title: Healthcare-seeking behavior and sexual behavior of patients with sexually transmitted diseases in Nairobi, Kenya.
abstract: BACKGROUND
  Sexual and health-seeking behaviors are important components of sexually transmitted disease (STD) control.
  
  
  OBJECTIVE
  To generate data for improved STD prevention and care, and to assess sexual behavior and relevant health-seeking behavior.
  
  
  METHODS
  A questionnaire to elicit social, demographic, healthcare-seeking, and sexual behavior information was administered to 471 patients attending the referral clinic for STDs in Nairobi, Kenya.
  
  
  RESULTS
  A large proportion of the patients had sought treatment in public and private sectors before attending the clinic for STDs. Women waited longer than men to seek medical care. In addition, women more than men engaged in sex while symptomatic, mostly with their regular partner. Condoms were used rarely during illness. In their self-reports, 68% of the men admitted to having extramarital affairs, and 30% to paying for sex, yet they blamed their wives for their STDs.
  
  
  CONCLUSIONS
  Health education messages in Kenya need adaptation to improve health-seeking behavior and safe sex practices.
authors.affiliation: Department of Medical Microbiology, University of Nairobi, Nairobi, Kenya.
authors.forename: K
authors.initials: K
authors.lastname: Fonck
authors.forename: C
authors.initials: C
authors.lastname: Mwai
authors.forename: J
authors.initials: J
authors.lastname: Rakwar
authors.forename: P
authors.initials: P
authors.lastname: Kirui
authors.forename: J O
authors.initials: JO
authors.lastname: Ndinya-Achola
authors.forename: M
authors.initials: M
authors.lastname: Temmerman
mesh_terms: D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D004522:Educational Status; D005114:Extramarital Relations; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D007630:Kenya / Q000453:epidemiology; D008297:Male; D017533:Marital Status / Q000706:statistics & numerical data; D020380:Needs Assessment; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data*; D017149:Private Sector / Q000706:statistics & numerical data; D017150:Public Sector / Q000706:statistics & numerical data; D012307:Risk Factors; D012736:Sex Education; D011477:Sex Work / Q000706:statistics & numerical data; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013997:Time Factors; D014504:Urban Health / Q000706:statistics & numerical data