Risk Factors Associated with HIV Among Men Who Have Sex Only with Men and Men Who Have Sex with Both Men and Women in Three Urban Areas in Mozambique

Isabel Sathane, Roberta Horth, Peter Young, Celso Inguane, Rassul Nalá, Angelica E. Miranda, Tim Lane, H. Fisher Raymond, Beverley Cummings, Willi McFarland

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Using respondent-driven sampling (RDS), an integrated biological behavioral survey among men that have sex with men (MSM) enrolled 457 participants in Maputo [63.0 % were MSM who had sex with women (MSMW)], 538 in Beira (36.2 % MSMW) and 330 in Nampula-Nacala (54.8 % MSMW) in 2011. Analysis suggests that MSM who have sex only with men (MSMO) had increased odds of having HIV (aOR 2.7) compared to MSMW. HIV among MSMO associated with age, self-reported STI (aOR 4.2), having a single male anal partner (aOR 3.8) and having transactional sex with a man (aOR 3.5) in the past year. Among MSMW, HIV associated with age, lower education (aOR 32.5), being uncircumcised (aOR 3.1) and having transactional sex with a woman (aOR 6.0) in the past year. Findings confirm that MSMO and MSMW have distinct HIV risks in Mozambique; HIV programs for MSM in Southern Africa should take such differences into consideration.

Original languageEnglish (US)
Pages (from-to)2296-2308
Number of pages13
JournalAIDS and behavior
Volume20
Issue number10
DOIs
StatePublished - Oct 1 2016
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Keywords

  • Africa
  • Behavioral surveillance
  • HIV prevalence
  • MSM
  • Mozambique
  • RDS
  • Respondent-driven sampling

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