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PREVALENCE OF AND FACTORS ASSOCIATED WITH ORAL SEX AMONG RURAL AND URBAN MALAWIAN MEN.

Jason T Kerwin1, Rebecca L Thornton1, Sallie M Foley2

  • 1Department of Economics, University of Michigan, Ann Arbor, Michigan, USA.

International Journal of Sexual Health : Official Journal of the World Association for Sexual Health
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PubMed
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Oral sex (fellatio) is less risky for HIV transmission than vaginal sex but is rarely practiced or known in Malawi. Further research is needed to understand its role in HIV prevention strategies.

Keywords:
HIV preventionMalawioral sexsexual behaviorsub-Saharan Africa

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Area of Science:

  • Public Health
  • Sexual Health
  • HIV Prevention

Background:

  • Female-to-male oral sex (fellatio) has a lower HIV transmission risk than unprotected vaginal intercourse.
  • Limited research exists on fellatio prevalence and knowledge in African populations.

Purpose of the Study:

  • To examine the prevalence of oral sex practices among men in rural and urban Malawi.
  • To assess knowledge of oral sex within these populations.
  • To identify factors associated with oral sex knowledge.

Main Methods:

  • Two samples of men from Malawi (rural and urban) were surveyed.
  • Data collected on sexual practices, including vaginal and oral sex.
  • Statistical analysis used to determine predictors of oral sex knowledge.

Main Results:

  • Vaginal sex was highly prevalent (97% rural, 87% urban).
  • Oral sex prevalence was low (2% rural, 12% urban).
  • Knowledge of oral sex was limited (50% rural, <75% urban); education and media exposure predicted knowledge.

Conclusions:

  • A significant gap exists between sexual activity and oral sex awareness/practice in Malawi.
  • Fellatio warrants consideration as part of HIV prevention strategies.
  • Further research, including women, is essential to understand oral sex's role in HIV prevention.