to concern over a partner's potential extradyadic sex rather than to reactions to sexual infidelity that is suspected to have already occurred. Although men reported placing more value on sexual activity within dating relationships and women reported placing more value on emotional intimacy, these ratings of relationship rewards did not explain the gender differences in reported jealousy. Results failed to support a traditional social learning explanation of jealousy and are discussed with regard to evolutionary theory and directions for future research.     

Indices to Measure Risk of HIV Acquisition in Rakai,Uganda

Introduction

Targeting most-at-risk individuals with HIV preventive interventions is cost-effective. We developed gender-specific indices to measure risk of HIV among sexually active individuals in Rakai, Uganda.

Methods

We used multivariable Cox proportional hazards models to estimate time-to-HIV infection associated with candidate predictors. Reduced models were determined using backward selection procedures with Akaike''s information criterion (AIC) as the stopping rule. Model discrimination was determined using Harrell''s concordance index (c index). Model calibration was determined graphically. Nomograms were used to present the final prediction models.

Results

We used samples of 7,497 women and 5,783 men. 342 new infections occurred among females (incidence 1.11/100 person years,) and 225 among the males (incidence 1.00/100 person years). The final model for men included age, education, circumcision status, number of sexual partners, genital ulcer disease symptoms, alcohol use before sex, partner in high risk employment, community type, being unaware of a partner''s HIV status and community HIV prevalence. The Model''s optimism-corrected c index was 69.1 percent (95% CI = 0.66, 0.73). The final women''s model included age, marital status, education, number of sex partners, new sex partner, alcohol consumption by self or partner before sex, concurrent sexual partners, being employed in a high-risk occupation, having genital ulcer disease symptoms, community HIV prevalence, and perceiving oneself or partner to be exposed to HIV. The models optimism-corrected c index was 0.67 (95% CI = 0.64, 0.70). Both models were well calibrated.

Conclusion

These indices were discriminative and well calibrated. This provides proof-of-concept that population-based HIV risk indices can be developed. Further research to validate these indices for other populations is needed.