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AIDS Behav. 2016 Oct;20(10):2296-2308. 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.

Author information

1
International Training and Education Center for Health, P.O. BOX 364, Maputo, Mozambique. bel.sathane@gmail.com.
2
Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.
3
Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Maputo, Mozambique.
4
Department of Anthropology, University of Washington, Seattle, WA, USA.
5
Instituto Nacional de Saúde, Maputo, Mozambique.
6
Universidade Federal do Espírito Santo, Vitória, Brazil.
7
San Francisco Department of Public Health, San Francisco, CA, USA.

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

PMID:
27059491
DOI:
10.1007/s10461-016-1390-1
[Indexed for MEDLINE]

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