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Sex Transm Dis. 2007 Oct;34(10):731-6.

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

Author information

1
Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois 60612, USA. cmatts1@uic.edu

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.

[Indexed for MEDLINE]
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