| Gulnaz Mohamoud (mohamoud.merali@aku.edu) |
| Department of Family Medicine, Stellenbosch |
| December, 2009 |
Abstract |
| Aim: To investigate and obtain an understanding of the knowledge, attitudes and perceptions of HIV positive African men in the Shauri Moyo community in Nairobi, regarding the use of condoms as a preventive measure for HIV transmission. Method: Settings: A Primary care clinic and a VCT centre in the Shauri Moyo community in Nairobi. Study design: A case-based qualitative study on a population of HIV positive adult Kenyan African men in the Shauri Moyo Community. Instruments: These involved: -Face-to-face in-depth interviews (n=19) with the use of open-ended questions and, -Self- respondent semi-structured questionnaire (n=241) In order to enhance the credibility of the results the process of triangulation was used. Data analysis: A: Qualitative analysis using thematic analysis B: Quantitatively using the SPSS version 11.5 software. Results: The study showed that there was a discrepancy between the knowledge and condom use. Those able to inform their partners of their status, had stable relationships and were aware of the risk of transmission used condoms consistently. Similar findings emerged for those engaging in casual relationships. The aspects of both partners being positive lowered the perception of risk, contributing to non-use of condoms. Consistent with other studies, inconsistent or non-use were attributed to inaccurate knowledge, trusting their partner especially in long-term relationships, reduced gratification, myths and beliefs, the effects of alcohol, lack of partner notification, partner objection, denial and guilt and low socio-economic status. This was also attributed to aspects of conception and contraception in addition to the smell of the condoms, excessive lubrication and preference for dry sex. Religion and culture did not significantly affect its use. Conclusion: This study showed that knowledge and practice was at variance and both partners testing positive for HIV had lower risk perception leading to inconsistent or non-use of condoms. |
| ISSN: 2071-2928 (print) | ISSN: 2071-2930 (online) | Follow us on:   |
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