A nested case-control study of sexual practices and risk factors for prevalent HIV-1 infection among young men in Kisumu, Kenya

  • C.L. M
  • R.C. B
  • K. A
 et al. 
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Abstract

OBJECTIVES: To investigate sexual practices and risk factors for prevalent HIV infection among young men in Kisumu, Kenya. GOAL: The goal of this study was to identify behaviors associated with HIV in Kisumu to maximize the effectiveness of future prevention programs. STUDY DESIGN: Lifetime sexual histories were collected from a nested sample of 1337 uncircumcised participants within the context of a randomized controlled trial of male circumcision to reduce HIV incidence. RESULTS: Sixty-five men (5%) tested positive for HIV. Multiple logistic regression revealed the following independent predictors of HIV: older age, less education, being married, being Catholic, >4 lifetime sex partners, prior treatment for an STI, sex during partner's menstruation, ever practicing bloodletting, and receipt of a medical injection in the last 6 months. Prior HIV testing and postcoital cleansing were protective. CONCLUSIONS: This analysis confirms the importance of established risk factors for HIV and identifies practices that warrant further investigation. © Copyright 2007 American Sexually Transmitted Diseases Association.

Author-supplied keywords

  • Human immunodeficiency virus infection
  • Kenya
  • adult
  • age distribution
  • article
  • circumcision
  • controlled study
  • education
  • human
  • major clinical study
  • male
  • marriage
  • menstruation
  • multivariate logistic regression analysis
  • phlebotomy
  • risk factor
  • sexual behavior
  • sexuality
  • sexually transmitted disease

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Authors

  • Mattson C.L.

  • Bailey R.C.

  • Agot K.

  • Ndinya-Achola J.O.

  • Moses S.

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