Document 3117
 DOCN  M94A3117
 TI    Resistant to risk reduction: male clients of commercial sex workers in
       Kenya.
 DT    9412
 AU    Ngugi EN; Njeru EK; Plummer FA; Moses S; Karanja M; University of
       Nairobi, Kenya.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):15 (abstract no. 035D). Unique
       Identifier : AIDSLINE ICA10/94369458
 AB    INTRODUCTION: Sexual preference in relation to risk reduction should be
       explored so as to identify and support preventive behaviour while
       persuading those with unsafe sexual behaviour to modify them for control
       and prevention of STD/HIV. OBJECTIVE: To establish preferred sexual
       behaviour of men and facilitating factors that would be amendable to
       intervention. METHOD: A cross sectional survey of possible male clients
       of prostitutes in 2 centres in Kenya who were recruited in work sites,
       bars and hotels. RESULTS: About 40% married, half of these having their
       wives in their rural homes, visiting them once or twice monthly. About
       60% had never used condoms with prostitutes, non-vaginal practice was
       low -5% and 4% for oral and anal sex respectively. Reasons for lack of
       skill, unavailability, expensive, suspicion by partner and reduced
       sensitivity. The 41% of men who have sex with prostitutes, do so once or
       more than four times a week. Rationale for engaging in commercial sex
       include: wives are far, men need other women for greater satisfaction.
       They need sex after consuming alcohol and a man must have sex to avoid
       complications and prove his manhood. The knowledge about AIDS was high,
       but preventive behaviour was low. There was myth that fat healthy
       looking and young girls cannot have HIV by 36% and 55% of the
       respondents, respectively. Previous STD i.e. urethral discharge, painful
       micturition and genital ulcers were reported by 66%, 29% were having one
       of these signs and symptoms at the time of interview. During the indepth
       interview, it transpired that men want to know how to protect themselves
       from STD/HIV without losing status. CONCLUSION: There is urgent need to
       target intervention to men clients of commercial sex workers.
 DE    Attitude  Condoms/UTILIZATION  Cross-Sectional Studies  Female  Gender
       Identity  Human  HIV Infections/*PREVENTION & CONTROL  Kenya  Knowledge,
       Attitudes, Practice  Male  *Prostitution  *Sex Behavior  Sexually
       Transmitted Diseases/*PREVENTION & CONTROL  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).