title: HIV and STI prevalence and risk factors among male sex workers and other men who have sex with men in Nairobi, Kenya.
abstract: : Previous surveys of men who have sex with men (MSM) in Africa have not adequately profiled HIV status and risk factors by sex work status. MSM in Nairobi, Kenya, were recruited using respondent-driven sampling, completed a behavioral interview, and were tested for HIV and sexually transmitted infections. Overlapping recruitment among 273 male sex workers and 290 other MSM was common. Sex workers were more likely to report receptive anal sex with multiple partners (65.7% versus 18.0%, P < 0.001) and unprotected receptive anal intercourse (40.0% versus 22.8%, P = 0.005). Male sex workers were also more likely to be HIV infected (26.3% versus 12.2%, P = 0.007).
authors.affiliation: *Director of Medical Services, Ministry of Health, Nairobi, Kenya; †Population Council, Washington, DC; ‡Population Council, Nairobi, Kenya; §Centers for Disease Control and Prevention, Division of Global HIV/AIDS, Atlanta, GA; ‖San Francisco Department of Public Health, San Francisco, CA; ¶Global Health Sciences, University of California, San Francisco, Nairobi, Kenya; #Population Council, New York, NY; **National AIDS and STD Control Programme, Nairobi, Kenya; ††Health Policy Project, Futures Group International, Nairobi, Kenya; and ‡‡Centers for Disease Control and Prevention, Division of Global HIV/AIDS, Nairobi, Kenya.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Muraguri
authors.forename: Waimar
authors.initials: W
authors.lastname: Tun
authors.forename: Jerry
authors.initials: J
authors.lastname: Okal
authors.forename: Dita
authors.initials: D
authors.lastname: Broz
authors.forename: H Fisher
authors.initials: HF
authors.lastname: Raymond
authors.forename: Timothy
authors.initials: T
authors.lastname: Kellogg
authors.forename: Sufia
authors.initials: S
authors.lastname: Dadabhai
authors.forename: Helgar
authors.initials: H
authors.lastname: Musyoki
authors.forename: Meredith
authors.initials: M
authors.lastname: Sheehy
authors.forename: David
authors.initials: D
authors.lastname: Kuria
authors.forename: Reinhard
authors.initials: R
authors.lastname: Kaiser
authors.forename: Scott
authors.initials: S
authors.lastname: Geibel
mesh_terms: D000293:Adolescent; D000328:Adult; D015658:HIV Infections / Q000453:epidemiology* / Q000635:transmission; D015528:HIV Seroprevalence; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D012307:Risk Factors; D011477:Sex Work; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000635:transmission; D055815:Young Adult