HIV prevalence and risk practices among men who have sex with men in two South African cities
: JAIDS - Journal of Acquired Immune Deficiency Syndromes OUTPUT TYPE
: Journal Article PUBLICATION YEAR
: L.C.Rispel, C.A.Metcalf, A.Cloete
, V.Reddy, C.LombardKEYWORDS
, RISK BEHAVIOUR
, SEXUAL BEHAVIOURDEPARTMENT
: Social Aspects of Public Health (SAPH)
, Human and Social Development (HSD)
: HSRC Library: shelf number 6846
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at email@example.com.
Background: In South Africa, information on HIV among men who have sex with men (MSM) is limited, and HIV prevention programs for men MSM are not widely available, despite global evidence that MSM are at substantial risk for HIV infection.
The Johannesburg/eThekwini Men's Study was conducted during 2008 to provide information on HIV among MSM in Johannesburg and Durban.
Methods: MSM aged 18 years or older were recruited using respondent-driven sampling. Participants completed a questionnaire
and provided finger-prick blood specimens for anonymous HIV testing in a laboratory.
Results: From July to December 2008, 285 MSM were recruited in Johannesburg (n = 204) and Durban (n = 81). Participants had
a median age of 22 years and were predominantly black Africans (88.3%). The HIV prevalence was 49.5% [95% confidence interval
(CI): 42.5% to 56.5%] in Johannesburg and 27.5% [95% CI: 17.0% to 38.1%] in Durban. HIV infection was associated with gay
identification [adjusted odds ratio (aOR): 8.4; 95% CI: 3.7 to 19]. Factors in the previous year that were associated with HIV infection
included receptive unprotected anal intercourse [aOR 4.3; 95% CI:2.4 to 7.6]; sex with a person known to be HIV positive [aOR: 2.3; 95% CI: 1.1 to 4.9]; and a sexually transmitted infection diagnosis [aOR 2.4; 95% CI: 1.1 to 5.2].
Conclusions: HIV prevalence among MSM in Johannesburg and Durban is considerably higher compared with men in the general
population. There is an urgent need to establish national HIV surveillance among MSM and to expand the availability of HIV
prevention programs for MSM.
Related Research Outputs:
- Social networks, social support and HIV-risk behaviors among men who have sex with men in Durban, South Africa: a pilot study
- The South African Marang men's project: HIV bio-behavioural surveys conducted among men who have sex with men in Cape Town, Durban and Johannesburg using respondent driven sampling
- Stigma and discrimination experiences of HIV-positive men who have sex with men in Cape Town, South Africa
- HIV testing and self-reported HIV status in South African men who have sex with men: results from a community-based survey
- Researching MSM in South Africa: some preliminary notes from the frontlines of a hidden epidemic
- The Johannesburg/eThewkini Men's Study (JEMS): a rapid assessment of the HIV epidemic among men who have sex with men (MSM) in South Africa: technical report
- "Get sick first, test later": HIV testing practices of men who have sex with men (MSM) in the Johannesburg/Ethekwini Men's Study (JEMS)
- Stigma and discrimination experiences of HIV positive men who have sex with men (MSM) and heterosexual men in Cape Town, South Africa
- The fallacy of intimacy: sexual risk behaviour and beliefs about trust and condom use among men who have sex with men in South Africa
- You became afraid to tell them that you are gay: health service utilization by men who have sex with men in South African cities
- Attitudes towards condom use may explain why older black South African msm engage in unprotected insertive anal sex more frequently
- Sexual violence and HIV risk among black men who have sex with men in South African townships
- Communicating HIV status in sexual interactions: assessing social cognitive constructs, situational factors, and individual characteristics among South African MSM
- After-nine, 429, he-she, stabane, and gay, bisexual and other 'men sleeping with men': diversity in black South African MSM identities and implications for HIV prevention
- "Gays have money": the gendered nature and meanings of transactional sex among black men who have sex with men in South Africa
- Rewriting the narrative of the epidemiology of HIV in sub-Saharan Africa
- Layered stigma and HIV/AIDS: experiences of men who have sex with men (MSM) in South Africa
- Integrated strategies for combination HIV prevention: principles and examples for men who have sex with men in the Americas and heterosexual African populations
- Age and sexual risk among black men who have sex with men in South Africa: the mediating role of attitudes towards condoms
- Lessons learnt in a HIV behavioural survey using respondent driven sampling (RDS) among men who have sex with men (MSM) in three South African cities