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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Reduction in risk-taking behaviors among MSM in Senegal between 2004 and 2007 and prevalence of HIV and other STIs. ELIHoS Project, ANRS 12139
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 22, No. 4, Year 2010
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Description
An epidemiological survey conducted in Senegal in 2004 among men having sex with men (MSM) revealed high HIV prevalence and a high rate of risky behaviors within this population. Consequently, several prevention campaigns targeting MSM were implemented. A second survey was carried out in 2007 to assess the impact of these measures. This paper aims to examine trends in HIV and STI prevalence and in sexual behaviors between 2004 and 2007. The two surveys were conducted in four urban sites among 440 and 501 MSM - recruited using the snowball sampling method - in 2004 and 2007, respectively. A similar methodology was applied for both surveys. This consisted of a closed-ended questionnaire concerning socio-demographic, behavioral, and biomedical information plus a clinical examination including urine and blood tests to detect STIs and HIV infection. Between 2004 and 2007, the frequency of different sexual practices reported by MSM remained stable, but condom use for each type of sexual practice rose. The percentage of men who reported consistent condom use during previous-month anal sex has increased by about 35% (p<0.01). The percentage of men who reported consistent condom use during previous-month non-commercial sex with women has increased by 14% (p<0.01). HIV prevalence remained stable from 22.4% [95% CI: 18.6-26.8] in 2004 to 21.8% [95% CI: 18.3-25.7] in 2007 (adjusted OR=1.05, p=0.8). Gonorrhea prevalence decreased from 5.5% [95% CI: 3.6-8.3] in 2004 to 2.6% [95% CI: 1.5-4.5] in 2007 (adjusted OR=0.5, p=0.07). The prevention campaigns, STI and HIV care and support programs conducted in Senegal among MSM have been followed by a reduction of risk-taking behaviors and STI prevalence among this population. Specific targeting of this group within HIV/STI prevention programs seems to be effective in decreasing sexual infections. © 2010 Taylor & Francis.
Authors & Co-Authors
Wade, Abdoulaye S.
Senegal, Dakar
Institut Dhygiène Sociale Dakar
Larmarange, Joseph
France, Marseille
Ird Institut de Recherche Pour le Developpement
Diop, Abdou Khoudia
Senegal, Dakar
Institut Dhygiène Sociale Dakar
Diop, Oulimata
Senegal, Dakar
Institut Dhygiène Sociale Dakar
Gueye, Khady
Senegal, Dakar
Institut Dhygiène Sociale Dakar
Marra, Adama M.
Senegal, Dakar
Institut de Recherche Pour le Développement Dakar
Sene, Amsata
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Enel, Catherine
France, Marseille
Ird Institut de Recherche Pour le Developpement
Niang-Diallo, Pape Amadou
Senegal, Dakar
Centre Hospitalier Universitaire Aristide le Dantec de Dakar
Touré-Kane, Ndèye Coumba
Senegal, Dakar
Centre Hospitalier Universitaire Aristide le Dantec de Dakar
Mboup, Souleymane
Senegal, Dakar
Centre Hospitalier Universitaire Aristide le Dantec de Dakar
Desgrées-du-Loû, Annabel
France, Marseille
Ird Institut de Recherche Pour le Developpement
Statistics
Citations: 52
Authors: 12
Affiliations: 5
Identifiers
Doi:
10.1080/09540120903253973
ISSN:
09540121
e-ISSN:
13600451
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Senegal
Participants Gender
Male
Female