2006 baseline | 2008 follow-up | p Value* | |||
n | % or median (IQR) | n | % or median (IQR) | ||
Background characteristics | |||||
Age in years, median (IQR) | 425 | 26 (22–31) | 442 | 23 (21–27) | <0.001 |
Education | |||||
None/incomplete primary | 425 | 38.1 | 442 | 30.3 | 0.026 |
Completed primary/incomplete secondary | 40.5 | 48.9 | |||
Completed secondary or higher | 21.4 | 20.8 | |||
Religion | |||||
Muslim | 412 | 49.5 | 413 | 56.2 | 0.154 |
Catholic | 30.6 | 27.1 | |||
Protestant | 19.9 | 16.7 | |||
Consumes alcohol 4 or more days/times per week | 425 | 16.9 | 442 | 15.6 | 0.596 |
Sexual identity, networks and practices | |||||
Sexual self-identification | |||||
Basha/king/bisexual | 425 | 58.3 | 442 | 56.1 | 0.504 |
Shoga/queen/gay/homosexual/others | 41.7 | 43.9 | |||
Has had a male paying client in the past 7 days | 425 | 87.3 | 440 | 81.8 | 0.026 |
Number of male clients in the past 7 days, median (IQR) | 425 | 2 (1–3) | 440 | 2 (1–3) | 0.708 |
Used condom during anal sex with last male client | 420 | 57.9 | 438 | 67.6 | 0.003 |
Used any lubricant with last male client | 420 | 71.4 | 438 | 73.1 | 0.594 |
Used a water-based lubricant with last male client | 420 | 15.5 | 438 | 29.9 | <0.001 |
‘Always’ used condoms during anal sex with male clients in the past 30 days | 424 | 35.9 | 442 | 50.2 | <0.001 |
Role during anal sex with last male client | |||||
Insertive only | 420 | 57.6 | 438 | 50.9 | 0.101 |
Receptive only | 34.8 | 38.6 | |||
Both insertive and receptive | 7.6 | 10.5 | |||
Amount received from last male client in Kenya Shillings, median (IQR) | 417 | KSH 1000 (500–2000) | 415 | KSH 1000 (500–2000) | 0.155 |
Has had a male non-paying partner in the past 30 days | 425 | 53.2 | 442 | 46.4 | 0.045 |
Used condom during anal sex with last non-paying male partner | 226 | 50.9 | 205 | 61.5 | 0.027 |
Used any lubricant with last non-paying male partner | 226 | 72.1 | 205 | 77.6 | 0.195 |
Used a water-based lubricant with last non-paying male partner | 226 | 18.6 | 205 | 37.1 | <0.001 |
‘Always’ used condoms during anal sex with non-paying male partners in the past 30 days | 226 | 27.4 | 205 | 39.5 | 0.008 |
Has had a female paying client in the past 30 days | 425 | 14.6 | 442 | 16.3 | 0.488 |
Has had a female non-paying partner in the past 30 days | 425 | 25.4 | 442 | 33.3 | 0.011 |
Prevention knowledge | |||||
Knows HIV can be transmitted via anal sex | 425 | 64.7 | 442 | 73.3 | 0.006 |
Knows consistent condom use prevents HIV | 425 | 86.8 | 442 | 89.4 | 0.247 |
Knows that only a water-based lubricant should be used with a latex condom | 425 | 19.8 | 442 | 40.7 | <0.001 |
Self-report of STI symptoms in the past 12 months | |||||
Burning urination | 425 | 33.4 | 442 | 31.5 | 0.537 |
Self-reported anal discharge | 424 | 8.3 | 442 | 9.7 | 0.449 |
HIV testing and exposure to interventions | |||||
Has ever been counselled or tested for HIV | 425 | 55.8 | 442 | 67.7 | <0.001 |
Has visited an MSM-friendly centre or clinic in the past 12 months | 425 | 22.1 | 442 | 30.3 | <0.001 |
Has had at least one contact with a peer educator in the past 12 months | 425 | 22.1 | 442 | 32.6 | 0.001 |
↵* χ2 Tests used for categorical variables; Wilcoxon rank-sum test used for median values.
US$1=∼66 Kenya Shillings (at time of follow-up survey).
STI, sexually transmitted infection.