Leonard L, Ndiaye I, Sall M, Kanki P, Mboup S; International Conference on AIDS.
Int Conf AIDS. 1996 Jul 7-12; 11: 378 (abstract no. Tu.C.2659).
Harvard School of Public Health, Boston, MA, USA. Fax: 312-702-0458. E-mail: lleonard@hsph.harvard.edu.
Issue: Few AIDS prevention interventions have targeted the male clients of female sex workers. Clients' knowledge of condoms and their attitudes about using them with their commercial and other sex partners are key determinants of the safety of these encounters. Few studies have demonstrated the efficacy of behavioral intervention programs with changes in the incidence of HIV. Project: In preparation for a behavioral change intervention among male clients of female sex workers, we assessed the sexual behavior, as well as knowledge, beliefs, and attitudes about condom use and HIV and AIDS of men working in transportation parts and among members of the military in Kaolack, Senegal. These two groups were identified as major client sources in research with a cohort of 100 registered, commercial sex workers. We used a stages of change model to inform our interventions via an assessment of men's readiness to consistently use condoms with different types of sexual partners. The interventions will be evaluated using sex workers' reports of client behavior, men's self-reports, and clinical measures of the incidence of sexually transmitted diseases, including HIV. Results: We found important inter-group differences in sexual behavior, knowledge of HIV and AIDS, experience with condom use, and readiness to adopt consistent condom use with sexual partners. We also documented significant differences in the use of condoms, and in intentions to use condoms, across partner types. Men were currently over 4 times more likely to use a condom with casual partners than with steady partners. However, approximately 50% reported not using condoms the last time they had sex with a commercial sex worker. Lessons Learned: Despite awareness of the modes of transmission of HIV, men often fail to use condoms with sexual partners including commercial sex workers, whose rate of seroprevalence in Kaolack is nearly 30%. Interventions designed to change men's behavior will be most effective if based on an assessment of their readiness to adopt condom use with different types of sexual partners.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Behavior Therapy
- Condoms
- Condoms, Female
- Data Collection
- Female
- HIV Infections
- HIV Seropositivity
- Humans
- Incidence
- Male
- Prostitution
- Safe Sex
- Senegal
- Seroepidemiologic Studies
- Sexual Behavior
- Sexual Partners
- Sexually Transmitted Diseases
- manpower
Other ID:
UI: 102218735
From Meeting Abstracts