Porn video shows, local brew, and transactional sex: HIV risk among youth in Kisumu, Kenya

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Metrics details. Kisumu has shown a rising HIV prevalence over the past sentinel surveillance surveys, and most new infections videso occurring among youth. We conducted a qualitative study to explore risk situations that can explain the high HIV prevalence among youth in Kisumu town, Kenya. We videos in-depth interviews with adolescents aged 15 to 20, held 4 focus group discussions, and made 48 observations at places where youth spend their free time.

Porn video shows and local viceos dens were identified as popular events where unprotected multipartner, concurrent, coerced and transactional sex occurs between adolescents. Video halls - rooms with a TV and Viedos - often videos pornography at night for a very small fee, and minors are allowed.

Forced sex, sex rape and multiple concurrent relationships characterised the sexual encounters of youth, frequently facilitated by the abuse of alcohol, which is available for minors at low cost in swx brew dens. The desire for love and sexual pleasure also contributed to their multiple concurrent partnerships. A substantial number of girls and young women engaged in transactional sex, often with much older working partners. Condom use was irregular during all types of sexual encounters.

In Kisumu, local brew dens and porn video halls facilitate risky sexual encounters between youth. These places should be regulated and monitored by the viseos. Our study strongly points to female vulnerabilities wex the role of men in perpetuating the local epidemic. Young men should be targeted in prevention activities, to change their attitudes related to power and control in relationships.

Girls should be empowered how to negotiate safe sex, and their poverty should be addressed through income-generating activities. Globally, the HIV epidemic is increasing faster amongst young women than young men and nowhere is this trend more apparent than in sub-Saharan Africa [ 1 ].

Ways main form of HIV transmission is heterosexual sex. The contrasting HIV prevalence between boys and girls is a pattern observed in many parts of sub-Saharan Africa [ 45 ]. Kisumu town is found by the shores of Lake Victoria, is the capital of Nyanza province and the third largest videos in Kenya.

Although more recent figures for Kisumu are slightly lower, the numbers are still alarmingly high, and higher than in other parts of viedos country [ 96 ]. Cultural norms such as wife inheritance and widow cleansing, polygamy, "jaboya" in which female fishmongers develop sexual relationships sez fishermen and middlemen in exchange for fishand "chira" a curse that comes from breaking certain taboos and traditionscontinue to have a powerful hold on people in this lakeside province [ 101314 ].

This study viveos that girls in Kisumu had older wayd partners than boys and higher rates of herpes simplex type 2, which are both risk factors for HIV transmission. But most girls reported very few sexual sex, and HIV prevalence was very high even among girls reporting one lifetime partner and few episodes of sexual intercourse. This may be vodeos to underreporting, but ways may indicate high transmission during loss of virginity [ 5 ].

Our aim was to deepen our understanding of the dynamics of sexual interactions of adolescents, in order to explain the high HIV prevalence among Kisumu youth in general and specifically among girls. We triangulated data from in-depth interviews, focus group discussions FGDand observations, to generate a holistic description of the contexts and dynamics of sexual interactions among youth.

We conducted in-depth interviews with adolescents aged in Kisumu, held 4 FGDs, and performed 48 observations ways places where youth spend their free time. For the in-depth interviews, a dex sample of 75 boys and 75 girls aged years were videis at their households. Using the sampling framework of the sx study, quota sampling was used to ensure diversity in age, socio economic status SES of household, and education [ 9 ].

Wayx sex interview guide was developed in English and translated into Swahili and Luo. Trained fieldworkers pre-tested the ivdeos in communities neighboring the study sites. The interviews were held in Luo, Swahili or English by videos interviewers, and tape-recorded; they took about 45 minutes to one hour.

Four focus group discussions FGDs ways held by ways interviewers in preparation for the in-depth interviews i. A topic guide was used, that was pre-tested for face and construct validity. The FGDs mainly focused on youth's attitudes, risk perception and socio-cultural norms regarding vodeos. Each FGD had 8 to 12 participants agedand the discussions took about one vdeos half hour.

We sought permission from the persons in charge and ensured confidentiality of all collected information.

The field workers tried to get an inside view of reality without the participants' knowledge that they were ways observed. Short notes were taken during the 2-to-3 hour observations when possible, and detailed notes were compiled afterwards describing the physical setting, the activities taking place, socio-demographics of participants estimated age, genderand their verbal and non verbal behaviour. The audio-taped interviews and FGDs were transcribed verbatim and translated into English where necessary [ 16 ].

Data analysis of the in-depth interviews, FGDs and observations followed grounded theory principles, which allows analytical themes to emerge during wsys process of re reading transcripts and exploring videos coding responses [ 17 ]. Where quotes are used in the Results section, waays are from the in-depth interviews unless indicated otherwise. The average videos of adolescents interviewed in the study was A year-old fideos from a low-SES area stated: "In this area of ours, many girls Most girls reported a large age difference with first and current partners.

Sixteen of the 28 girls who mentioned the age of their first partner reported that he was 25 years or older. All girls with a current partner had a partner who was over 20 years videos ranging from 2 to 17 years older.

One girl stated: " During the observations, sex men were often seen with girls as young as Of the sexually active adolescents, over half of the girls reported having had partners; over vodeos of the boys indicated having had partners and about a videos reported more than 10 girlfriends. A few boys found it difficult to count all sexual partners: " Some you can meet, you talk, have sex, then it just ends there so remembering them is difficult".

Some of the bicycle taxi transporters reportedly had sex daily, with different partners. Girls mostly reported serial monogamy and rarely stated outright that they had concurrent partners. In contrast, many sexually sex boys casually reported having overlapping partnerships: " These 'disco funerals' are parties held by the relatives of a videos recently deceased, in order to raise funds for the funeral. The disco funerals are characterised by loud music, singing, dancing, bidding games and risky sexual behaviour.

Qays we have described these events in which Kisumu youth engage in risky sexual behaviour in a separate paper, we do not elaborate on it here [ 18 ]. A third of the youth interviewed 49 report porn video shows either from personal attendance or as an influence on youth sexuality.

Some also report watching porn at home or at the home of a friend: " Whenever I used to go to the neighbour's to watch movies, she [a year old domestic worker] could steal some tapes of 'pono', put them onthen try to convince me why don't we try that one " 17 year-old boy. Video show halls are basically rooms with a television and VCR, they are popular leisure spots, where youth pay to watch movies. The fieldworkers did a dozen of random observations in video halls: 8 out of 12 were showing pornography at night.

Most attendees were young men, but some girls also attended. The movies vidwos from non-violent to violent pornography, and the scenes revolved around group sex, anal sex, videos oral and vaginal intercourse. Youth said that the owner of a video hall most cideos disguises the announcement of a featured film and writes qays in such a way youth know that "porno" will be shown.

During one observation, several adolescents engaged in seex in the darkness of the hall. Some girls were lured into secluded places such as a boy's cube [separate living quarter for boys], and were forced to have sex: " This boy told me to visit him so when I went, he put the radio on Some boys videoos said to waylay prostitutes and force them to have sex: videis when it is night you meet a lot of girls hijacked by a group of men, sex pulled to some place But these groups of boys don't ways any cash, they just get them and hijack them yah," FGD, out-of-school boys.

Few adolescents reported condom use at first sex 12 girls and 15 boys out of 96 sexually active videox. Condom use was sex common nor consistent: "I have four girlfriends I use a condom but not every time. For most girls, non-use was related to their limited ability to request condom use, ideals of intimacy and pleasure, and mixed messages about safety: "Well Some young people also held the belief that very young boys and girls could not have STIs.

Some adolescents only used condoms during the unsafe period in the menstrual cycle. Others reported they usually stop using condoms in a new relationship when they have become more used to each other or, as a few reported, after getting a negative HIV test. Heavy alcohol intake and in particular illicit brews and drugs sex and mostly accompanied these sexual ways behaviours, as illustrated by this year-old girl: "So he asked me to have sex During interviews over a third 56 of youth interviewed mostly boys said they have gone to drink in these local brew videis.

The brew was vodeos made by widows who depend on the trade for their livelihood. It was reported that in environments where a parent s made local brews, girls started srx sex at an early age and some progress to trade sex for money: " FGD, out-of-school girls. One girl said in an interview that she ways her first sexual encounter at the age of fourteen, after her older sister sex to her what the men were doing to her when she went to serve them namely having sex for money.

The younger girl got pregnant and gave birth at the age of fifteen. Another girl stated that she had sex several times with a client who promised to build her widowed mother a house. Many interviewed youth reported to have had transactional sex. There were videis of young women going to local brew dens or disco funerals hoping the men would buy them drinks or give them money, in exchange videos sexual favours.

Often only a little money was required: buying a girl a soda was already seen as down payment viseos sex. Bicycle-taxi operators were reportedly popular, offering a few shillings, some food, or free transport to young women in exchange for sex: " as long as vidsos can buy her [something], maybe you buy her chips, you give her ten bob, you give her even a place to sleep, because she is not wanted at their place, you will videso have sex with her " year old bicycle taxi-operator.

Only occasionally did a boy receive gifts from his girlfriend s. An year-old girl from a low-SES area described how she decided to have sex with her viddos old boyfriend: " Many young men acknowledged that their ability to provide for their girlfriends affected both the longevity and exclusivity of their relationships: " Eight of the 75 interviewed boys reported that that they aays had contacts with a prostitute.

In this qualitative study on sexual behaviour of youth in Kisumu, Kenya, we found that the majority had sex at a young age, sometimes with multiple and concurrent partners, mostly without using a condom. Drugs and local alcohol often facilitated these encounters wayw 19 — sex ]. Findings point strongly to the role of men in perpetuating the HIV ways forcing sex, waus rape, multiple concurrent relationships. Vidos young people were exposed to pornography in video halls, which seemed to increase their sexual risk behavior.

Peer influence was a great motivator for these risk behaviors. There are a number of limitations that should be considered when interpreting the results. Because we used purposive quota sampling, it cannot be concluded that our results are fully representative for the total Kisumu youth population.

Age was difficult sex estimate from observation.


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Kiss the inside of her wrists, the backs of her knees, the gentle curve of her hip. Let your lips graze over her neck, down her shoulder and take a nip at her upper arm.

The mixed sensations will turn her on and have her begging for more. Share with her how much you love the way she feels and what you want to do with her. Use whatever language comes naturally and speak from the heart and the pants to get connected with that raw feeling she brings out in you. Women love multi-sensational sexual contact. So use everything you can to show her just how much you love her as well as how much you WANT her.

At this point you have two options: You can go ahead and give her an orgasm while you eat her pussy out , or while you finger her, or you can move on to the next step, which is penetrative sex. Just as you can work on your spoken vocabulary, you can also work on your sexual position library of options.

Most men have no problems with traditional missionary position as well as having their woman on top, facing him, cowgirl style. These positions are simple but improve your range of motion, flexibility and your sexual self-confidence. We have a more in depth guide if you want to learn how to fuck a girl right.

This is like the more traditional version of having the woman on top. Instead of facing you, she faces away. This gives her a better position to adjust for depth and the angle of your thrust, making it easier for you to stimulate her G-Spot. This is one of those classic positions that some people shy away from, presumably because of the name. Call it anything you want, but entering her from behind boosts her orgasm power while reducing the stimulation for the man just enough to prevent premature ejaculation.

Start in the missionary position then kneel back and pick her legs up. Raise them degrees and cross her legs at the ankle.

You can uncross her legs and spread them wide then bring them back together and cross them to alter the intensity for each of you. Have a seat and then invite your partner to lower herself onto you, either facing you or facing away.

Not only is this one of the most amazing and pleasurable orgasms for a woman to experience, but very few men know how to do it properly. When people have sex, their bodies release a ton of feel good hormones. Endorphins and dopamine flood your system, giving you that warm, fuzzy glow that comes after sex. Take a minute to revel in that feeling with your partner.

Let your hands continue to caress her body lightly, slowly and in a way that makes you feel connected to her. For many women, this is the best part about an orgasm — that warm glow that leaves them happily recovering. Use what you learn from exploring these options to learn more about specific sex acts and different games and toys you can use to make it even better.

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