Okall Dancun O, Ondenge Ken, Nyambura Monicah, Otieno Fredrick O, Hardnett Felicia, Turner Kyle, Mills Lisa A, Masinya Kennedy, Chen Robert T, Gust Deborah A
a Kenya Medical Research Institute , Kisumu , Kenya.
J Homosex. 2014;61(12):1712-26. doi: 10.1080/00918369.2014.951261.
Men who have sex with men (MSM) are a crucial and marginalized at risk population for HIV in Africa but are poorly studied. Like other areas of Africa, homosexuality is illegal in Kenya. We assessed MSM comfort in accessing health services and willingness to participate in HIV prevention research in Kisumu, Kenya-an area of high HIV prevalence. We conducted a two-phase formative study with individual interviews (n = 15) and a structured survey (n = 51). Peer contact or snowball method (n = 43, 84.3%) was the primary recruitment strategy used to locate MSM. Exact logistic regression models were used for survey data analysis. Over 60% (32/51) of survey participants were not very comfortable seeking health services from a public hospital. Almost all MSM (49/51; 96.1%) reported willingness to be contacted to participate in future HIV research studies. Efforts to provide facilities that offer safe and confidential health services and health education for MSM is required. Continued community engagement with the MSM population in Kenya is needed to guide best practices for involving them in HIV prevention research.
男男性行为者（MSM）在非洲是感染艾滋病毒的关键且处于边缘地位的高危人群，但对其研究甚少。与非洲其他地区一样，肯尼亚同性恋是非法的。我们评估了肯尼亚基苏木（艾滋病毒高流行地区）男男性行为者获取医疗服务的舒适度以及参与艾滋病毒预防研究的意愿。我们开展了一项分两阶段的形成性研究，包括个人访谈（n = 15）和结构化调查（n = 51）。同伴联系或滚雪球法（n = 43，84.3%）是用于寻找男男性行为者的主要招募策略。精确逻辑回归模型用于调查数据分析。超过60%（32/51）的调查参与者不太愿意在公立医院寻求医疗服务。几乎所有男男性行为者（49/51；96.1%）表示愿意被联系以参与未来的艾滋病毒研究。需要努力为男男性行为者提供安全、保密的医疗服务设施和健康教育。需要继续与肯尼亚的男男性行为者群体进行社区互动，以指导让他们参与艾滋病毒预防研究的最佳做法。
