Male Sex Workers Who Sell Sex to Men Also Engage in Anal Intercourse with Women: Evidence from Mombasa, Kenya
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Date
2013Author
Mannava, P
Geibel, S
King’ola, N
Temmerman, M
Luchters, S
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Objective:
To investigate self-report of heterosexual anal intercourse among male sex workers who sell sex to men, and to
identify the socio-demographic characteristics associated with practice of the behavior.
Design:
Two cross-sectional surveys of male sex workers who sell sex to men in Mombasa, Kenya.
Methods:
Male sex workers selling sex to men were invited to participate in surveys undertaken in 2006 and 2008. A
structured questionnaire administered by trained interviewers was used to collect information on socio-demographic
characteristics, sexual behaviors, HIV and STI knowledge, and health service usage. Data were analyzed through descriptive
and inferential statistics. Bivariate logistic regression, after controlling for year of survey, was used to identify socio-
demographic characteristics associated with heterosexual anal intercourse.
Results:
From a sample of 867 male sex workers, 297 men had sex with a woman during the previous 30 days – of whom
45% did so with a female client and 86% with a non-paying female partner. Within these groups, 66% and 43% of male sex
workers had anal intercourse with a female client and non-paying partner respectively. Factors associated with reporting
recent heterosexual anal intercourse in bivariate logistic regression after controlling for year of survey participation were
being Muslim, ever or currently married, living with wife only, living with a female partner only, living with more than one
sexual partner, self-identifying as basha/king/bisexual, having one’s own children, and lower education.
Conclusions:
We found unexpectedly high levels of self-reported anal sex with women by male sex workers, including
selling sex to female clients as well as with their own partners. Further investigation among women in Mombasa is needed
to understand heterosexual anal sex practices, and how HIV programming may respon
URI
http://www.plosone.org/article/fetchObject.action?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0052547&representation=PDFhttp://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/40580
Citation
Mannava P, Geibel S, King’ola N, Temmerman M, Luchters S (2013) Male Sex Workers Who Sell Sex to Men Also Engage in Anal Intercourse with Women: Evidence from Mombasa, Kenya. PLoS ONE 8(1): e52547. doi:10.1371/journal.pone.0052547Collections
- Faculty of Health Sciences (FHS) [10377]