BACKGROUND: HIV/sexually transmitted disease interventions in sub-Saharan Africa have largely been focused on urban areas, where sexual behavior is supposed to be more risky than in rural areas. GOAL: The goal of this study was to measure sexual risk behavior among young adults in Nyanza province in Kenya and to compare rural and urban areas. STUDY: In a cross-sectional study, 584 household members aged 15 to 29 years in Kisumu town and the rural districts Siaya and Bondo were selected by multistage random sampling and were administered a face-to-face questionnaire. RESULTS: For women, sexual behavior was more risky in rural than in urban areas, also after adjusting for sociodemographic differences. Rural women reported less frequently being a virgin at marriage, a higher number of lifetime partners, and less consistent condom use with nonspousal partners. For men, sexual risk behavior was equally high in urban and rural areas. CONCLUSIONS: The potential for further HIV spread in rural Nyanza is large. HIV/sexually transmitted disease interventions should be expanded from urban to rural areas in Nyanza.
BACKGROUND: HIV/sexually transmitted disease interventions in sub-Saharan Africa have largely been focused on urban areas, where sexual behavior is supposed to be more risky than in rural areas. GOAL: The goal of this study was to measure sexual risk behavior among young adults in Nyanza province in Kenya and to compare rural and urban areas. STUDY: In a cross-sectional study, 584 household members aged 15 to 29 years in Kisumu town and the rural districts Siaya and Bondo were selected by multistage random sampling and were administered a face-to-face questionnaire. RESULTS: For women, sexual behavior was more risky in rural than in urban areas, also after adjusting for sociodemographic differences. Rural women reported less frequently being a virgin at marriage, a higher number of lifetime partners, and less consistent condom use with nonspousal partners. For men, sexual risk behavior was equally high in urban and rural areas. CONCLUSIONS: The potential for further HIV spread in rural Nyanza is large. HIV/sexually transmitted disease interventions should be expanded from urban to rural areas in Nyanza.
Authors: Peninnah M Kako; Patricia E Stevens; Anna K Karani; Lucy Mkandawire-Valhmu; Anne Banda Journal: J Assoc Nurses AIDS Care Date: 2011-12-01 Impact factor: 1.354
Authors: Amy A Conroy; Stacey A McKenna; Megan L Comfort; Lynae A Darbes; Judy Y Tan; James Mkandawire Journal: Soc Sci Med Date: 2018-08-20 Impact factor: 4.634
Authors: Nelli Westercamp; Stephen Moses; Kawango Agot; Jeckoniah O Ndinya-Achola; Corette Parker; Kevine O Amolloh; Robert C Bailey Journal: Int J Health Geogr Date: 2010-05-22 Impact factor: 3.918
Authors: Supriya D Mehta; Stephen Moses; Jeckoniah O Ndinya-Achola; Kawango Agot; Ian Maclean; Robert C Bailey Journal: Sex Transm Dis Date: 2007-11 Impact factor: 2.830