ArticleAIDS (London, England)2015
Heterosexual behaviours among men who sell sex to men in coastal Kenya.
Article in AIDS (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- HIV prevalence among men who have sex with men, transgender women and cisgender male sex workers in sub-Saharan Africa: a systematic review and meta-analysis.Journal of the International AIDS Society · 2022Pooled it
- Pooled it
- 'Fighting an uphill battle': a qualitative study of the challenges encountered by pharmacy workers when providing services to men who have sex with men in Dar es Salaam, Tanzania.Global health action · 2020Article
- Paid sex among men in sub-Saharan Africa: Analysis of the demographic and health survey.SSM - population health · 2020Article
- HIV prevalence, testing and treatment among men who have sex with men through engagement in virtual sexual networks in Kenya: a cross-sectional bio-behavioural study.Journal of the International AIDS Society · 2020Article
- HIV-1 Transmission Patterns Within and Between Risk Groups in Coastal Kenya.Scientific reports · 2020Article
- Article
- Social contexts as mediator of risk behaviors in Rwandan men who have sex with men (MSM): Implications for HIV and STI transmission.PloS one · 2019Article
- South African Men Who Have Sex With Both Men and Women and How They Differ From Men Who Have Sex With Men Exclusively.Journal of sex research · 2018Article
- PrEP as a feature in the optimal landscape of combination HIV prevention in sub-Saharan Africa.Journal of the International AIDS Society · 2016Article
- Kenyan MSM: no longer a hidden population.AIDS (London, England) · 2015Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveAfrican men who have sex with men often sell sex to men, and MSM who sell sex (MSM-SW) often also have female partners. We compared sexual risk behaviour of MSM-SW who were sexually active with female partners (bisexual MSW) to MSM-SW with only male partners (exclusive MSW).
designDescriptive behavioural study
methods: A novel, validated daily event and partner diary self-completed by 82 MSM who sold sex over a follow-up period of 42 days with weekly review. Cumulative individual counts of sex and condomless sex were compiled by partner characteristics. The incidence of specific partnerships and sex acts were compared within and between bisexual and exclusive MSW.
resultsMost (59%) MSM-SW reported female partners during follow-up. The majority of both male and female partners were cash-paying clients originating locally. Bisexual MSW reported a similar rate of condomless sex with male and female partners, but significantly fewer male partners than exclusive MSW. Bisexual MSW had lower HIV prevalence, were more likely to only report insertive anal sex roles, and reported lower frequencies of condomless receptive anal sex than exclusive MSW.
conclusionBisexually active male sex workers in coastal Kenya create HIV and other sexually transmitted infection transmission pathways to partners and clients in both MSM and heterosexual networks, but differed from exclusive MSW in having lower HIV acquisition and transmission risks. Epidemiological projection methods are liable to overestimate bridging potential of MSM-SW and MSM populations without account for systematic differences in risk within these populations.
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