International Journal of Social Science & Economic Research
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Title:
THE PSYCHOSOCIAL PREDICTORS OF HIV RISKY SEXUAL BEHAVIOUR AMONG MSM IN NAIROBI, KENYA

Authors:
ROSEMARY WANGUI KIBUTHU

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ROSEMARY WANGUI KIBUTHU
PhD student, Daystar University Nairobi Kenya, Kenya

MLA 8
KIBUTHU, ROSEMARY WANGUI. "THE PSYCHOSOCIAL PREDICTORS OF HIV RISKY SEXUAL BEHAVIOUR AMONG MSM IN NAIROBI, KENYA." Int. j. of Social Science and Economic Research, vol. 4, no. 3, Mar. 2019, pp. 2328-2384, ijsser.org/more2019.php?id=172. Accessed Mar. 2019.
APA
KIBUTHU, R. (2019, March). THE PSYCHOSOCIAL PREDICTORS OF HIV RISKY SEXUAL BEHAVIOUR AMONG MSM IN NAIROBI, KENYA. Int. j. of Social Science and Economic Research, 4(3), 2328-2384. Retrieved from ijsser.org/more2019.php?id=172
Chicago
KIBUTHU, ROSEMARY WANGUI. "THE PSYCHOSOCIAL PREDICTORS OF HIV RISKY SEXUAL BEHAVIOUR AMONG MSM IN NAIROBI, KENYA." Int. j. of Social Science and Economic Research 4, no. 3 (March 2019), 2328-2384. Accessed March, 2019. ijsser.org/more2019.php?id=172.

References

[1]. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (DSM-IV). Washington, DC: American Psychiatric Association
[2]. American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.) Washington, DC: American Psychiatric Association.
[3]. AmfAR, (2008). MSM, HIV and the road to universal access: How far have we come? New York: Foundations for AIDS Research.
[4]. Anderson, J. E. (2009). Women and HIV transmission, motherhood and more: The gender factor. The Current Opinions in Infectious Diseases, 25(1), 58-65.
[5]. Andrea, J. (2013). Modeling the impact of HIV prevention and treatment for MSM on trajectories in low and middle level income countries. International Journal of STDS &AIDS,2003;93(24):18-30
[6]. Attipoe, D. (2009). Revealing the Pandora box or playing ostrich? A situational appraisal of men having sex with men in the Accra metropolitan area and its environs- Ghana, http://www.thegully.com/essays/gaymundo/0403_gay- men_hiv_ghana/msm_ghana_intro_summary.html (accessed july1, 2009)
[7]. Babbie, E. (2010). The practice of social research. Belmont CA: Thomson Wadsworth.
[8]. Baral, S. & Sifakis, S. (2007). Elevated risk for HIV infection among men who have sex with men: A systematic review. Plos Med, 4(12), 339-340.
[9]. ______(2011). A call to action for a comprehensive HIV services for men who have sex with men; in Malawi, Namibia, and Botswana. AIDS and Behav, 15(10) 88-97.
[10]. Barlow, D., H. & Durand, V., M. (2005). Abnormal psychology: An integrative approach. Belmont CA: Thomson Wadsworth Inc.
[11]. Becker, M. (1998). Health Belief Model and HIV risk behavior change in Preventing AID; Theories and methods of behavioral interventions. New York: Springer publishers Inc.
[12]. Beeker, C., Herbst, J., H. & Mathew, A. (2007).The effectiveness of individual-, group-, and community-level HIV behavioural risk-reduction interventions for adult men who have sex with men: A systematic review. American Journal of Preventive Medicine, 32 (4), 38-67.
[13]. Beyrer, C. G., Motimedi, F., Sullivan, P., & Trapence, G. (2012). Hidden sexuality: Sexual concurrency, bisexual practices, and HIV among men who have sex with men in Africa. Malawi Blantyre: UNAIDS/UPCOM.
[14]. Bukusi, E., & Sharma, A. (2008). Sexual identity and risk of HIV/STI among men who have sex with men in Nairobi. Sex Transm Dis. 2008;35(4):352-354.
[15]. Burish, J. C., & Masters, T., G. (2007). Behaviour therapy techniques; An empirical finding. New York: Harcourt Brace Javanovich Publishers.
[16]. Butler, J. T. (2011). Population based biomedical sexually transmitted infection control interventions for reducing HIV infection Chochrane Database of Systematic Reviews (Online) (3):CD001220.10.1002/14651858CD001220.pub3 PMID21412869.
[17]. Butler, J. T. (2004). Principles of health education and health promotion. Colorado: Morton Company.
[18]. Cameron, D., W. Heath- Chiozzi, M., & Danner, S. (1998). Randomized placebo on controlled trial of ritonavir in advanced HIV disease: Retonavir MSM study group. Lancet 351(5) 543-549.
[19]. Campbell, D. T. (2003). Experimental and quasi experimental designs for research. Chikago: Ran-McNally.
[20]. Casagrande, J., Pike, M., & Smith, P. (1978). An improved approximate formula for calculating sample Sizes for comparing two binomial distributions biometrics, 34(3), 483-486.
[21]. Chen, L., N., Gallo, E., R. & Steiner, C. (2013). Sexual risk factors for HIV infection in early and advanced HIV epidemics in sub-Saharan Africa: Systematic review of 68 epidemiological studies. PLoS One 2007; 10: e1001.
[22]. CDC, (2015). HIV transmission among gay and bisexual men in Africa. New York: UNAIDS/WPG.
[23]. Cory, G. (2009). Theory and practice of counselling and psychotherapy. California: Wadsworth Publishers.
[24]. _____(2011). Case approach to counselling and psychotherapy. California: Brooks/Col CENGAGE Learning.
[25]. Ellis, S., Barnett-Page, E., & Morgan, A. (2013). HIV prevention: A review of reviews assessing the effectiveness of interventions to reduce the sexual risk of HIV transmission. London: Health Development Agency.
[26]. Fawcett, J. (2009). The relationship of theory and research. Philadelphia: F.A. Davis Company.
[27]. Fraenkel, J. R., & Wallen, N.E. (2003). How to design and evaluate research in behaviour change education. New York: McGraw -Hill.
[28]. Gallo, R. C., Lyles, C. M., & Chen, N., E. (2007). Best-evidence intervention: Findings from systematic reviews of HIV behavioural interventions for US populations at high risk, 2004-2007. American Journal of Public Health, (97) 133-143.
[29]. Garland, J., & Blyth, M. (2008). AIDS is real and it's in our Church. Bukuru Nigeria: Oasis International, Ltd.
[30]. Garrett, B. (2011). Brain and behaviour; An introduction to biological psychology. Thousand Oaks, California: Sage Publications, Inc.
[31]. Geibel, S., Kellerman, S., Tapsoba, P., & Tun, W. (2011). HIV vulnerability among men who have sex with men in developing countries: Nairobi: Horizons.
[32]. Geibel, S., Onyango-Ouma, W., & Birungi, H. (2005). Understanding the HIV risks and prevention needs of men who have sex with men in Nairob. Nairobi: Population Council.
[33]. Global HIV Prevention Working group. (2012). Bringing HIV prevention to scale: An urgent global priority. New York: UNAIDS/WHO Publication.
[34]. Hart, G., & Elford, J. (2003). if HIV prevention works, why are rates of high risk sexual behaviour increasing among MSM? AIDS EducPrev, 2(11), 294-308.
[35]. Johnson, W. D. (2008). HIV infection and risk factors among men who have sex with men in Zanzibar (Ugunja).AIDS 2008-XVII International AIDS Conference.
[36]. Johnson, W. D. (2012). HIV prevention research for men who have sex with men: A systematic review and meta-analysis. J Acquir Immune De?cSyndr. 30 (Suppl) S 118-S129.
[37]. Kegeles, S. M., & Hart, G. J., (2008). Recent HIV prevention interventions for gay men: individual, small-group and community-based studies. AIDS.12 (Suppl), S 209-215.
[38]. Kalipen, E. (2014). The expanding epidemics of HIV among MSM in low and middle income countries: Kenya, Malawi and Senegal. Johns Hopkins University, Washington: DCUNAIDS/WHO.
[39]. Kalipeni, E., Opong, j., R., & Craddock, S. (2006). HIV and AIDS in Africa; Beyond epidemiology. Malden, MA: Blackwell Publishing Ltd.
[40]. Kihara, M., W. (2004). HIV prevention for Asia and Pacific: Men who have sex with men. AIDS EducPrev,16, 5-7.
[41]. Thairu, K. (2005).The African & AIDS Holocaust. Nairobi: Phoenix Publishers.
[42]. Kombo, D. K., & Tromp, D. L. (2006) Proposal and thesis writing: An introduction. Nairobi: Pauline Publications Africa.
[43]. Lazarus, A. A., & Lazarus, C., N. (1991). The Multimodal Life History Inventory. Champaign, Illinois: Research Press.
[44]. Lazarus, A. A., & Lazarus, C., N. (1997). The 60-second shrink: 101 strategies for staying sane in a crazy world. Atascadero, Calofornia: Impact Publishers.
[45]. Lazarus, A., A. (2008). Technical eclecticism and multimodal therapy. In J.L. Lebow (Ed), Twenty-first century psychotherapies (pp. 424-452). Hoboken, New Jersey: Wiley.
[46]. Lazarus, A. A., & Lazarus, C., N. (1998-2008),The Multimodal Therapy BASIC ID (Assessment) New York: Springer Publishers.
[47]. Leedy, P., D. (2010). Practical research. New Jersey: Prenctice Hall.
[48]. Lopez, S. R., Otterness, C., Umar, E. & Trapence, G. (2008). A cross-sectional evaluation of the HIV prevalence and HIV-related risk factors of men who have sex with men in Malawi. Mexico City: International AIDS.Conference report. Mexico City, Aug 3-8, 2008: abstr A-072-0130-10017.
[49]. Lyttleton, C. (2008). Mekonerotics: Men loving/pleasure/using men. Bangkok: UNESCO.
[50]. Meskerem, G., B. (2007). Reporting on AIDS prevalence in sub-Saharan Africa. Dakar, Senegal: UNAIDS Update.
[51]. Muraah, W. M., &Kiarie W. N. (2001). HIV and AIDS; Facts that could change your life.Nairobi: English Press Ltd.
[52]. Nassiuma, D. K. (2000). Survey sampling: Theory and methods. Nairobi: Nairobi University Press.
[53]. National AIDS control council of Kenya. (2014). Kenya AIDS response progress report, Nairobi: Kenya.
[54]. Niang, C. Tapsoba, P. & Weiss, E. (2003). It's raining stones: Stigma, violence and HIV vulnerability among men who have sex with men in Dakar, Senegal. Cult Health Sex, (5), 499-512.
[55]. Oakley, A., Oliver, S.,& Peersman, G, (2011). Review of effectiveness of health promotion interventions for men who have sex with men. London:Institute of Education, Social Science Research Unit, EPPI Centre; 2006.
[56]. Onyago-Ouma, W., Birungi & Geibel, S. (2005). Understanding the HIV and AIDS risks and prevention needs in MSM. Nairobi: Horizons
[57]. O'Malley, J. (2008). UN strategic direction for HIV and AIDS needs of MSM. Mexico City: UNESCO.
[58]. Orodho, A., J. (2005). Elements of educational and social science research methods. Nairobi: Masola Publishers.
[59]. Ottosson, D. (2009). State sponsored homophobia. Brussels: ILGBT Association.
[60]. Polit, F. & Beck, T., C. (2003). Research principles and methods. Washington: Lippincot Wlliams and Wilkins.
[61]. Rosen, R., & Hall, E. (1994). Sexuality. New York: Random House Publishers.
[62]. Rotheram-Borus, M. J., Reid, H., & Rosario M. (2012). Factors mediating changes in sexual HIV risk behaviours among gay and bisexual male adolescents. Am J Public Health. 1994;(84):1938-1946
[63]. Sambisa, W., Chigono, A., & Koumagnanou, R .(2010). Targeting HIV interventions for adolescent and young adults in southern Africa: Use of the PLACE methodolody in Hlwange District, Zimbabwe. AIDS Behav. 14, (1), 200-208.
[64]. Sanders, E. J., Graham, S. M.,& Okuku, H. S. (2007). HIV-1 infection in high risk men who have sex with men in Mombasa, Kenya. AIDS, 21, 2513-2520.
[65]. Sellitz, C., & Wrightman, L. S. (2006).Research methods in social sciences relations. New York: Holt, Rinhart and Winston.
[66]. Sharma, A., Bukusi, E., & Gorbach, P. Sexual identity and risk of HIV/STI among men who have sex with men in Nairobi. Sex Transm. Dis. 2008; 35(4):352- 354
[67]. Shaughnessy, J., J. & Zechmeister, E., B. (2000). Research methods in psychology. NewYork: McGraw-Hill, Inc.
[68]. Sifakis S., & Lopez, S., R. (2008). Cognitive Behavioural models in HIV transmission risk. Reviews on HIV vulnerability of men who have sex with men in developing countries. Washington: UNAIDS/APCOM Publication.
[69]. Simons, J., A., & Kalichman, S. (2004). Human adjustment. Boulivard Dubuque: Brown Communications,Inc.
[70]. Simooya, O. N.&Kaetano L.(2001). Behind walls: A study of HIV risk behaviours and seroprevalence in prisons in. Zambia: Blantyre: UNAIDS/UPCOM Publication AIDS 15, 1741-1744.
[71]. Singhal, A. &Rogers, E. M. (2006) Combating AIDS: Communication strategies in action. Thousand Oaks, California: Sage Publications Inc.
[72]. Stine, G. J. (2009) AIDS update: An overview of Acquired Immune Deficiency Syndrome. New York: McGraw-Hill Company, Inc.
[73]. Stolley, K. S., & Glass, J. E. (2009).HIV/AIDS; health and medical issues today. Santa Barbara, California: Greenwood Press.
[74]. Tapsoba, P., Peshu, N., Sanders, E. J., & Jaffe, H. W. (2009). Men who have sex with men and HIV/AIDS in sub-Saharan Africa. Lancet, 374(9687), 416-422.
[75]. Tapsoba, P., Niang, Y., & Niang, C. (2004).What kept African professionals from studying MSM and addressing their needs in Africa? XV International AIDS Conference; Bangkok
[76]. Teunis, N. (2007). Same sex sexuality in Africa: Aids and behaviour. Dakar: World Health Organization Publication.

Abstract:
HIV pandemic in Kenya has affected Men who have sex with men (MSM) more than other groups. The risky sexual behavior among them can be categorised into individual, network, psychosocial and community level. MSM sexual behaviour has been shaped by their social, environmental and biological vulnerabilities. The purpose of this study was to investigate the predictors of HIV risky sexual behaviour among MSM in Nairobi. Multimodal Therapy (MMT) which is based on Bandura's social, cognitive learning theory and Becker's health belief model formed the study theoretical framework. This was a quasi-experimental; non-equivalent (pre-test; post-test control group design. Questionnaire data from 188 MSM randomly selected from Hoymas and Ishtar centers in Nairobi were used to quantify potential predictors of risky behaviour. Findings showed that HIV transmission risk predictors can be reduced with MMT intervention. The implication for these findings is a recommendation for MSM communities to be prioritised in MMT behavioural intervention research portfolios. This study also recommends adoption of MMT across MSM subgroups.