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Factors associated with self-reported unprotected anal sex among male sex workers in Mombasa, Kenya

Scott Geibel, Stanley Lüchters UGent, Nzioki King'ola, Eka Esu-Williams, Agnes Rinyiru and Waimar Tun (2008) SEXUALLY TRANSMITTED DISEASES. 35(8). p.746-752
abstract
Objectives: To identify social and behavioral characteristics associated with sexual risk behaviors among male sex workers who sell sex to men in Mombasa, Kenya. Methods: Using time-location sampling, 425 men who had recently sold, and were currently willing to sell sex to men were invited to participate in a cross-sectional survey. A structured questionnaire was administered using handheld computers. Factors associated with self-reported unprotected anal sex with male clients in the past 30 days were identified and subjected to multivariate analysis. Results: Thirty-five percent of respondents did not know HIV can be transmitted via anal sex, which was a significant predictor of unprotected anal sex [adjusted odds ratio (AOR) 1.92; 95% confidence interval (95% CI), 1.16-3.16]. Other associated factors included drinking alcohol 3 or more days per week (AOR, 1.63; 95% CI, 1.05-2.54), self-report of burning urination within the past 12 months (AOR, 2.07; 95% CI, 1.14-3.76), and having never been counseled or tested for HIV (AOR, 1.66; 95% CI, 1.07-2.57). Only 21.2% of respondents correctly knew that a water-based lubricant should be used with latex condoms. Conclusions: Male sex workers who sell sex to men in Mombasa are in acute need of targeted prevention information on anal HIV and STI transmission, consistent condom use, and correct lubrication use with latex condoms. HIV programs in Africa need to consider and develop specific prevention strategies to reach this vulnerable population.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
journal title
SEXUALLY TRANSMITTED DISEASES
Sex. Transm. Dis.
volume
35
issue
8
pages
746 - 752
Web of Science type
Article
Web of Science id
000258010300007
JCR category
INFECTIOUS DISEASES
JCR impact factor
2.863 (2008)
JCR rank
21/51 (2008)
JCR quartile
2 (2008)
ISSN
0148-5717
DOI
10.1097/OLQ.0b013e318170589d
language
English
UGent publication?
no
classification
A1
id
528984
handle
http://hdl.handle.net/1854/LU-528984
date created
2009-03-24 10:52:39
date last changed
2016-12-19 15:41:20
@article{528984,
  abstract     = {Objectives: To identify social and behavioral characteristics associated with sexual risk behaviors among male sex workers who sell sex to men in Mombasa, Kenya.
Methods: Using time-location sampling, 425 men who had recently sold, and were currently willing to sell sex to men were invited to participate in a cross-sectional survey. A structured questionnaire was administered using handheld computers. Factors associated with self-reported unprotected anal sex with male clients in the past 30 days were identified and subjected to multivariate analysis.

Results: Thirty-five percent of respondents did not know HIV can be transmitted via anal sex, which was a significant predictor of unprotected anal sex [adjusted odds ratio (AOR) 1.92; 95\% confidence interval (95\% CI), 1.16-3.16]. Other associated factors included drinking alcohol 3 or more days per week (AOR, 1.63; 95\% CI, 1.05-2.54), self-report of burning urination within the past 12 months (AOR, 2.07; 95\% CI, 1.14-3.76), and having never been counseled or tested for HIV (AOR, 1.66; 95\% CI, 1.07-2.57). Only 21.2\% of respondents correctly knew that a water-based lubricant should be used with latex condoms.

Conclusions: Male sex workers who sell sex to men in Mombasa are in acute need of targeted prevention information on anal HIV and STI transmission, consistent condom use, and correct lubrication use with latex condoms. HIV programs in Africa need to consider and develop specific prevention strategies to reach this vulnerable population.},
  author       = {Geibel, Scott and L{\"u}chters, Stanley and King'ola, Nzioki and Esu-Williams, Eka and Rinyiru, Agnes and Tun, Waimar},
  issn         = {0148-5717},
  journal      = {SEXUALLY TRANSMITTED DISEASES},
  language     = {eng},
  number       = {8},
  pages        = {746--752},
  title        = {Factors associated with self-reported unprotected anal sex among male sex workers in Mombasa, Kenya},
  url          = {http://dx.doi.org/10.1097/OLQ.0b013e318170589d},
  volume       = {35},
  year         = {2008},
}

Chicago
Geibel, Scott, Stanley Lüchters, Nzioki King’ola, Eka Esu-Williams, Agnes Rinyiru, and Waimar Tun. 2008. “Factors Associated with Self-reported Unprotected Anal Sex Among Male Sex Workers in Mombasa, Kenya.” Sexually Transmitted Diseases 35 (8): 746–752.
APA
Geibel, Scott, Lüchters, S., King’ola, N., Esu-Williams, E., Rinyiru, A., & Tun, W. (2008). Factors associated with self-reported unprotected anal sex among male sex workers in Mombasa, Kenya. SEXUALLY TRANSMITTED DISEASES, 35(8), 746–752.
Vancouver
1.
Geibel S, Lüchters S, King’ola N, Esu-Williams E, Rinyiru A, Tun W. Factors associated with self-reported unprotected anal sex among male sex workers in Mombasa, Kenya. SEXUALLY TRANSMITTED DISEASES. 2008;35(8):746–52.
MLA
Geibel, Scott, Stanley Lüchters, Nzioki King’ola, et al. “Factors Associated with Self-reported Unprotected Anal Sex Among Male Sex Workers in Mombasa, Kenya.” SEXUALLY TRANSMITTED DISEASES 35.8 (2008): 746–752. Print.