Justin Knox1,2, Padmaja Patnaik1, Avi J Hakim3, Nouhoum Telly4, Tako Ballo5, Bouyagui Traore6, Seydou Doumbia4, Maria Lahuerta1,2. 1. ICAP at Columbia University, Mailman School of Public Health, New York, USA. 2. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA. 3. Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA. 4. International Center of Excellence in Research (ICER-Mali), Faculty of Medicine and Odontostomatology, University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali. 5. World Health Organization (WHO), Bamako, Mali. 6. African Field Epidemiology Network (AFENET-Mali), Bamako, Mali.
Abstract
BACKGROUND: Men who have sex with men (MSM) are disparately impacted by HIV in sub-Saharan Africa and condomless anal intercourse (CAI) is a major driver of HIV transmission. The objective of the current study was to identify factors associated with CAI among MSM in Bamako, Mali, among whom HIV prevalence was 13.7%. METHODS: A bio-behavioral survey was conducted between October 2014 and February 2015 using respondent-driven sampling to recruit 552 adult MSM. Weighted statistical analyses were conducted to determine the prevalence of CAI with one's most recent male partner and survey logistic procedures were used to identify associated factors. RESULTS: The prevalence of CAI with one's most recent male partner was 40.7%. Associated factors included: inability to get a condom when needed (aOR = 5.8, 95%CI: 2.7-12.3) and believing CAI is acceptable under some circumstances (aOR = 8.4, 95%CI: 4.4-16.2). CONCLUSIONS: Programs addressing HIV among MSM in Mali should aim to increase access to condoms and education about HIV prevention through consistent condom use during anal intercourse.
BACKGROUND: Men who have sex with men (MSM) are disparately impacted by HIV in sub-Saharan Africa and condomless anal intercourse (CAI) is a major driver of HIV transmission. The objective of the current study was to identify factors associated with CAI among MSM in Bamako, Mali, among whom HIV prevalence was 13.7%. METHODS: A bio-behavioral survey was conducted between October 2014 and February 2015 using respondent-driven sampling to recruit 552 adult MSM. Weighted statistical analyses were conducted to determine the prevalence of CAI with one's most recent male partner and survey logistic procedures were used to identify associated factors. RESULTS: The prevalence of CAI with one's most recent male partner was 40.7%. Associated factors included: inability to get a condom when needed (aOR = 5.8, 95%CI: 2.7-12.3) and believing CAI is acceptable under some circumstances (aOR = 8.4, 95%CI: 4.4-16.2). CONCLUSIONS: Programs addressing HIV among MSM in Mali should aim to increase access to condoms and education about HIV prevention through consistent condom use during anal intercourse.
Authors: Wolfgang Hladik; Joseph Barker; John M Ssenkusu; Alex Opio; Jordan W Tappero; Avi Hakim; David Serwadda Journal: PLoS One Date: 2012-05-31 Impact factor: 3.240