Prevalence and factors associated with risky sexual behaviour after male circumcision among clients circumcised at Spilhaus Clinic in Harare

Abstract

Introduction: The main objective of this study was to determine whether men who were circumcised in adulthood have risky sexual behavior after being circumcised. Methods: A cross sectional study was conducted. Men aged18-49 years, residing in the city of Harare, who had voluntary medical MC from 1 July 2011 to 31 December 2011 were interviewed Outcome Indicators The main outcome indicators were sexual behaviors known to place men at increased risk of acquiring HIV (Sex with casual acquaintance, sex without condoms with girlfriend, transactional sex). Results: A total of 131 respondents were interviewed. Ninety four percent were Christian, and 60%were in union. For those reporting to be in union 86% was living with their partners. The prevalence of multiple unions was 9%. Ninety two percent (121/131) had ever had sexual intercourse. Overall use of condoms for those who last had sex within one month preceding the study was 10.5%. The prevalence of risky behavior at last sex encounter within one month of the study was 20% .The prevalence of multiple partners was 29%, Page 4 of 52 which is higher than national average of 10.65. The 30-34 years age group (chi square= 20.0, p=0.000) had significantly higher rates of multiple partnerships. 7.4% had paid for sexual intercourse in the 12 months preceding the study. This was significantly higher for those with than secondary education (Chi square 4.80, p=0.04) in the 12 months preceding the study. There was 28.1%, early resumption of sex, and was higher for men in union (39.7%) (Chi square 14.61, p<0.0001). Conclusion: The prevalence for risky behavior was 20%. The prevalence for payment for sex and multiple partnerships was higher than national average suggesting risk compensation.