title: Sexual motivation, sexual transactions and sexual risk behaviors in men who have sex with men in Dar es Salaam, Tanzania.
abstract: Understanding the associations between sexual motivation and sexual risk behaviors of men who have sex with men (MSM) is critical for developing effective HIV prevention interventions. To examine these associations, we employed data from a survey of 200 MSM in Dar es Salaam, Tanzania, recruited through respondent driven sampling. Results showed that 44.5 % of surveyed participants most often looked for love/affection when having sex, and 36.5 % most often looked for money. Money-motivated MSM were more likely to identify themselves as bisexual, more likely to have anal sex, and had significantly higher numbers of partners of both sexes. Those who most often looked for love/affection were less likely to ask for condom use, to actually use a condom, and to use lubrication in anal sex. MSM with different sexual motivations had dissimilar sexual risk behaviors. Tailored health interventions for each group to reduce these sexual risks for STIs/HIV prevention are needed.
authors.affiliation: Division of Health Promotion and Behavioral Sciences, School of Public Health, Center for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston, 7000 Fannin St., Houston, TX, 77030, USA, thanh.c.bui@uth.tmc.edu.
authors.forename: Thanh C
authors.initials: TC
authors.lastname: Bui
authors.forename: Joyce E
authors.initials: JE
authors.lastname: Nyoni
authors.forename: Michael W
authors.initials: MW
authors.lastname: Ross
authors.forename: Jessie
authors.initials: J
authors.lastname: Mbwambo
authors.forename: Christine M
authors.initials: CM
authors.lastname: Markham
authors.forename: Sheryl A
authors.initials: SA
authors.lastname: McCurdy
mesh_terms: D000328:Adult; D001727:Bisexuality; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D004522:Educational Status; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D009042:Motivation; D012307:Risk Factors; D012309:Risk-Taking; D011477:Sex Work / Q000523:psychology; D012747:Sexual Partners / Q000523:psychology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013636:Tanzania / Q000453:epidemiology