Circumcision and High-risk Sexual Behavior among Luo Males in Rural Western Kenya

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dc.contributor.advisorBaker, Lisa
dc.contributor.authorGuidangen, Robert Jr
dc.contributor.departmentBiology.en_US
dc.contributor.otherBaylor University.en_US
dc.contributor.otherCaptricity, Inc.en_US
dc.contributor.schoolsHonors College.en_US
dc.date.accessioned2013-05-24T20:13:16Z
dc.date.available2013-05-24T20:13:16Z
dc.date.copyright2013-05
dc.date.issued2013-05-24
dc.description.abstractThe Luo people of western Kenya have the highest HIV prevalence (20.2%) of any comparable ethnic group in eastern sub-Saharan Africa. In an effort to combat the pandemic, the Kenyan government enacted a scale-up of voluntary male medical circumcision (VMMC) in 2008, using data from three randomized control trials reporting a consistent 60% protective effect from HIV infection for circumcised men as the basis for this expansion. As it so happens, the Luo ethnic group is the only major group that does not traditionally practice circumcision, but present literature indicates that the practice has recently gained some acceptability within the Luo population, primarily in urban areas, as a means of acquiring some protective benefit against HIV infection. This study uses a sample (n=50) of Luo men in rural Nyanza Province to assess how the introduction of VMMC influences high-risk HIV sexual behavior. The effect of VMMC on high-risk sexual behavior is measured using the outcome variables of number of sexual partners and condom usage. Results indicate no statistically significant relationship between male circumcision and condom usage (χ2=0.1164, p=0.7330). The sample, however, does express a dramatic trend in condom usage, revealing that roughly 2/3 of non-condom users are circumcised males. It is also found that male circumcision is a significant predictor for a relatively high number of sexual partners (χ2=11.02, p=0.0009). These results provide insight into just how accurately rural Luo men perceive the protective benefit of circumcision and where current issues with VMMC may need to be addressed in order to attain optimal results for combating HIV incidence.en_US
dc.identifier.urihttp://hdl.handle.net/2104/8667
dc.language.isoen_USen_US
dc.rightsBaylor University projects are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. Contact libraryquestions@baylor.edu for inquiries about permission.en_US
dc.rights.accessrightsWorldwide access.en_US
dc.rights.accessrightsAccess changed 8/25/15.
dc.subjectKenya.en_US
dc.subjectCircumcision.en_US
dc.subjectLuo males.en_US
dc.subjectSexual behavior.en_US
dc.subjectHigh-risk.en_US
dc.subjectHIV.en_US
dc.subjectCondom use.en_US
dc.subjectRisk compensation.en_US
dc.titleCircumcision and High-risk Sexual Behavior among Luo Males in Rural Western Kenyaen_US
dc.typeThesisen_US

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