This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Hong, R. Search for Related Content PubMed PubMed Citation Articles by Hong, R. Social Bookmarking                         What's this?

Behavior, Knowledge, Attitude, and Other Characteristics of Men Who Had Sex With Female Commercial Sex Workers in Kenya

Department of Global Health, School of Public Health and Health Services, The George Washington University, Washington, DC, rhong{at}gwu.edu

We examined sociodemographic characteristics, knowledge, behavior, and attitude of men who had sex with commercial sex workers (CSWs) in Kenya. About 15% of the men had sex with CSWs. Men who had two or more partners, were away from home five or more times in the past year, and used condoms consistently with their last three partners were likely to have had sex with CSWs (odds ratio [OR] = 2.70, p = .000; OR = 1.43, p = .044; OR = 2.50, p = .000, respectively). Men with better knowledge of HIV/AIDS prevention methods were likely to have had sex with CSWs (OR = 1.62, p = .004). As expected, having had sex with CSWs was associated with higher risk of sexually transmitted infection (OR = 3.62, p = .000). This unexpected association between knowledge and behavior could be bidirectional or reverse causality. Nonetheless, knowledge in prevention has not been translated to practice and change in behavior. These processes require continuous efforts, including assertive campaigns on sexual practices and behaviors.

Key Words: sexual behavior • sexually active • commercial sex worker • HIV/AIDS

References

• Arien, K.K., Troyer, R.M., Gali, Y., Colebunders, R.L., Arts, E.J., & Vanham, G. (2005). Replicative fitness of historical and recent HIV-1 isolates suggests HIV-1 attenuation over time. AIDS, 19, 1555-1564.[Web of Science][Medline] [Order article via Infotrieve]
• Central Bureau of Statistics, Ministry of Health, Kenya Medical Research Institute, National Council for Population and Development, Centers for Disease Control and Prevention, & ORC Macro. (2004 ). Kenya 2003 Demographic and Health Survey. Nairobi, Kenya/Calverton, MD: Author.
• Davies, S.C., Taylor, J.A., Sedyaningsih-Mamahit, E.R., Gunawan, S., Cunningham, A.L., & Mindel, A. (2007). Prevalence and risk factors for herpes simplex virus type 2 antibodies among low- and high-risk populations in Indonesia. Sexually Transmitted Diseases, 34, 132-138.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Downe, P.J. (1997). Constructing a complex of contagion: The perceptions of AIDS among working prostitutes in Costa Rica. Social Science & Medicine, 44, 1575-1583.[CrossRef]
• Elifson, K.W., Boles, J., Darrow, W.W., & Sterk, C.E. (1999). HIV seroprevalence and risk factors among clients of female and male prostitutes. Journal of Acquired Immune Deficiency Syndrome and Human Retrovirology, 20, 195-200.[Web of Science][Medline] [Order article via Infotrieve]
• Gibney, L., Saquib, N., & Metzger, J. (2003). Behavioral risk factors for STD/HIV transmission in Bangladesh's trucking industry. Social Science & Medicine, 56, 1411-1424.[CrossRef]
• He, N., Detels, R., Chen, Z., Jiang, Q., Zhu, J., Dai, Y., et al. (2006). Sexual behavior among employed male rural migrants in Shanghai, China. AIDS Education and Prevention, 18, 176-186.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Institut National de la Statistique Ministere de la Planification, de la Programmation du Developpement et de l'Amenagement du Territoire & ORC Macro. (2005). Cameroon 2004 Demographic and Health Survey. Yaounde, Cameroun/Calverton, MD: Author.
• Johnson, K., & Way, A. (2006). Risk factors for HIV infection in a national adult population: Evidence from the 2003 Kenya Demographic and Health Survey. Journal of Acquired Immune Deficiency Syndrome, 42, 627-636.[CrossRef]
• Mehta, S.D., Ghanem, K.G., Rompalo, A.M., & Erbelding, E.J. (2006). HIV seroconversion among public sexually transmitted disease clinic patients: Analysis of risks to facilitate early identification. Journal of Acquired Immune Deficiency Syndrome, 42, 116-122.[CrossRef]
• Monasch, R., & Mahy, M. (2006). Young people: The centre of the HIV epidemic. World Health Organization Technical Report Series, 938, 15-41.
• Parrado, E.A., Flippen, C.A., & McQuiston, C. (2004). Use of commercial sex workers among Hispanic migrants in North Carolina: Implications for the spread of HIV. Perspectives on Sexual and Reproductive Health, 36, 150-156.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Patel, P., Klausner, J.D., Bacon, O.M., Liska, S., Taylor, M., Gonzalez, A., et al. (2006). Detection of acute HIV infections in high-risk patients in California. Journal of Acquired Immune Deficiency Syndrome, 42, 75-79.[CrossRef]
• Ray, K., Bala, M., Kumari, S., & Narain, J.P. (2005). Antimicrobial resistance of Neisseria gonorrhoeae in selected World Health Organization Southeast Asia Region countries: An overview. Sexually Transmitted Diseases, 32, 178-184.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Ruof, J., Dusek, A., Despirito, M., & Demasi, R.A. (2007). Cost-efficacy comparison among three antiretroviral regimens in HIV-1 infected, treatment experienced patients. Clinical Drug Investigation, 27, 469-479.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Ryan, C.A., Vathiny, O.V., Gorbach, P.M., Leng, H.B., Berlioz-Arthaud, A., Whittington, W.L., et al. (1998). Explosive spread of HIV-1 and sexually transmitted diseases in Cambodia. Lancet, 351, 1175.[Web of Science][Medline] [Order article via Infotrieve]
• Simon, V., Ho, D.D., & Abdool Karim, Q. (2006). HIV/AIDS epidemiology, pathogenesis, prevention, and treatment. Lancet, 368, 489-504.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Stata Corporation, Inc. (2003). STATA release 8.1. College Station, TX: Stata Press.
• Wang, B., Li, X., Stanton, B., Fang, X., Lin, D., & Mao, R. (2007). HIV-related risk behaviors and history of sexually transmitted diseases among male migrants who patronize commercial sex in China. Sexually Transmitted Diseases, 34, 1-8.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Ward, H., Mercer, C.H., Wellings, K., Fenton, K., Erens, B., Copas, A., et al. (2005). Who pays for sex? An analysis of the increasing prevalence of female commercial sex contacts among men in Britain. Sexually Transmitted Infections, 81, 467-471.[Abstract/Free Full Text]

This version was published on March 1, 2008

American Journal of Men's Health, Vol. 2, No. 1, 17-24 (2008)
DOI: 10.1177/1557988307307850


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Hong, R. Search for Related Content PubMed PubMed Citation Articles by Hong, R. Social Bookmarking                         What's this?