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This study showed that girls in Kisumu had older sexual partners than boys and higher rates of herpes simplex type 2, which are both risk factors for HIV transmission.

But most girls reported very few sexual encounters, and HIV prevalence was very high even among girls reporting one lifetime partner and few episodes of sexual intercourse.

The FGDs mainly focused on youth's attitudes, risk perception and socio-cultural norms regarding sexuality.

A topic guide was used, that was pre-tested for face and construct validity.This may be due to underreporting, but also may indicate high transmission during loss of virginity [].Our aim was to deepen our understanding of the dynamics of sexual interactions of adolescents, in order to explain the high HIV prevalence among Kisumu youth in general and specifically among girls.Cultural norms such as wife inheritance and widow cleansing, polygamy, "jaboya" (in which female fishmongers develop sexual relationships with fishermen and middlemen in exchange for fish), and "chira" (a curse that comes from breaking certain taboos and traditions), continue to have a powerful hold on people in this lakeside province [].We conducted a qualitative study on the sexual behaviour of young people in Kisumu, to further explore results from an earlier population survey on factors determining the differential spread of HIV in four African cities: two with a relatively low and stable HIV prevalence (Cotonou and Yaoundé) and two where the spread of HIV has been explosive (Kisumu and Ndola) [].For many sexually active girls, their vulnerability to STI/HIV infection is enhanced due to financial inequality, gender-related power difference and cultural norms.

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