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Sex Health. 2010 Jun;7(2):149-53. doi: 10.1071/SH09090.

Sexual risk behaviours and HIV-1 prevalence among urban men who have sex with men in Cape Town, South Africa.

Author information

1
Desmond Tutu HIV Centre, University of Cape Town, Cape Town 7705, South Africa. earl.burrell@ucla.edu

Abstract

BACKGROUND:

Distinct homosexual and heterosexual HIV epidemics have previously been recognised in South Africa. However, linked HIV prevalence and self-reported sexual risk behaviour data have not been reported for men who have sex with men (MSM) in Cape Town since 1986.

METHODS:

We conducted a cross-sectional, anonymous, venue-based HIV risk behaviour and prevalence study of 542 self-identified MSM in greater Cape Town using a self-administered risk questionnaire and the OraSure testing device to asses HIV-1 prevalence.

RESULTS:

This sample had an overall HIV prevalence of 10.4% (56/539). We found that self-identifying as gay, homosexual or queer (adjusted odds ratio (AOR) 4.5, 95% confidence interval (CI) 1.0-20.0) and reporting ever having had a sexually transmissible infection diagnosis (AOR 4.3, 95% CI: 2.3-8.3) were significantly predictive of testing HIV-1 positive, while reporting unprotected anal intercourse with a known HIV-negative partner (AOR 0.4, 95% CI: 0.2-0.9) was significantly protective.

CONCLUSION:

These data suggest a mature epidemic with consistent high-risk taking among MSM in Cape Town, and significant associations of select self-reported risk behaviours and HIV-1 serostatus. There is a need for continued and robust HIV surveillance along with detailed risk behaviour trends over time to inform the development of targeted risk-reduction interventions for this population.

PMID:
20465978
DOI:
10.1071/SH09090
[Indexed for MEDLINE]

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