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Intentional and unintentional condom breakage and slippage in the sexual interactions of female and male sex workers and clients in Mombasa, Kenya

(2018) AIDS AND BEHAVIOR. 22(2). p.637-648
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Abstract
We examined why male condoms broke or slipped off during commercial sex and the actions taken in response among 75 female and male sex workers and male clients recruited from 18 bars/nightclubs in Mombasa, Kenya. Most participants (61/75, 81%) had experienced at least one breakage or slippage during commercial sex. Many breakages were attributed to the direct actions of clients. Breakages and slippages fell into two main groups: those that were intentionally caused by clients and unintentional ones caused by inebriation, forceful thrusting during sex and incorrect or non-lubricant use. Participant responses included: stopping sex and replacing the damaged condoms, doing nothing, getting tested for HIV, using post-exposure prophylaxis and washing. Some sex workers also employed strategies to prevent the occurrence of condom breakages. Innovative client-oriented HIV prevention and risk-reduction interventions are therefore urgently needed. Additionally, sex workers should be equipped with skills to recognize and manage breakages.
Keywords
Africa, Clients, Kenya, Male condom breakage and slippage, Sex workers, SOUTH-INDIA, HEALTH-SERVICES, COMMERCIAL SEX, WEST-AFRICA, BLACK-MEN, HIV RISK, ANAL SEX, VIOLENCE, BANGALORE, ALCOHOL

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Citation

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MLA
Masvawure, Tsitsi B, Joanne E Mantell, Jack Ume Tocco, et al. “Intentional and Unintentional Condom Breakage and Slippage in the Sexual Interactions of Female and Male Sex Workers and Clients in Mombasa, Kenya.” AIDS AND BEHAVIOR 22.2 (2018): 637–648. Print.
APA
Masvawure, T. B., Mantell, J. E., Tocco, J. U., Gichangi, P., Restar, A., Chabeda, S. V., Lafort, Y., et al. (2018). Intentional and unintentional condom breakage and slippage in the sexual interactions of female and male sex workers and clients in Mombasa, Kenya. AIDS AND BEHAVIOR, 22(2), 637–648.
Chicago author-date
Masvawure, Tsitsi B, Joanne E Mantell, Jack Ume Tocco, Peter Gichangi, Arjee Restar, Sophie Vusha Chabeda, Yves Lafort, and Theo GM Sandfort. 2018. “Intentional and Unintentional Condom Breakage and Slippage in the Sexual Interactions of Female and Male Sex Workers and Clients in Mombasa, Kenya.” Aids and Behavior 22 (2): 637–648.
Chicago author-date (all authors)
Masvawure, Tsitsi B, Joanne E Mantell, Jack Ume Tocco, Peter Gichangi, Arjee Restar, Sophie Vusha Chabeda, Yves Lafort, and Theo GM Sandfort. 2018. “Intentional and Unintentional Condom Breakage and Slippage in the Sexual Interactions of Female and Male Sex Workers and Clients in Mombasa, Kenya.” Aids and Behavior 22 (2): 637–648.
Vancouver
1.
Masvawure TB, Mantell JE, Tocco JU, Gichangi P, Restar A, Chabeda SV, et al. Intentional and unintentional condom breakage and slippage in the sexual interactions of female and male sex workers and clients in Mombasa, Kenya. AIDS AND BEHAVIOR. 2018;22(2):637–48.
IEEE
[1]
T. B. Masvawure et al., “Intentional and unintentional condom breakage and slippage in the sexual interactions of female and male sex workers and clients in Mombasa, Kenya,” AIDS AND BEHAVIOR, vol. 22, no. 2, pp. 637–648, 2018.
@article{8545734,
  abstract     = {We examined why male condoms broke or slipped off during commercial sex and the actions taken in response among 75 female and male sex workers and male clients recruited from 18 bars/nightclubs in Mombasa, Kenya. Most participants (61/75, 81%) had experienced at least one breakage or slippage during commercial sex. Many breakages were attributed to the direct actions of clients. Breakages and slippages fell into two main groups: those that were intentionally caused by clients and unintentional ones caused by inebriation, forceful thrusting during sex and incorrect or non-lubricant use. Participant responses included: stopping sex and replacing the damaged condoms, doing nothing, getting tested for HIV, using post-exposure prophylaxis and washing. Some sex workers also employed strategies to prevent the occurrence of condom breakages. Innovative client-oriented HIV prevention and risk-reduction interventions are therefore urgently needed. Additionally, sex workers should be equipped with skills to recognize and manage breakages.},
  author       = {Masvawure, Tsitsi B and Mantell, Joanne E and Tocco, Jack Ume and Gichangi, Peter and Restar, Arjee and Chabeda, Sophie Vusha and Lafort, Yves and Sandfort, Theo GM},
  issn         = {1090-7165},
  journal      = {AIDS AND BEHAVIOR},
  keywords     = {Africa,Clients,Kenya,Male condom breakage and slippage,Sex workers,SOUTH-INDIA,HEALTH-SERVICES,COMMERCIAL SEX,WEST-AFRICA,BLACK-MEN,HIV RISK,ANAL SEX,VIOLENCE,BANGALORE,ALCOHOL},
  language     = {eng},
  number       = {2},
  pages        = {637--648},
  title        = {Intentional and unintentional condom breakage and slippage in the sexual interactions of female and male sex workers and clients in Mombasa, Kenya},
  url          = {http://dx.doi.org/10.1007/s10461-017-1922-3},
  volume       = {22},
  year         = {2018},
}

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