Citation

Valente PK, Mantell JE, Masvawure TB, Tocco JU, Restar AJ, Gichangi P, Chabeda SV, Lafort Y, Sandfort TG. AIDS Behav. 2019; ePub(ePub): ePub.

Affiliation

HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University Irving Medical Center, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA.

Copyright

(Copyright © 2019, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10461-019-02598-2

PMID

31321637

Abstract

Male sex workers in Kenya face a disproportionate burden of HIV and often engage in condomless sex with their commercial partners, yet little is known about how condom negotiations between male sex workers and clients take place. We conducted semi-structured interviews with 25 male sex workers and 11 male clients of male sex workers in Mombasa, Kenya, to examine barriers and facilitators to condom use and how condom use negotiation takes place in these interactions. Participants reported positive attitudes toward condom use and perceived condom use to be a health-promoting behavior. Barriers to condom use included extra-payment for condomless sex, low perceived HIV/STI risk with some sexual partners, perceived reduced pleasure associated with using condoms, alcohol use, and violence against male sex workers by clients. Future interventions should address individual- and structural-level barriers to condom use to promote effective condom use negotiation between male sex workers and male clients.

Language: en

Keywords

Condom negotiations; HIV prevention; HIV/AIDS; Kenya; Male sex work; Men who have sex with men