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

doi:10.1007/s10461-016-1390-1

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 journal › Article › peer-review

17 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 language	English (US)
Pages (from-to)	2296-2308
Number of pages	13
Journal	AIDS and behavior
Volume	20
Issue number	10
DOIs	https://doi.org/10.1007/s10461-016-1390-1
State	Published - Oct 1 2016
Externally published	Yes

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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10.1007/s10461-016-1390-1

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title = "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",

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.",

keywords = "Africa, Behavioral surveillance, HIV prevalence, MSM, Mozambique, RDS, Respondent-driven sampling",

author = "Isabel Sathane and Roberta Horth and Peter Young and Celso Inguane and Rassul Nal{\'a} and Miranda, {Angelica E.} and Tim Lane and Raymond, {H. Fisher} and Beverley Cummings and Willi McFarland",

note = "Funding Information: The authors would like to thank the study participants for accepting to be part of this study, the study field team and members of the integrated biological and behavioral surveillance Mozambique technical working group for their dedication in the study planning and execution processes, as well as all implementing institutions for their support in all phases of the study. This research has been supported by the President{\textquoteright}s Emergency Plan for AIDS Relief (PEPFAR) through the US Department of Health and Human Services and the Centers for Disease Control and Prevention (CDC) Mozambique Country Office under the terms of Cooperative Agreement Number U2GPS001468. The views expressed in this report do not necessarily reflect the views of the US Centers for Disease Control and Prevention or the U.S. Government. Publisher Copyright: {\textcopyright} 2016, Springer Science+Business Media New York.",

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doi = "10.1007/s10461-016-1390-1",

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AU - Sathane, Isabel

AU - Horth, Roberta

AU - Young, Peter

AU - Inguane, Celso

AU - Nalá, Rassul

AU - Miranda, Angelica E.

AU - Lane, Tim

AU - Raymond, H. Fisher

AU - Cummings, Beverley

AU - McFarland, Willi

N1 - Funding Information: The authors would like to thank the study participants for accepting to be part of this study, the study field team and members of the integrated biological and behavioral surveillance Mozambique technical working group for their dedication in the study planning and execution processes, as well as all implementing institutions for their support in all phases of the study. This research has been supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through the US Department of Health and Human Services and the Centers for Disease Control and Prevention (CDC) Mozambique Country Office under the terms of Cooperative Agreement Number U2GPS001468. The views expressed in this report do not necessarily reflect the views of the US Centers for Disease Control and Prevention or the U.S. Government. Publisher Copyright: © 2016, Springer Science+Business Media New York.

PY - 2016/10/1

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N2 - 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.

AB - 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.

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KW - HIV prevalence

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KW - Respondent-driven sampling

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IS - 10

ER -

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

Abstract

All Science Journal Classification (ASJC) codes

Keywords

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