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Pan Afr Med J. 2017 Nov 1;28:191. doi: 10.11604/pamj.2017.28.191.11285. eCollection 2017.

Evolution of HIV prevalence and behavioral factors among MSM in Togo between 2011 and 2015.

Author information

1
Service of Dermato-Venerology, CHU Sylvanus Olympio, Unversity of Lome, Togo.
2
Public Health Department, University of Lomé, Togo.
3
Population Service International, Washington, US.
4
National AIDS Program, Ministry of Health, Saudi Arabia.
5
National AIDS Council of Togo, Togo.

Abstract

Introduction:

The aim of this study was to assess sexual behavior and measure HIV prevalence among MSM in 2015, in Togo.

Methods:

We conducted a cross-sectional study from February to March 2015 in nine major cities of Togo. The respondent-driven sampling method was used to recruit MSM. Behavioral data were collected by interviewer-administered questionnaires. The blood tests were then carried out among MSM to assess their HIV status. Data were inputted into an Epidata database and exported to STATA® 9.0 for analysis. Qualitative variables were compared using the chi-2.

Results:

A total of 496 MSM were involved in this study, with 43.35% in the capital, Lome. Over the past 12 months, 88.9% of MSM had had sexual intercourse with men and 24.1% of them had had sex with women. The last sexual intercourse was with a casual partner among 52.9% of MSM. During the last 30 days preceding the survey, 68.5% of MSM had regularly used a condom during active anal intercourse and 71.9% had used it during passive anal intercourse. The national prevalence rate of HIV among MSM was 13.0%. The factors associated with HIV infection were age of MSM OR = 5.30 [1.85-15.1], HIV testing history OR = 2.63 [1.18-5.87] and the city of residence of MSM OR = 5.56 [2.90-10.64].

Conclusion:

This study confirms that HIV prevalence among MSM is five times higher than in the general population (13% vs 2.5%). Thus, the need to rethink HIV sensitization and prevention strategies targeting hidden and stigmatized populations such as MSM.

KEYWORDS:

HIV; Togo; behavioral MSM

PMID:
29599889
PMCID:
PMC5873283
DOI:
10.11604/pamj.2017.28.191.11285
[Indexed for MEDLINE]
Free PMC Article

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