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Wimbo

Implications for risk of HIV infection among circumcised fishermen in Western Kenya

Bibliographic Data

ID15098261
AuthorsStephen Okumu Ombere (0000-0002-3964-6795, Maseno University, corresponding author), Erick Otieno Nyambedha (0000-0001-5750-4363, Maseno University), Salome A Bukachi (0000-0002-1931-1891, University of Nairobi)
Year2015
Volume17
Issue9
Pages1147-1154
Publication date2015-10-21
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2015.1018949
PMID25774858
OpenAlexW2028747891
LanguageEN
Citations received5
References cited11

Medical male circumcision has been shown to reduce the risk of heterosexual transmission of HIV infection in men by up to 60% in three randomised controlled trials. However, not much anthropological literature exists to provide a holistic understanding of sexual behaviour among migrating fishermen who have been circumcised. This qualitative study used cultural ecology theory and anthropological methods to develop a more holistic understanding of Luo fishermen's sexual behaviour after circumcision when they migrate (wimbo) to islands in western Kenya. Results from focus-group discussions show that during wimbo there is a deviation from community norms governing sexual expression, influenced by the belief that circumcision provides protection against HIV infection. Through the exchange of sex for fish, circumcised men access new sexual partners in the destination beaches and engage in risky sexual behaviours without any HIV prevention measures. The processes and practices associated with wimbo may therefore help explain why rates of HIV infection are increasing among fisherfolk despite new interventions to combat HIV. These results have relevant implications for HIV-related intervention and policy in sub-Saharan Africa

Family medicine · Focus group · Human immunodeficiency virus (HIV · Intervention (counseling · Psychological intervention · Qualitative research · Sociology · Transmission (telecommunications · Female Genital Mutilation/Cutting Issues · Gender Studies · Genital Health and Disease · Medicine · Nursing · Psychology · Sex work and related issues

  • This Is Our Home

    Open Access•Erick Otieno Nyambedha, Jens Aagaard-Hansen•Social Analysis•2023

  • Non-adherence to antiretroviral treatment among migrating fishermen in western Kenya’s islands

    Stephen Okumu Ombere, Erick Otieno Nyambedha•African Journal of AIDS Research•2023

  • The Importance of Context for Determining Causal Mechanisms in Program Evaluation

    Open Access•Margaret Kabare, Jeremy Northcote•American Journal of Evaluation•2023

  • Understanding ethnic variations in HIV prevalence in Kenya

    Monica Magadi, Martin Gazimbi et al.•Culture Health & Sexuality•2021

  • Men's Emic Perspectives on Factors Contributing to Child Sexual Abuse Vulnerability on the Islands of Western Kenya

    Stephen Okumu Ombere•African Studies•2021

  • Male circumcision for HIV prevention in young men in Kisumu, Kenya

    Open Access•Robert C Bailey, Robin L Bailey et al.•The Lancet•2007

  • Male circumcision and risk of HIV infection in sub-Saharan Africa

    Helen A Weiss, Maria A Quigley et al.•AIDS•2000

  • Male circumcision for HIV prevention in men in Rakai, Uganda

    Open Access•Ronald H Gray, Godfrey Kigozi et al.•The Lancet•2007

  • A qualitative study of sexual behavior change and risk compensation following adult male circumcision in urban Swaziland

    Jonathan M Grund, Monique M Hennink et al.•AIDS Care•2012

  • HIV/Aids in fishing communities

    Janet Seeley, Janet A Seeley et al.•AIDS Care•2005

  • Mobile men with money’

    Open Access•Peter Aggleton, Stephen Bell et al.•Global Public Health•2014

Unique citing works5
Citations per year1
Citation span2021 - 2023 (3)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 5
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