Combined Sexual Behavioral Profiles in HIV-Seronegative Men Who have Sex with Men in West Africa (CohMSM ANRS 12324-Expertise France)
In: ISSN: 0004-0002, 2020
academicJournal
Zugriff:
International audience ; Understanding the dynamics of HIV infection in men who have sex with men (MSM) can help improve efficiency in existing prevention strategies. We aimed to identify and describe the sexual behaviors of MSM most at risk of HIV infection in West Africa. HIV-negative MSM were provided a quarterly preventive follow-up package in the community-based cohort CohMSM. They completed face-to-face sociobehavioral questionnaires every 6 months. This sub-study on 520 participants used a baseline, 6-, 12- and 18-month data cluster analysis to categorize two profiles (high risk [HRE] and moderate risk [MRE] of exposure to HIV) based on three risky sexual practices over the previous 6 months. HRE-MSM (61%) were more engaged in receptive practices, had a higher proportion of inconsistent condom use during anal sex, and reported more sexual partners than MRE-MSM (39%). The proportion of HIV seroconversions observed during the first 18 months of follow-up using sexual behavioral profiles (92% are HRE-MSM) was higher than using the three risky sexual practices separately. Factors associated with the HRE-MSM profile were being younger (18-21 years), reporting stigma, and having had no female partner while being attracted only to men. Our findings suggest that in order to identify MSM most at risk of HIV infection, several risky sexual practices need to be evaluated in a combined approach. Prevention programs should pay particular attention to younger MSM, and implement activities addressing questions of MSM identity and stigma in order to reduce the dynamic of HIV infection in Western African MSM.
Titel: |
Combined Sexual Behavioral Profiles in HIV-Seronegative Men Who have Sex with Men in West Africa (CohMSM ANRS 12324-Expertise France)
|
---|---|
Autor/in / Beteiligte Person: | Coulaud, Pierre-Julien ; Sagaon-Teyssier, Luis ; Mimi, Mohamed ; M'Madi Mrenda, Bakridine ; Maradan, Gwenaëlle ; Mora, Marion ; Bourrelly, Michel ; Keita, Bintou Dembélé ; Keita, Abdoul Aziz ; Anoma, Camille ; Babo Yoro, Stéphane-Alain ; Dah, ter Tiero Elias ; Coulibaly, Christian ; Mensah, Ephrem ; Agbomadji, Selom ; Bernier, Adeline ; Couderc, Clotilde ; Laurent, Christian ; Spire, Bruno ; Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale (SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD) ; Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM) ; Observatoire régional de la santé Provence-Alpes-Côte d'Azur Marseille (ORS PACA) ; ARCAD-SIDA Bamako, Mali ; Espace Confiance Abidjan, Côte d’Ivoire ; Association African Solidarité Ouagadougou, Burkina Faso ; Centre Muraz Bobo-Dioulasso, Burkina Faso ; Espoir Vie Togo Lomé, Togo ; Coalition PLUS Pantin, France ; Recherches Translationnelles sur le VIH et les maladies infectieuses endémiques er émergentes (TransVIHMI) ; Institut de Recherche pour le Développement (IRD)-Université de Yaoundé I-Université Cheikh Anta Diop Dakar, Sénégal (UCAD)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM) ; CohMSM Study Group: Clotilde Couderc, Bruno Granouillac, Suzanne Izard, Christian Laurent, Laura March, Martine Peeters, Laetitia Serrano, Cyril Berenger, Michel Bourrelly, Pierre-Julien Coulaud, Gwenaëlle Maradan, Bakri M'madi Mrenda, Marion Mora, Enzo Parisi, Luis Sagaon-Teyssier, Bruno Spire, Adeline Bernier, Paméla Palvadeau, Daniela Rojas Castro, Drissa Camara, Oumar Cisse, Alou Coulibaly, Bintou Dembele Keita, Fodié Diallo, Mahamadou Diarra, Mady Gadjigo, Abdoul Aziz Keita, Kader Maiga, Aly Ouologuem, Fodé Traore, Niamkey Thomas Aka, Camille Anoma, Stéphane-Alain Babo Yoro, Noufo Hamed Coulibaly, Rachelle Kotchi, Patrick Kouabenan, Malan Jean-Baptiste Kouame, Kpassou Julien Lokrou, Frédéric Dibi N'Guessan, Xavier Anglaret, Jean-Marie Masumbuko, Maxime Oga, Christian Coulibaly, Ter Tiero Elias Dah, Ousseni Ilboudo, Joseph Ouedraogo, Mamadou Ouedraogo, Elisabeth Thio, Juste Rodrigue Toure, Abdoulazziz Traore, Issa Traore, Fiffou Yougbare, Nicolas Meda, Kouakou Kokouvi Selom Agbomadji, Richard Mawuényégan Kouamivi Agboyibor, Messan Attiogbe, Aléda Mawuli Badjassim, Agbégnigan Lorette Ekon, Anouwarsadat Kokouba, Ephrem Mensah, Diimiln Joseph Strauss Tablissi, Kossi Jeff Yaka, Claver Anoumou Yaotsè Dagnra |
Link: | |
Zeitschrift: | ISSN: 0004-0002, 2020 |
Veröffentlichung: | HAL CCSD ; Springer Verlag, 2020 |
Medientyp: | academicJournal |
ISSN: | 0004-0002 |
DOI: | 10.1007/s10508-019-01513-z |
Schlagwort: |
|
Sonstiges: |
|