Efficacy of Multimodal Therapy in Reducing Risky Sexual Behaviour Related To HIV and AIDS Prevention among Men Who Have Sex with Men in Nairobi, Kenya
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Date
2020-10
Authors
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Journal ISSN
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Publisher
Daystar University, School of Human and Social Sciences
Abstract
Men who have sex with men remain at great risk of HIV and AIDS infection. The purpose of this study was to assess the efficacy of multimodal therapy (MMT) in risky sexual behaviour reduction in HIV and AIDS prevention among men who have sex with men (MSM) in Nairobi County, Kenya. A quasi-experimental non-equivalent control-group design with baseline and end line assessments was adapted, targeting a population of 4000 MSM. The sample size was 188: experimental, 94, and the control group, 94. Two sites: HOYMAS (experimental group) and Ishtar (control group), were purposely selected but randomly assigned to the respective groups. For data collection, the Family Health International (FHI, 2000) Behavioural Surveillance Survey (BSS) questionnaire was adapted, and analysis of the data was done using causal-comparative and inferential statistics. The study findings showed that MMT was effective in reducing HIV and AIDS risky sexual behaviour transmission among MSM in Kenya (p<0.0001). Group mean estimates on consistent condom use in the experimental group and that of multiple sexual partners’ was statistically significant at P<0.0001. Further, age, religion, education, and marital status were associated with consistent condom use at p<0.05. Additionally, sexual impulse, MSM social affiliations, and HAART were reported to be the greatest barriers to HIV and AIDS risky behaviour change among the respondents at p=0.022. Finally, respondents already doing something to prevent HIV and AIDS spread were found to be more likely to use a condom consistently and avoid multiple partners (p=0.004). The study recommends the need for HIV and AIDS prevention stakeholders, including the Kenya government, to adapt MMT as a personalized self-help HIV and AIDS transmission prevention strategy for those not infected.
Description
Doctor of Philosophy
in Clinical Psychology
Keywords
Multimodal Therapy, Risky Sexual Behaviour, HIV and AIDS Prevention, Men Who Have Sex with Men, Nairobi, Kenya
Citation
Kibuthu, R. W. (2020). Efficacy of Multimodal Therapy in Reducing Risky Sexual Behaviour Related To HIV and AIDS Prevention among Men Who Have Sex with Men in Nairobi, Kenya. Daystar University, School of Human and Social Sciences: Nairobi