Healthcare-seeking behavior and sexual behavior of patients with sexually transmitted diseases in Nairobi, Kenya

Background: Sexual and health-seeking behaviors are important components of sexually transmitted disease (STD) control. Goals: To generate data for improved STD prevention and care, and to assess sexual behavior and relevant health-seeking behavior. Study Design: A questionnaire to elicit social, demographic, healthcare-see king, and sexual behavior information was administered to 471 patients atte nding the referral clinic for STDs in Nairobi, Kenya, Results: A large proportion of the patients had sought treatment in public and private sectors before attending the clinic for STDs, Women waited long er than men to seek medical care. In addition, women more than men engaged in sex while symptomatic, mostly with their regular partner. Condoms were u sed rarely during. illness. In their self-reports, 68% of the men admitted to having extramarital affairs, and 30% to paying for sex, yet they blamed their wives for their STDs, Conclusion: Health education messages in Kenya need adaptation to improve h ealth seeking behavior and safe sex practices.