Sexual Health and HIV/STI Risk in Gay Refugee Men in Nairobi, Kenya: A Qualitative Study

Refugees are often without financial support and some resort to survival sex. Some of these men gay or bisexual who fled their countries because actual fear death other persecution, exacerbated by the criminalization consensual same-sex practices life imprisonment in extreme cases. We conducted qualitative interviews with 12 within a larger sample Nairobi, Kenya, engaged Thematic analysis indicated eight main themes: Physical dangers, sexual assault, lack rights recourse justice; Emotional difficulties sex work; Seeing treatable STIs as “normal”, but others like Hepatitis B C abnormal, HIV most feared; Recognition penile symptoms concerns about health including anal symptoms, such fistulas bleeding; good knowledge confusions over PEP PrEP, self-testing, access NGO clinics hospital stigma discrimination public generally; result healthcare settings, use pharmacies for treatment. The data indicate that male refugees from repression, found repressions, face many same issues local variations.