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Heterosexual behaviours among men who sell sex to men in coastal Kenya

Nungesser LG. Ross MW RB.

Further, findings may not be generalizable to MSM sex workers in other contexts. The study recruited from a research-engaged population of MSM, aware of their HIV status and with free access to relevant information, counselling and prevention materials. Entitlement to services that are otherwise expensive to access is likely to have preferentially selected for recruitment of MSM-SW on low incomes through street-based sex work, which may be unrepresentative of the full spectrum of MSM-SW working locally.

Lastly, inferences are necessarily limited to men who sell sex Prostitutes Elst men — in light of findings, male sex workers with exclusively female partners Prostitutes Elst clients may well exist locally, but were not identified or included in this study. Bisexually active male sex workers in coastal Kenya create potential transmission pathways for HIV and other sexually Prostitutes Elst infections to partners and clients in both Prostitutes Elst and heterosexual networks.

However, these men are not simply MSM sex Prostitutes Elst who happen to have female partners; rather, their behaviour differs from that of exclusive MSM sex workers in important ways that Prostitutes Elst in a lower risk of HIV infection Prostitutes Elst transmission.

Modelling projections will tend to overestimate the bridging potential of MSM sex workers and other MSM populations unless they account for such risk differences.

This article is published with the permission of the Director of the Kenya Medical Research Institute. Contribution of authors: A. National Center for Biotechnology InformationU. Author manuscript; available in PMC Jan 8. Adrian D. Smitha Allan D.

Grahamb, c Harold W. Jaffea and Eduard J. Sanders b, d, e. Allan D. Susan M. Harold W. Eduard J. Author information Copyright and License information Disclaimer.

Correspondence to Adrian D. Copyright notice. This is an open access Prostitutes Elst distributed under the Creative Commons Attribution License 4.

The publisher's final edited version of this article is available at AIDS. See other articles in PMC Prostitutes Elst cite the published article.

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Design Descriptive behavioural study. Methods A novel, validated daily event Prostitutes Elst partner diary self-completed by 82 MSM who sold sex over a follow-up period of 42 days with weekly review. Conclusion Bisexually active male sex workers in coastal Kenya create HIV and other sexually transmitted infection transmission pathways to partners and clients in Prostitutes Elst MSM and heterosexual networks, but differed from exclusive MSW in having lower HIV acquisition and transmission risks.

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Keywords: diary study, Kenya, male sex work, men who have sex with men, MSM sex workers, sexual behaviour. Methods Study site and population The prospective diary study was nested in two ongoing cohort studies of adults at high risk of HIV infection, or with known HIV infection, in Mtwapa, Kenya [ 2124 ].

Diary instrument Event diaries were developed Prostitutes Elst a pilot programme over 6 months with a group of MSM volunteers. Open in a Prostitutes Elst window. Data management Prostitutes Elst analysis Prostitutes Elst entries were error-checked with participants at weekly collection, then double-entered using a pictographic abstraction program Microsoft FoxPro. Results Eighty-two diary participants reported at least one male sexual partner who paid cash for sex over an average follow-up of Participant characteristics Table 1 reports selected characteristics of MSM diary study participants who reported Prostitutes Elst sex to men during prospective follow-up.

Table 1 Characteristics of study participants who reported selling sex to men during diary follow-up prospective diary study, Coastal Kenya, Differences in male—male sexual behaviour between exclusive and bisexual MSW MSW diary participants reported sexual events with men.

Table 3 Adjusted associations with frequency of anal intercourse with male partners all MSM sex workers, prospective diary study, Coastal Kenya, Penetrative intercourse Condomless penetrative intercourse Condomless sex frequency male vs.

Discussion Over a brief duration of detailed prospective observation the majority of MSM who sold sex to men also reported sexual behaviours with women, often including anal intercourse.

Conclusion Bisexually active male sex workers in coastal Kenya create potential transmission pathways for HIV and other sexually transmitted infections to partners and clients in both MSM and heterosexual networks. Footnotes Contribution of authors: A.

References 1. Global epidemiology of HIV infection in men who have sex with men. PLoS One. HIV and related risk behavior among men who Prostitutes Elst sex with men in Zanzibar, Tanzania: results of a behavioral surveillance survey. AIDS Behav. HIV-1 infection in high risk men who have sex with men in Mombasa, Kenya.

HIV infection and sexually transmitted infections among men who have sex with men in Senegal. Prostitutes Elst who have sex Prostitutes Elst men in Mozambique: identifying a hidden population at high-risk for HIV. Male sex workers: practices, contexts, Prostitutes Elst vulnerabilities for HIV acquisition and transmission.

A comparative analysis of sexual risk characteristics of Black men who have sex with Prostitutes Elst or with men and women. Arch Sex Behav.

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Heterosexual risk of HIV-1 infection per sexual act: systematic review and meta-analysis of observational studies. Lancet Infect Dis. HIV transmission risk through anal intercourse: systematic review, meta-analysis and implications for HIV prevention. Int J Epidemiol. Sex Transm Infect. J Acquir Immune Defic Syndr. Factors associated with self-reported unprotected anal sex among male sex workers Prostitutes Elst Mombasa, Kenya. Sex Trans Dis.

Evidence for population level declines in adult HIV Prostitutes Elst in Kenya. Male sex workers who sell sex to men also engage in anal intercourse with women: evidence from Mombasa, Kenya. Prostitutes Elst HIV prevention response and mode of transmission analysis.

Kenya AIDS indicator survey final report. Gouws E, Cuchi P. Adherence to antiretroviral therapy Prostitutes Elst clinical outcomes among young adults reporting high-risk sexual behavior, including men who have sex with men, in coastal Kenya. Smith AD. Visual sexual behavioural and partner diaries applied Prostitutes Elst African MSM. Statistical methods in medical research. United Kingdom: Blackwell Science Ltd; Long JS. Regression models for categorical and limited dependent variables.

In changing times: The impact of the HIV epidemic on the lesbian and gay community.

London: SAGE; Kibicho W. Biological and Prostitutes Elst causes of high HIV and sexually transmitted disease prevalence in men who have sex with men. Cassels S, Katz DA. Seroadaptation among men who have sex with men: emerging research themes.

Evaluation of HIV type 1 strains in men having sex with men and in female sex workers in Mombasa, Kenya. HIV Type 1 transmission networks among men having Prostitutes Elst with men and heterosexuals in Kenya. Shepperd G. Rank, gender and homosexuality: Mombasa as a key to understanding sexual options. In: Caplan P, Prostitutes Elst.

The Cultural Construction of Sexuality. London: Tavistock; Murray S, Roscoe W. Boy-wives and female husbands. Studies of African homosexualities. New York: St. High levels of bisexual behavior and factors associated with bisexual behavior among men having sex with men MSM in Nigeria.

AIDS Care. Alcohol and Prostitutes Elst risk behavior among men who have sex with men in South African township communities. Clients of sex workers in different regions of the world: hard Prostitutes Elst count. Culture Health Sexuality.

Levels and correlates of internalized Prostitutes Elst among men who have sex with men in Pretoria, South Africa. Newcomb ME, Mustanski B. Internalized homophobia and internalizing mental health problems: a meta-analytic Prostitutes Elst. Clin Psychol Rev. The accuracy of self-reports of condom use and sexual behavior.

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J Appl Soc Psychol. Methodological challenges in research on sexual risk behavior: II. Accuracy of self-reports. Prostitutes Elst Behav Med. Support Center Support Center. Data were captured verbatim, transcribed and analyzed Prostitutes Prostitutes Elst a thematic framework approach. In the latter case, please turn on Javascript support in Prostitutes Elst web browser and reload this page.

Prostitutes Elst Bozhinov B 5. In Prostitutes Elst cases, minors are forced or coerced into commercial sex and adapt to it. Information characterizing their practices, contexts where they live, and their needs is very limited, Prostitutes Elst these men are generally included as subsets of larger studies focused on gay men and other men who have sex with men MSM or even female sex workers.

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There are several themes that emerge across regions when reviewing HIV risks affecting Prostitutes Elst MSW including economic disparities, sexual and physical abuse, Prostitutes Elst use, and low socioeconomic status as well Prostitutes Elst the occupation-related risks associated with commercial Prostitutes Elst.

Condom use with various types of sex partners by money boys Prostitutes Elst China. While the reasons for this dismal performance have been documented, limited evidence exists on the experiences, perceptions Prostitutes Elst readiness of health providers to provide HIV services to Prostitutes Elst and FSWs. Thus, while governmental entities are crucial stakeholders, it is communities of MSW that need to be supported to be at the anchor of an effective response to their needs.

Participants said they Prostitutes Elst not think they needed services because their experiences were not severe enough, they did not think they would get the help they needed, getting help was too burdensome, or they did not know services were available. China- Jining. In the case of low client volume, for example, we recommend collecting data on the number of intercourse acts over the past month.

Journal of homosexuality.

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Sexual behaviour with male partners all MSM sex workers, prospective diary study, Coastal Kenya, Table 3. Culture Health Sexuality.