HIV and STI Prevalence and Risk Factors Among Male Sex Workers and Other Men Who Have Sex With Men in Nairobi, Kenya

• Published in: Journal of acquired immune deficiency syndromes (1999) Vol. 68; no. 1; pp. 91 - 96
• Main Authors: Muraguri, Nicholas, Tun, Waimar, Okal, Jerry, Broz, Dita, Raymond, H Fisher, Kellogg, Timothy, Dadabhai, Sufia, Musyoki, Helgar, Sheehy, Meredith, Kuria, David, Kaiser, Reinhard, Geibel, Scott
• Format: Journal Article
• Language: English
• Published: United States by Lippincott Williams & Wilkins 01-01-2015; Lippincott Williams & Wilkins Ovid Technologies
• Subjects: Adolescent; Adult; AIDS/HIV; Gays & lesbians; HIV; HIV Infections - epidemiology; HIV Infections - transmission; HIV Seroprevalence; Homosexuality, Male; Human immunodeficiency virus; Humans; Male; Males; Prostitution; Risk Factors; Sex Work; Sexually transmitted diseases; Sexually Transmitted Diseases - epidemiology; Sexually Transmitted Diseases - transmission; STD; Young Adult; Nairobi Kenya; Kenya, Nairobi; Africa
• ISSN: 1525-4135; 1944-7884
• DOI: 10.1097/QAI.0000000000000368

Previous surveys of men who have sex with men (MSM) in Africa have not adequately profiled HIV status and risk factors by sex work status. MSM in Nairobi, Kenya, were recruited using respondent-driven sampling, completed a behavioral interview, and were tested for HIV and sexually transmitted infections. Overlapping recruitment among 273 male sex workers and 290 other MSM was common. Sex workers were more likely to report receptive anal sex with multiple partners (65.7% versus 18.0%, P < 0.001) and unprotected receptive anal intercourse (40.0% versus 22.8%, P = 0.005). Male sex workers were also more likely to be HIV infected (26.3% versus 12.2%, P = 0.007).