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Title

Exploring Risk Behaviors and Vulnerability for HIV among Men Who Have Sex with Men in Abidjan, Cote d'Ivoire: Poor Knowledge, Homophobia and Sexual Violence.

Authors

 J. Aho, A. Hakim, B. Vuylsteke, et al.

Network Affiliation

Other

Organization

 

Journal Name

plOS oNE

Publication Date

6/1/2014

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/24959923

Link to full-text

 

PMID

24959923

Abstract

​Men who have sex with men (MSM) are at high risk of HIV. Few data are available on MSM and HIV-related risk behaviors in West Africa. We aimed to describe risk behaviors and vulnerability among MSM in Abidjan, Cote d'Ivoire. We conducted a cross-sectional respondent-driven sampling survey with 601 MSM in 2011-2012. Sociodemographic and behavioural data as well as data related to emotional state and stigma were collected. Population estimates with 95% confidence intervals were produced. Survey weighted logistic regression was used to assess factors associated with inconsistent condom use in the prior 12 months. Most MSM were 24 years of age or younger (63.9%) and had attained at least primary education (84.4%). HIV risk behaviors such as low condom and water-based lubricant use, high numbers of male and female sex partners, and sex work were frequently reported as well as verbal, physical and sexual abuse. Inconsistent condom use during anal sex with a male partner in the prior 12 months was reported by 66.0% of the MSM and was positively associated with history of forced sex, alcohol consumption, having a regular partner and a casual partner, having bought sex, and self-perception of low HIV risk. MSM in Abidjan exhibit multiple and frequent HIV-related risk behaviors. To address those behaviours, a combination of individual but also structural interventions will be needed given the context of stigma, homophobia and violence.

Keywords

 

Topic

Adolescents/Youth; Behavior; Black; Intervention; MSM

Attachments

Created at 7/2/2014 2:59 PM by Davis, Gregory P
Last modified at 7/2/2014 2:59 PM by Davis, Gregory P