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Prevalence and Correlates of HIV Infection Among Men Who Have Sex with Men in Congo, 2017
International Journal of HIV/AIDS Prevention, Education and Behavioural Science
Volume 6, Issue 2, December 2020, Pages: 67-72
Received: Nov. 16, 2020; Accepted: Nov. 30, 2020; Published: Dec. 8, 2020
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Authors
Gilbert Ndziessi, Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Axel Julius Aloumba, Infectious Diseases Unit, University Hospital Centre, Brazzaville, Congo
Raphael Bioko, Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Benjamin Atipo, National Council for the Fight against AIDS and Epidemics, Minister of health and Population, Brazzaville, Congo
Joseph Axel Ngatsie, Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Michel Bitemo, National Council for the Fight against AIDS and Epidemics, Minister of health and Population, Brazzaville, Congo
Gontran Ondzotto, Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
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Abstract
Background: The risk of contracting HIV is very high in Men who have sex with men (MSM) compared to the general population. This study aimed to estimates HIV prevalence among MSM in 2018 in Congo and identified associated factors. Methods: Cross-sectional study using the respondent-driven sampling method was conducted. Blood samples were collected and tested for HIV. Chi-square or Fischer test was used for proportion comparisons and logistic regression was carried out to assess predictors of HIV infection in MSM using the Statistical Package for the Social Sciences (SPSS) software. Results: HIV prevalence among 182 MSM was 41,2%. Average age was 25±5 years. Current age between 25-29 years (ORa=18.9 [1.9 – 25.0]; p=0.01), current age between 30-34 years (ORa=47 [40.0 – 59.0]; p=0.003), not use condoms for passive penetration (ORa=5.2 [1.1 – 24.1]; p=0.03), and non-use of the condom due to faithfulness to one's partner (ORa=6.9 [1.9 - 25.1]; p=0.003) were found associated with HIV infection among MSM. Conversely, being more than 20 years old at first anal sex was found to be associated with reduced risk of acquiring HIV (ORa=0.2; IC=1.1 – 11,4; p=0.03). Conclusion: Among MSM in Congo, HIV prevalence is high as a result of high-risk sexual behavior. Programs aimed at reducing risk should be enhanced in MSM including, as a priority, preventive advice, condom supplies, HIV and STI testing and communication.
Keywords
HIV, Prevalence, Men Who Have Sex with Men, Risk Factors, Congo
To cite this article
Gilbert Ndziessi, Axel Julius Aloumba, Raphael Bioko, Benjamin Atipo, Joseph Axel Ngatsie, Michel Bitemo, Gontran Ondzotto, Prevalence and Correlates of HIV Infection Among Men Who Have Sex with Men in Congo, 2017, International Journal of HIV/AIDS Prevention, Education and Behavioural Science. Vol. 6, No. 2, 2020, pp. 67-72. doi: 10.11648/j.ijhpebs.20200602.16
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
UNAIDS Global HIV & AIDS statistics — 2020 fact sheet. [Internet]. [cité 15 nov 2020]. Disponible sur: https://www.unaids.org/en/resources/fact-sheet.
[2]
UNAIDS Key population groups. 2017. [Internet]. [cité 15 nov 2020]. Disponible sur: https://www.unaids.org/en/topic/key-populations.
[3]
Gallardo L T, Castro D R and Le Gal J-M 2012 Lutte contre le sida et homoxualité en Afrique francophone: une étude comparative. [Internet]. [cité 14 nov 2020]. Disponible sur: https://www.researchgate.net/publication/317667228_Lutte_contre_le_VIH_et_homosexualites_en_Afrique_francophone_Une_etude_comparative/link/594826cf0f7e9b1d9b232176/download/.
[4]
Desenclos J-C, Dabis F and Semaille C 2013 Global HIV epidemiology: specific patterns of the epidemic in the North and South Virol. Montrouge Fr. 17 132–44.
[5]
Kitara D L and Aloyo J 2012 HIV/AIDS Stigmatization, the Reason for Poor Access to HIV Counseling and Testing (HCT) Among the Youths in Gulu (Uganda) Afr. J. Infect. Dis. 6 12–20.
[6]
Skinner D and Mfecane S 2004 Stigma, discrimination and the implications for people living with HIV/AIDS in South Africa SAHARA J J. Soc. Asp. HIVAIDS Res. Alliance 1 157–64.
[7]
Baral S, Trapence G, Motimedi F, Umar E, Iipinge S, Dausab F and Beyrer C 2009 HIV prevalence, risks for HIV infection, and human rights among men who have sex with men (MSM) in Malawi, Namibia, and Botswana PloS One 4 e4997.
[8]
Wirtz A L, Jumbe V, Trapence G, Kamba D, Umar E, Ketende S, Berry M, Strömdahl S, Beyrer C and Baral S D 2013 HIV among men who have sex with men in Malawi: elucidating HIV prevalence and correlates of infection to inform HIV prevention J. Int. AIDS Soc. 16 Suppl 3 18742.
[9]
Wade A S, Kane C T, Diallo P A N, Diop A K, Gueye K, Mboup S, Ndoye I and Lagarde E 2005 HIV infection and sexually transmitted infections among men who have sex with men in Senegal AIDS Lond. Engl. 19 2133–40.
[10]
Hessou S P H, Glele-Ahanhanzo Y, Adekpedjou R, Ahoussinou C, Djade C D, Biaou A, Johnson C R, Boko M and Alary M 2020 HIV incidence and risk contributing factors among men who have sex with men in Benin: A prospective cohort study PloS One 15 e0233624.
[11]
CNSEE, CNLS, ICF MACRO Congo, Rep. - Enquête de Séroprévalence et sur les Indicateurs du Sida du Congo 2009.
[12]
CNLS-Congo 2012 Enquête comportementale couplée à la sérologie VIH chez les hommes ayant des rapports sexuels avec les hommes, les professionnelles de sexe, les consommateurs de drogues injectables et les détenus en république du Congo.
[13]
Heckathorn D D 1997 Respondent-Driven Sampling: A New Approach to the Study of Hidden Populations Soc. Probl. 44 174–99.
[14]
Salganik M J and Heckathorn D D 2004 Sampling and Estimation in Hidden Populations Using Respondent-Driven Sampling Sociol. Methodol. 34 193–239.
[15]
Niama F R, Loukabou Bongolo N C, Mayengue P I, Mboussou F F, Kombo Bayonne E S, Kouckodila Nzingoula F M, Dossou-Yovo L R, Louzolo I, Etoka-Beka M K, Lanzy A, Yameogo I, Louvouezo D, Kobawila S C, Puruhence M-F and Parra H J 2017 A study on HIV, Syphilis, and Hepatitis B and C virus infections among female sex workers in the Republic of Congo Arch. Public Health 75 21.
[16]
Beyrer C, Trapence G, Motimedi F, Umar E, Iipinge S, Dausab F, et al. Bisexual concurrency, bisexual partnerships, and HIV among Southern African men who have sex with men. Sex Transm Infect. août 2010; 86 (4): 323-7.
[17]
Park JN, Papworth E, Kassegne S, Moukam L, Billong SC, Macauley I, et al. HIV prevalence and factors associated with HIV infection among men who have sex with men in Cameroon. J Int AIDS Soc. 2 déc 2013; 16 Suppl 3: 18752.
[18]
Sandfort TGM, Dominguez K, Kayange N, Ogendo A, Panchia R, Chen YQ, et al. HIV testing and the HIV care continuum among sub-Saharan African men who have sex with men and transgender women screened for participation in HPTN 075. PloS One. 2019; 14 (5): e0217501.
[19]
Twahirwa Rwema JO, Lyons CE, Herbst S, Liestman B, Nyombayire J, Ketende S, et al. HIV infection and engagement in HIV care cascade among men who have sex with men and transgender women in Kigali, Rwanda: a cross-sectional study. J Int AIDS Soc. oct 2020; 23 Suppl 6: e25604.
[20]
Keshinro B, Crowell TA, Nowak RG, Adebajo S, Peel S, Gaydos CA, et al. High prevalence of HIV, chlamydia and gonorrhoea among men who have sex with men and transgender women attending trusted community centres in Abuja and Lagos, Nigeria. J Int AIDS Soc. 2016; 19 (1): 21270.
[21]
Kayode BO, Mitchell A, Ndembi N, Kokogho A, Ramadhani HO, Adebajo S, et al. Retention of a cohort of men who have sex with men and transgender women at risk for and living with HIV in Abuja and Lagos, Nigeria: a longitudinal analysis. J Int AIDS Soc. oct 2020; 23 Suppl 6: e25592.
[22]
ONUSIDA 90-90-90: traitement pour tous. [Internet]. [cité 11 nov 2020]. Disponible sur: https://www.unaids.org/fr/resources/909090.
[23]
Doyle A M, Mavedzenge S N, Plummer M L and Ross D A 2012 The sexual behaviour of adolescents in sub-Saharan Africa: patterns and trends from national surveys Trop. Med. Int. Health TM IH 17 796–807.
[24]
Rizvi F, Williams J and Hoban E 2019 Factors Influencing Unintended Pregnancies amongst Adolescent Girls and Young Women in Cambodia Int. J. Environ. Res. Public. Health 16.
[25]
Shah P S, Balkhair T, Ohlsson A, Beyene J, Scott F and Frick C 2011 Intention to become pregnant and low birth weight and preterm birth: a systematic review Matern. Child Health J. 15 205–16.
[26]
Baral S, Trapence G, F Motimedi, Umar E, S Iipinge, Dausab F, et al. 2009 HIV prevalence, risks for HIV infection, and human rights among men who have sex with men (MSM) in Malawi, Namibia, and Botswana. PLoS ONE 4 (3): e4997.
[27]
Guo W, Li Y, Zhou N, Wu G H, Chang W H, Huan X P, Hui S, Tong X, Guo Y, Yu M H, Lu R R, Ouyang L, Dong L F, Li H, Li J J, Liu X Y, Liu Y L, Luo C, Wei X L, Huang X D and Cui Y 2018 [Risk factors related to HIV new infections among men who have sex with men in a cohort study] Zhonghua Liu Xing Bing Xue Za Zhi Zhonghua Liuxingbingxue Zazhi 39 16–20.
[28]
Hernandez I, Reina-Ortiz M, Johnson A, Rosas C, Sharma V, Teran S, Naik E, Salihu H M, Teran E and Izurieta R 2017 Risk Factors Associated With HIV Among Men Who Have Sex With Men (MSM) in Ecuador Am. J. Mens Health 11 1331–41.
[29]
Boily M-C, Baggaley R F, Wang L, Masse B, White R G, Hayes R J and Alary M 2009 Heterosexual risk of HIV-1 infection per sexual act: systematic review and meta-analysis of observational studies Lancet Infect. Dis. 9 118–29.
[30]
Baggaley R F, White R G and Boily M-C 2010 HIV transmission risk through anal intercourse: systematic review, meta-analysis and implications for HIV prevention Int. J. Epidemiol. 39 1048–63.
[31]
Gile K J and Handcock M S 2010 Respondent-Driven Sampling: An Assessment of Current Methodology Sociol. Methodol. 40 285–327.
[32]
Badowski G, Somera L P, Simsiman B, Lee H-R, Cassel K, Yamanaka A and Ren J 2017 The efficacy of respondent-driven sampling for the health assessment of minority populations Cancer Epidemiol. 50 214–20.
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