Understanding the Context of HIV Risk Behavior Among HIV-Positive and HIV-Negative Female Sex Workers and Male Bar Clients Following Antiretroviral Therapy Rollout in Mombasa, Kenya
Article in AIDS Educ Prev 2011 Aug;23(4):299-312. This study explored perceptions of HIV following local introduction of antiretroviral therapy (ART), among 30 HIV-positive and HIV-negative female sex workers (FSWs) and 10 male bar patrons in Mombasa, Kenya. Semi-structured interviews were analyzed qualitatively to identify determinants of sexual risk behaviors. ART was not perceived as a barrier to safer sex and in some cases led to decreased high-risk behaviors. Barriers to safer sex included economic pressure and sexual partnership types. Many women reported that negotiating condom use is more difficult in long-term partnerships. These women favored short-term partnerships to minimize risk
