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. 2023 May-Jun;34(3):248-258.
doi: 10.1097/JNC.0000000000000401. Epub 2023 Apr 14.

Condom Use Among Male Sex Workers With Their Male Clients in Mombasa, Kenya: Results of a Sub-analysis of a Pilot, Multilevel, Structural, HIV Risk-Reduction Intervention

Christine Tagliaferri Rael  1   2   3   4   5 , Theo G M Sandfort  1   2   3   4   5 , Peter Gichangi  1   2   3   4   5 , Yves Lafort  1   2   3   4   5 , Joanne E Mantell  1   2   3   4   5
Affiliations

Condom Use Among Male Sex Workers With Their Male Clients in Mombasa, Kenya: Results of a Sub-analysis of a Pilot, Multilevel, Structural, HIV Risk-Reduction Intervention

Christine Tagliaferri Rael et al. J Assoc Nurses AIDS Care. 2023 May-Jun.

Abstract

Despite the advent of preexposure prophylaxis, consistent condom use continues to be recommended because preexposure prophylaxis does not prevent sexually transmitted infections. This is important for high-risk populations (e.g., male sex workers; MSW) in low-resource, high-HIV/sexually transmitted infection prevalence settings, such as the Mombasa region in Kenya. This study aimed to examine the relationship between MSW's condom use, and their knowledge, beliefs, and attitudes about condoms. MSW (N = 158) completed surveys on their sexual behaviors/practices/attitudes. We used multiple regressions to identify associations between condom use, HIV knowledge/attitudes, and self-efficacy. Three quarters of participants reported always using condoms in the past week, and 64.3% reported always using condoms in the past month with male clients. Mean scores for knowledge and attitudes/self-efficacy toward condoms/safer sex were positively associated with condom use. Interventions to build self-efficacy, such as condom negotiation, and/or bringing up condom use with clients may be useful for Kenyan MSW.

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Conflict of interest statement

Conflicts of Interest

The authors report no real or perceived vested interests related to this article that could be construed as a conflict of interest.

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