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- Title
Understanding the Context of HIV Risk Behavior Among HIV-Positive and HIV-Negative Female Sex Workers and Male Bar Clients Following Antiretroviral Therapy Rollout in Mombasa, Kenya.
- Authors
McClelland, Lauren; Wanje, George; Kashonga, Frances; Kibe, Lydiah; McClelland, R. Scott; Kiarie, James; Mandaliya, Kishorchandra; Peshu, Norbert; Kurth, Ann
- Abstract
This study explored perceptions of HIV following local introduction of antiretroviral therapy (ART), among 30 HIV-positive and -negative female sex workers (FSWs) and 10 male bar patrons in Mombasa, Kenya. Semi-structured interviews were analyzed qualitatively to identify determinants of sexual risk behaviors. ART was not perceived as a barrier to safer sex and in some cases led to decreased high-risk behaviors. Barriers to safer sex included economic pressure and sexual partnership types. Many women reported that negotiating condom use is more difficult in long-term partnerships. These women favored short-term partnerships to minimize risk through consistent condom use. For women living with HIV, concern about maintaining health and avoiding HIV superinfection was a strong motivator of protective behaviors. For HIV-negative women, a negative HIV test was a powerful motivator. Incorporation of context- and serostatus-specific factors (e.g., self-protection for HIV-positive women) into tailored prevention counseling may support high-risk women to reduce risk behaviors.
- Subjects
KENYA; ANTIVIRAL agents; ANALYSIS of variance; CONFIDENCE intervals; CONTENT analysis; HIV; INTERVIEWING; RESEARCH methodology; MOTIVATION (Psychology); SEX work; RESEARCH evaluation; RESEARCH funding; RISK-taking behavior; SEROLOGY; HUMAN sexuality; QUALITATIVE research; HIV seroconversion
- Publication
AIDS Education & Prevention, 2011, Vol 23, Issue 4, p299
- ISSN
0899-9546
- Publication type
Article
- DOI
10.1521/aeap.2011.23.4.299