Document 0292
 DOCN  M9550292
 TI    Sexual behaviour in Kenya: implications for sexually transmitted disease
       transmission and control.
 DT    9505
 AU    Moses S; Muia E; Bradley JE; Nagelkerke NJ; Ngugi EN; Njeru EK; Eldridge
       G; Olenja J; Wotton K; Plummer FA; et al; Department of Community
       Health, University of Nairobi, Kenya.
 SO    Soc Sci Med. 1994 Dec;39(12):1649-56. Unique Identifier : AIDSLINE
       MED/95149164
 AB    Sexual behaviour in Kenya in relation to STD transmission was
       investigated with a view to forming a basis for the more rational design
       of STD/HIV control interventions. Questionnaires were administered to a
       sample of 762 men and women attending eight health facilities in two
       urban centres. Equal numbers of STD patients (cases) and non-STD related
       clinic attenders (clinic controls) were selected, matched by gender and
       clinic. Another sample of 427 men and women was obtained from a random
       sampling of households in a slum area in Nairobi (community controls).
       Male STD patients who were unmarried, or married but living apart from
       their wives, reported a higher mean number of sex partners in the
       previous three months than did male clinic or community controls.
       Unmarried female STD patients reported a higher mean number of sex
       partners in the previous three months than did unmarried female clinic
       or community controls. Both male and female STD patients were more
       likely to report having been involved in commercial sex transactions in
       the previous three months than clinic or community controls.
       Considerable heterogeneity in sexual behaviour was apparent. In
       multivariate analysis, the most important predictor of STD acquisition
       for both men and women was the number of reported sex partners in the
       previous three months. In addition, for men only, marital status
       (unmarried, or married but living apart from their wives) and purchasing
       sex were significant predictors of being an STD patient. These data
       confirm the importance of commercial sex in STD transmission, and
       suggest that men play a bridging role between female sex workers and the
       general population of women.(ABSTRACT TRUNCATED AT 250 WORDS)
 DE    Adolescence  Adult  Condoms/STATISTICS & NUMER DATA  Cross-Sectional
       Studies  *Developing Countries  Female  Human  HIV Infections/PREVENTION
       & CONTROL/*TRANSMISSION  Incidence  Kenya/EPIDEMIOLOGY  Male  Middle Age
       Prostitution/STATISTICS & NUMER DATA  Risk Factors  *Sex Behavior
       Sexually Transmitted Diseases/PREVENTION & CONTROL/*TRANSMISSION
       Support, Non-U.S. Gov't  Urban Population/*STATISTICS & NUMER DATA
       JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).