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  • Reduction in risk-taking behaviors among MSM in Senegal between 2004 and 2007 and prevalence of HIV and other STIs. ELIHoS Project, ANRS 12139.

    Author(s) : Wade, A. S.Larmarange, J.Diop, A. K.Diop, O.Gueye, K.Marra, A.Sene, A.Enel, C.Diallo, P. N.Kane, N. C. T.Mboup, S.Desgrées-du-Loû, A.

    Author Affiliation : Programme Sida, Institut d'Hygiène Sociale, Dakar, Senegal.

    Author Email : annabel.desgrees@ird.fr

    Journal article : AIDS Care 2010 Vol.22 No.4 pp.409-414 ref.13

    Abstract : An epidemiological survey conducted in Senegal in 2004 among men having sex with men (MSM) revealed high HIV prevalence and a high rate of risky behaviors within this population. Consequently, several prevention campaigns targeting MSM were implemented. A second survey was carried out in 2007 to assess the impact of these measures. This paper aims to examine trends in HIV and STI prevalence and in sexual behaviors between 2004 and 2007. The two surveys were conducted in four urban sites among 440 and 501 MSM - recruited using the snowball sampling method - in 2004 and 2007, respectively. A similar methodology was applied for both surveys. This consisted of a closed-ended questionnaire concerning socio-demographic, behavioral, and biomedical information plus a clinical examination including urine and blood tests to detect STIs and HIV infection. Between 2004 and 2007, the frequency of different sexual practices reported by MSM remained stable, but condom use for each type of sexual practice rose. The percentage of men who reported consistent condom use during previous-month anal sex has increased by about 35% (p<0.01). The percentage of men who reported consistent condom use during previous-month non-commercial sex with women has increased by 14% (p<0.01). HIV prevalence remained stable from 22.4% [95% CI: 18.6-26.8] in 2004 to 21.8% [95% CI: 18.3-25.7] in 2007 (adjusted OR=1.05, p=0.8). Gonorrhea prevalence decreased from 5.5% [95% CI: 3.6-8.3] in 2004 to 2.6% [95% CI: 1.5-4.5] in 2007 (adjusted OR=0.5, p=0.07). The prevention campaigns, STI and HIV care and support programs conducted in Senegal among MSM have been followed by a reduction of risk-taking behaviors and STI prevalence among this population. Specific targeting of this group within HIV/STI prevention programs seems to be effective in decreasing sexual infections.

    ISSN : 0954-0121

    DOI : 10.1080/09540120903253973

    Record Number : 20103177657

    Publisher : Taylor & Francis

    Location of publication : Abingdon

    Country of publication : UK

    Language of text : English

    Language of summary : English

    Indexing terms for this abstract:

    Organism descriptor(s) : Lentivirus, man

    Descriptor(s) : behaviour, condoms, disease prevalence, health programmes, health protection, HIV infections, homosexuality, human diseases, human immunodeficiency viruses, men, public health, risk behaviour, risk groups, sexual behaviour, sexually transmitted diseases

    Identifier(s) : behavior, health programs, homosexuals, Human immunodeficiency virus, human immunodeficiency virus infections, risk behavior, sexual behavior, sexual practices, sexuality, STDs, subsaharan Africa, venereal diseases

    Geographical Location(s) : Africa South of Sahara, Senegal

    Broader term(s) : Lentivirus, Orthoretrovirinae, Retroviridae, RNA Reverse Transcribing Viruses, viruses, Homo, Hominidae, primates, mammals, vertebrates, Chordata, animals, eukaryotes, ACP Countries, Developing Countries, Francophone Africa, Africa, West Africa, Africa South of Sahara