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Reports show the devastating effects of alcoholism: high rates of school dropouts, careless sexual behaviour, shattering of families, high rates of crime, and low productivity at work [ 47 - 49 ].

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Our findings have important implications for youth interventions. First, intervention strategies should engage young men in HIV prevention.

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Men in settings like Kenya generally control the terms and conditions of sexual relationships. Thus, we need better strategies to engage men, and effective interventions to change their attitudes and behaviours related to power and control in relationships. Interventions should promote more positive and safe actions like having respect for women, having one sexual partner, using condoms, and knowing their HIV status. Second, young girls should be empowered in several ways.

They should be taught how to negotiate safe sex as part of the transactions in transactional sex. Their poverty should be addressed, e. through income generating activities or programs that keep them in school. For example, there are indications that programs which give loans to young women or youth groups, such as the Youth Enterprise Development Fund by the Kenyan government, are reducing the number of young women who have to exchange sex for money or who become teenage mothers [ 50 ].

Third, the government should regulate and monitor video shows and local brew dens, to prevent the exposure of young adolescents to pornography, drugs and alcohol.

Madonna Exposes Year-Old Fan's Breast During Concert, Teen Calls It the 'Best Moment of Life' By John Boone AM PDT, March 18, We conducted 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 brew dens were identified as popular events Cited by: 61

Instead, risk-free leisure activities should be developed for youth, such as sports facilities. Further research is needed to study the generalizability of our findings. More insight is needed on the effects of youth's exposure to pornography and the ways in which leisure spots such as video halls and local-brew dens can be used to promote safe sex practices.

Each of the authors contributed to the article: CN: carried out the study, analysis and interpretation of data, drafting and revising of the manuscript; HACM V : revising the manuscript for substantial intellectual content and coordination, and PR: design, analysis and interpretation of data, involved in drafting and revising the manuscript.

All authors have read and approved the final manuscript. This study was supported by the Wellcome Trust [no. The authors acknowledge and thank Dr. Anne Buve, Institute of Tropical Medicine in Antwerp, for directing the study and for her comments on previous drafts; and former Nyanza Provincial Medical Officer Dr A. Misore for his support during the fieldwork.

The authors extend great appreciation to the adolescents for the insightful information that they have reported. Finally we give special thanks to the data collection team for their determination, dedication and professionalism that made it possible to collect these data. National Center for Biotechnology InformationU.

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Journal List BMC Public Health v. BMC Public Health. Published online Aug 8. doi: PMCID: PMC Carolyne Njue1 Helene ACM Voeten1 and Pieter Remes 2, 3. Carolyne Njue 1 Department of Public Health, Erasmus MC, University Medical Center Rotterdam, the Netherlands Find articles by Carolyne Njue. Helene ACM Voeten 1 Department of Public Health, Erasmus MC, University Medical Center Rotterdam, the Netherlands Find articles by Helene ACM Voeten.

Author information Article notes Copyright and License information Disclaimer.

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Corresponding author. Carolyne Njue: moc. liamg w. iragn ; Helene ACM Voeten: ln.

dgg neteoV. H ; Pieter Remes: moc. liamg semerp. Received Mar 9; Accepted Aug 8. Copyright Njue et al; licensee BioMed Central Ltd.

This article has been cited by other articles in PMC. Abstract Background Kisumu has shown a rising HIV prevalence over the past sentinel surveillance surveys, and most new infections are occurring among youth. Methods We conducted 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.

Results Porn video shows and local brew dens were identified as popular events where uknitswhereitsat.comotected multipartner, concurrent, coerced and transactional sex occurs between adolescents. Conclusions In Kisumu, local brew dens and porn video halls facilitate risky sexual encounters between youth. Background 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 ].

Methods We conducted in-depth interviews with adolescents aged in Kisumu, held 4 FGDs, and performed 48 observations at places where youth spend their free time. Discussion 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.

Conclusions Our findings have important implications for youth interventions. Competing interests The authors declare that they have no competing interests. Authors' contributions Each of the authors contributed to the article: CN: carried out the study, analysis and interpretation of data, drafting and revising of the manuscript; HACM V : revising the manuscript for substantial intellectual content and coordination, and PR: design, analysis and interpretation of data, involved in drafting and revising the manuscript.

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Acknowledgements This study was supported by the Wellcome Trust [no. References World Health Organization. Gender Inequalities and HIV. html accessed online.

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