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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dc.contributor.authorKibuthu, Rosemary Wangui
dc.date.accessioned2021-01-14T12:14:28Z
dc.date.available2021-01-14T12:14:28Z
dc.date.issued2020-10
dc.descriptionDoctor of Philosophy in Clinical Psychologyen_US
dc.description.abstractMen 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.en_US
dc.description.sponsorshipDaystar University, School of Human and Social Sciencesen_US
dc.identifier.citationKibuthu, 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: Nairobien_US
dc.identifier.urihttps://repository.daystar.ac.ke/handle/123456789/3374
dc.language.isoenen_US
dc.publisherDaystar University, School of Human and Social Sciencesen_US
dc.subjectMultimodal Therapyen_US
dc.subjectRisky Sexual Behaviouren_US
dc.subjectHIV and AIDS Preventionen_US
dc.subjectMen Who Have Sex with Menen_US
dc.subjectNairobi, Kenyaen_US
dc.titleEfficacy of Multimodal Therapy in Reducing Risky Sexual Behaviour Related To HIV and AIDS Prevention among Men Who Have Sex with Men in Nairobi, Kenyaen_US
dc.typeThesisen_US

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