Prevention approaches for reproductive health have evolved from an emphasis
on individually focused models of behavior change to a recognition that ri
sk reduction occurs within a context of social norms. Prevention programs c
an be improved by understanding how social structure influences sexual beha
vior and using that understanding to develop strategies for positive change
. In a dynamic, urban context, communities are better conceptualized as inf
ormal networks of ties. These network structures may help to protect, or co
nversely, expose members to reproductive risk behaviors. Using data from a
study of social and sexual networks conducted in northern Thailand, this ar
ticle describes partner relations and social structure in the modern, urban
context, and illustrates the links between individual, relational and stru
ctural properties and reproductive risk behaviors. Triangulation of ethnogr
aphic, survey and social network data collection and analytic tools provide
an opportunity to interpret individual behaviors, meanings of relationship
s and struct ural properties of networks. Intervention approaches should bu
ild on existing networks, and address the complex meanings of romantic and
sexual partnerships. (C) 1999 Published by Elsevier Science Ltd. All rights
reserved.