Understanding the associations between sexual motivation and sexual risk behaviors of men who have sex with men (MSM) is critical for developing effective HIV prevention interventions. To examine these associations, we employed data from a survey of 200 MSM in Dar es Salaam, Tanzania, recruited through respondent driven sampling. Results showed that 44.5 % of surveyed participants most often looked for love/affection when having sex, and 36.5 % most often looked for money. Money-motivated MSM were more likely to identify themselves as bisexual, more likely to have anal sex, and had significantly higher numbers of partners of both sexes. Those who most often looked for love/affection were less likely to ask for condom use, to actually use a condom, and to use lubrication in anal sex. MSM with different sexual motivations had dissimilar sexual risk behaviors. Tailored health interventions for each group to reduce these sexual risks for STIs/HIV prevention are needed.
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Acknowledgments This work was supported by NIMH, R21MH090908-02, and also (in part) by the Baylor-UTHouston Center for AIDS Research (CFAR), an NIH funded program (AI036211). TCB’s training was supported by the UTHealth Innovation for Cancer Prevention Research post-doctoral fellowship, Cancer Prevention and Research Institute of Texas (CPRIT) Grant #RP101503. The content of the manuscript is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Health or the CPRIT.
- Men who have sex with men
- Sex work
- Sexual behavior
- Sexual motivation