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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
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
PLoS ONE, Volume 9, No. 6, Article e99591, Year 2014
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Description
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. © 2014 Aho et al.
Authors & Co-Authors
Aho, Josephine
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Hakim, Avi Joseph
United States, Atlanta
Centers for Disease Control and Prevention
Vuylsteke, Béa L.
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Semdé, Gisèle
United States, Durham
Fhi 360
Gbais, Honorat G.
United States, Durham
Fhi 360
Diarrassouba, Mamadou
United States, Atlanta
Centers for Disease Control and Prevention
Thiam, Marguerite
Cote D'ivoire, Abidjan
Ministry of Health and the Fight Against Hiv
Laga, Marie W.
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Statistics
Citations: 62
Authors: 8
Affiliations: 4
Identifiers
Doi:
10.1371/journal.pone.0099591
e-ISSN:
19326203
Research Areas
Environmental
Infectious Diseases
Sexual And Reproductive Health
Substance Abuse
Violence And Injury
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Multi-countries
Ivory Coast
Participants Gender
Male
Female