Supplementary Tables Table S1. Contributions to trends in Ever used a Condom (among sexually experienced) ---------------------------------------------------------------------------------------------| year comparison |1993 1996 1997 1999 2000 2001 2002 2003 2005 2006 2007 -----------------------------+---------------------------------------------------------------Changed answer Ever to never| 0 -32 -84 -96 -150 -165 -194 -153 -179 -128 -194 Changed answer Never to ever| 0 107 143 118 186 208 185 198 173 263 179 In migrant-ever| 0 89 71 131 113 95 87 116 127 97 85 Out migrant-was ever| 0 -52 -66 -103 -66 -74 -96 -88 -222 -81 -107 Newly interviewed-ever| 0 151 136 193 110 212 169 175 156 206 246 Not interviewed-was ever| 0 -42 -103 -91 -190 -150 -211 -213 -238 -173 -241 New ans question-ever| 0 66 1 2 0 0 0 0 0 2 0 Didn't ans question-was ever| 0 -1 -17 0 -2 0 -1 0 -2 0 -2 Age 13-ever| 0 1 0 3 2 1 2 1 1 0 1 Died-was ever| 0 -1 -1 -8 -11 -13 -15 -16 -11 -9 -8 Newly experienced-ever| 0 0 0 79 51 62 65 54 62 39 46 Was experienced-was ever| 0 0 0 -4 -9 -18 -17 -13 -6 -9 -13 ---------------------------------------------------------------------------------------------net new ‘ever’ responses| 0 286 80 224 34 158 -26 61 -139 207 -8 ---------------------------------------------------------------------------------------------Changed answer Ever to never| 0 32 84 96 150 165 194 153 179 128 194 Changed answer Never to ever| 0 -107 -143 -118 -186 -208 -185 -198 -173 -263 -179 In migrant-never | 0 322 180 330 247 187 162 139 192 108 90 Out migrant-was never | 0 -420 -181 -225 -159 -105 -149 -126 -297 -107 -82 Newly interviewed-never | 0 749 480 664 364 499 406 319 362 309 338 Not interviewed-was never | 0 -612 -542 -275 -508 -400 -445 -465 -400 -347 -394 New ans question-never | 0 323 7 9 0 9 6 1 0 2 3 Didn't ans question-was never| 0 -5 -449 -1 -7 -7 0 0 -1 -1 -6 Age 13-never | 0 172 3 6 7 5 5 5 5 1 3 Died-was never | 0 -42 -35 -42 -41 -46 -49 -56 -43 -30 -29 Newly experienced-never | 0 0 0 141 86 70 66 63 93 39 46 Was experienced-was never | 0 0 0 -11 -43 -47 -43 -31 -15 -33 -12 ---------------------------------------------------------------------------------------------net new never responses | 0 412 -596 574 -90 122 -32 -196 -98 -194 -28 -------------------------------------------------------------------------------------------------------------------------+----------------------------------------------------------------Ever used condom | 164 450 530 754 788 946 920 981 842 1,049 1,041 Never used condom |2,010 2,422 1,826 2,400 2,310 2,432 2,400 2,204 2,106 1,912 1,884 ---------------------------------------------------------------------------------------------Percent used condom | 7.54 15.67 22.50 23.91 25.44 28.00 27.71 30.80 28.56 35.43 35.59 ---------------------------------------------------------------------------------------------1 New ans question = Interviewed the previous time that the question was asked, but did not answer the specific question 2 Didn’t ans question = Interviewed but did not answer the specific question – did answer the previous time the question was asked 3 Newly experienced: respondent reported having ever had sex, but had never had sex the previous round 4 Was experienced: respondent reported never having had sex, but reported having had sex in the previous round (inconsistent sequence) 5 Whether or not the respondent had ever had sex was not asked in 1995 and 1996. Therefore, we are unable to determine whether the individual was newly sexually experienced in 1996 and 1997. Table S2. Contributions to trends in 2+ sexual partners in past year (among sexually experienced) ------------------------------------------------------------------------------------------| year comparison | 1996 1997 1999 2000 2001 2002 2003 2004 2005 2006 2007 -------------------------+----------------------------------------------------------------Changed answer 2+ to <=1 | 0 -99 -91 -132 -112 -123 -131 -93 -100 -65 -108 Changed answer <=1 to 2+ | 0 59 100 112 117 115 78 114 77 99 55 In migrant 2+ | 0 44 55 47 28 36 35 27 20 22 12 Out migrant-was 2+ | 0 -33 -47 -33 -16 -27 -26 -37 -33 -23 -32 Newly interviewed 2+ | 0 75 137 65 109 78 67 83 59 66 53 Not interviewed-was 2+ | 0 -76 -40 -119 -98 -116 -100 -85 -99 -66 -88 New ans question 2+ | 0 3 0 0 0 0 0 0 0 0 0 Age 13 2+ | 0 0 1 1 2 1 0 0 0 0 0 Died-was 2+ | 0 -1 -4 -7 -6 -5 -8 -5 0 0 -5 Newly experienced 2+ | 0 23 61 27 25 27 16 18 17 13 12 Was experienced 2+ | 0 -16 -2 -14 -14 -13 -8 -3 -6 -6 -4 ------------------------------------------------------------------------------------------net new 2+ responses | 0 -21 170 -53 35 -27 -77 19 -65 40 -105 ------------------------------------------------------------------------------------------Changed answer 2+ to <=1 | 0 99 91 132 112 123 131 93 100 65 108 Changed answer <=1 to 2+ | 0 -59 -100 -112 -117 -115 -78 -114 -77 -99 -55 In migrant <=1 | 0 207 406 314 254 213 220 220 170 183 163 Out migrant-was <=1 | 0 -106 -277 -192 -163 -218 -188 -236 -224 -165 -157 Newly interviewed <=1 | 0 527 720 411 604 497 427 522 335 448 529 Not interviewed-was <=1 | 0 -280 -320 -579 -455 -543 -578 -412 -624 -454 -546 Age 13 <=1 | 0 3 8 8 4 6 6 2 5 1 4 Died=was <=1 | 0 -17 -45 -45 -52 -60 -64 -48 -54 -39 -32 Newly experienced <=1 | 0 312 189 110 108 105 103 100 114 66 83 Was experienced <=1 | 0 -34 -13 -38 -52 -50 -36 -35 -24 -39 -24 ------------------------------------------------------------------------------------------net new <=1 responses | 0 652 659 9 243 -42 -57 92 -279 -33 73 -------------------------------------------------------------------------------------------------------------------+----------------------------------------------------------------0-1 sex partners |1,387 2,039 2,698 2,707 2,950 2,908 2,851 2,943 2,664 2,631 2,704 2+ sex partners | 307 286 456 403 438 411 334 353 288 328 223 ------------------------------------------------------------------------------------------Percent 2+ partners |18.12 12.30 14.46 12.96 12.93 12.38 10.49 10.71 9.76 11.08 7.62 ------------------------------------------------------------------------------------------1 New ans question = Interviewed the previous time that the question was asked, but did not answer the specific question 2 Didn’t ans question = Interviewed but did not answer the specific question – did answer the previous time the question was asked Table S3. Contributions to trends in age at first sex among 17-20 year olds --------------------------------------------------------------------------------------------------| year comparison | 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 ---------------------------------+----------------------------------------------------------------SAME RESPONDENTS | Same response | 0 86 97 89 107 132 145 135 125 112 113 Increase 1 yr | 0 25 29 42 36 28 21 29 21 16 12 Decrease 1 yr | 0 20 17 14 25 23 18 23 20 16 14 Increase 2+ yrs | 0 15 23 34 30 35 33 35 11 16 8 Decrease 2+ yrs | 0 18 21 18 19 5 12 12 17 7 17 Censored to New sexual debut | 0 41 61 47 43 44 40 46 35 25 26 Ever sex to Never sex (censored) | 0 11 16 19 18 22 10 10 8 11 14 --------------------------------------------------------------------------------------------------Sum of Same Respondents | 0 216 264 263 278 289 279 290 237 203 204 --------------------------------------------------------------------------------------------------NEW RESPONDENTS | New answer (was DK) | 0 0 14 3 11 2 0 7 3 1 1 In Migrant | 0 78 77 95 65 66 72 56 46 61 46 Newly interviewed | 0 125 105 94 164 111 117 128 79 99 110 Newly answered question | 0 0 2 1 1 0 0 0 0 0 2 Age 17 | 0 97 134 104 139 136 145 143 124 114 115 --------------------------------------------------------------------------------------------------Sum of New Respondents | 0 300 332 297 380 315 334 334 252 275 274 --------------------------------------------------------------------------------------------------LOST RESPONDENTS | Not answered (DK) | 0 -14 -9 -18 -6 -5 -12 -7 -7 -1 -4 Out Migrant | 0 -82 -71 -84 -72 -110 -92 -120 -117 -85 -82 Not interviewed | 0 -85 -84 -168 -127 -179 -147 -132 -185 -141 -131 Didn't answer question | 0 -14 -10 -5 -4 -4 -2 -2 -5 -2 -3 Died | 0 -1 -2 -3 -2 -2 -1 -4 -2 -1 -5 Age 21 | 0 -69 -76 -55 -71 -69 -71 -58 -71 -56 -49 --------------------------------------------------------------------------------------------------Sum of Lost Respondents | 0 -265 -252 -333 -282 -369 -325 -323 -387 -286 -274 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------MEDIAN AGE AT FIRST SEX Male | 18.5 18.0 17.6 17.8 18.4 18.8 18.5 18.9 19.8 20.6 20.5 Female | 16.8 17.4 17.2 17.4 17.4 17.7 17.8 17.9 17.9 18.2 18.6 --------------------------------------------------------------------------------------------------SAMPLE SIZE Male | 246 253 290 257 318 285 302 309 241 229 237 Female | 235 263 306 303 340 319 311 315 248 249 241 --------------------------------------------------------------------------------------------------Total Respondents | 481 516 596 560 658 604 613 624 489 478 478 --------------------------------------------------------------------------------------------------- DK = response was “don’t know”, which for purposes of analysis was set to missing. 1 Table S4. Contributions to mean casual partners in past year (among sexually experienced) -----------------------------------------------------------------------------------| year comparison| 1997 1999 2000 2001 2003 2004 2005 2006 2007 ------------------------------+----------------------------------------------------Changed answer to Lower number| 0 -88 -136 -119 -150 -119 -129 -110 -108 Change answer to Higher number| 0 95 122 157 91 152 98 93 58 In migrant-high| 0 43 43 28 36 31 21 18 10 Out migrant-was high| 0 -52 -21 -27 -72 -42 -53 -29 -26 Newly interviewed-high| 0 75 36 89 49 69 47 46 33 Not interviewed-was high| 0 -28 -71 -57 -89 -65 -88 -64 -49 New ans question-high| 0 0 0 2 0 0 0 0 0 Didn't ans question-was high| 0 -1 0 -1 0 0 0 0 0 Age 13-high| 0 3 6 3 1 0 0 0 1 Died-was high| 0 -2 -6 -4 -3 -1 -1 0 -2 Newly experienced-high| 0 38 44 49 54 42 41 26 31 Was experienced-was high| 0 -6 -14 -17 -14 -12 -11 -11 -6 -----------------------------------------------------------------------------------net new higher responses| 0 77 3 103 -97 55 -75 -31 -58 -----------------------------------------------------------------------------------Changed answer to Lower number| 0 88 136 119 150 119 129 110 108 Change answer to Higher number| 0 -95 -122 -157 -91 -152 -98 -93 -58 In migrant-low| 0 418 317 254 361 215 169 186 165 Out migrant-was low| 0 -271 -204 -152 -430 -231 -204 -159 -163 Newly interviewed-low| 0 782 439 621 464 536 347 467 547 Not interviewed-was low| 0 -332 -627 -493 -607 -432 -634 -456 -584 New ans question-low| 0 0 2 5 1 1 0 1 5 Didn't ans question-was low| 0 -1 -8 0 -1 0 -1 -4 -1 Age 13-low| 0 6 3 3 5 2 5 1 3 Died-was low| 0 -47 -46 -53 -55 -52 -53 -39 -35 Newly experienced-low| 0 212 92 84 118 76 90 53 64 Was experienced-was low| 0 -9 -38 -49 -18 -26 -19 -34 -22 -----------------------------------------------------------------------------------net new lower responses| 0 751 -56 182 -103 56 -269 33 29 -----------------------------------------------------------------------------------Mean casual partners/year|0.170 0.214 0.202 0.236 0.156 0.160 0.153 0.136 0.088 Sample Size|2,324 3,152 3,099 3,384 3,184 3,295 2,951 2,953 2,924 -----------------------------------------------------------------------------------1 High: Respondent reported a higher number than the mean (since the mean was < 1 in all years, this implies that the respondent reported 1 or more casual partners) 2 Low: Respondent reported a lower number than the mean 3 Newly experienced: respondent reported having ever had sex, but had never had sex the previous round 4 Was experienced: respondent reported never having had sex, but reported having had sex in the previous round (inconsistent sequence) Table S5. Contributions to trends in ever had sex among 15-19 year olds ------------------------------------------------------------------------------------------------------| year comparison|1993 1994 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 ---------------------------+--------------------------------------------------------------------------Change Answer Ever to never| 0 -15 -3 -14 -31 -31 -36 -36 -30 -22 -12 -20 -12 Change Ans never to ever| 0 27 38 93 105 78 71 80 79 70 79 51 57 In migrant-ever| 0 26 87 63 60 76 51 52 59 42 35 38 29 Out migrant-was ever| 0 -30 -20 -45 -32 -44 -49 -46 -43 -60 -54 -41 -28 Newly interviewed-ever| 0 48 60 75 63 59 83 59 63 47 32 44 43 Not interviewed-was ever| 0 -59 -4 -32 -54 -77 -47 -57 -50 -54 -52 -42 -42 New ans question-ever| 0 2 0 1 0 0 0 0 0 0 0 0 1 Age 15-ever| 0 8 67 33 43 31 37 34 19 21 27 17 18 Age 20-was ever| 0 -56 -144 -90 -95 -111 -106 -132 -91 -100 -95 -78 -78 Died-was ever| 0 -2 0 -1 -1 0 -1 -2 0 0 -1 0 -2 ------------------------------------------------------------------------------------------------------net new ever responses| 0 -51 81 83 58 -19 3 -48 6 -56 -41 -31 -14 ------------------------------------------------------------------------------------------------------Change Answer Ever to never| 0 15 3 14 31 31 36 36 30 22 12 20 12 Change Ans never to ever| 0 -27 -38 -93 -105 -78 -71 -80 -79 -70 -79 -51 -57 In migrant-never| 0 13 35 19 21 25 21 16 21 24 16 24 18 Out migrant-was never| 0 -38 -90 -41 -52 -48 -52 -108 -74 -71 -97 -74 -68 Newly interviewed-never| 0 54 113 75 47 59 132 69 68 89 60 53 86 Not interviewed-was never| 0 -106 -45 -73 -80 -127 -125 -161 -157 -127 -168 -159 -165 New ans ques-never| 0 2 0 0 1 0 0 0 0 0 0 0 0 Didn't ans ques-was never| 0 -1 -1 0 0 0 0 0 0 0 0 -1 0 Age 15-never| 0 99 248 166 210 212 228 220 225 221 234 241 222 Age 20-was never| 0 -21 -111 -34 -34 -36 -27 -42 -42 -46 -41 -38 -36 Died-was never| 0 -1 -1 0 -1 0 -1 -1 -1 -3 -2 0 0 ------------------------------------------------------------------------------------------------------net new never responses| 0 -11 113 33 38 38 141 -51 -9 39 -65 15 12 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Ever had sex| 238 187 268 351 409 390 393 345 351 295 254 223 209 Never had sex| 335 324 437 470 508 546 687 636 627 666 601 616 628 ------------------------------------------------------------------------------------------------------Percent ever had sex|41.5 39.6 44.0 46.7 48.3 45.4 40.1 39.6 39.6 35.2 33.0 29.2 27.8 ------------------------------------------------------------------------------------------------------1 In migrants in 2000 (round 11) include those who joined the cohort in the 10 new villages New ans question = Interviewed the previous time that the question was asked, but did not answer the specific question 3 Didn’t ans question = Interviewed but did not answer the specific question – did answer the previous time the question was asked 2