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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).