Increasing HIV prevalence among males who possess intercourse with guys in Nigeria: a trend analysis

Increasing HIV prevalence among males who possess intercourse with guys in Nigeria: a trend analysis

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Guys that have intercourse with guys (MSM) are conservatively calculated to be significantly less than 1% of this Nigerian population yet nationally account fully for about 20per cent of brand new HIV illness. We estimated the trend in HIV prevalence and determined correlates of HIV illness among MSM.

This research utilized information from respondent-driven sampling in three rounds of integrated biological and behavioral surveillance study (2007, 2010 and 2014) and covered three states in 2007, six states this year and eight states in 2014. Each round utilized methodology that is similar hence enables contrast. Behavioral information were obtained making use of a organized pre-coded questionnaire. Variations in categorical variables had been examined with Chi Square. Logistic regression had been utilized to recognize facets related to HIV.

An overall total of 879, 1545 and 3611 MSM were recruited in 2007, 2010 and 2014 correspondingly. Median age was 22 years for 2007 and 2014 although it ended up being 24 years this year. About one-third of MSM in 2007 and 2014 and about two-fifths this year had involved with transactional intercourse. HIV prevalence increased from 14% in 2007 to 17percent this season to 23% in 2014 (p

Background

Globally, men who’ve intercourse with males (MSM) remain disproportionately infected and affected by HIV 1, 2. Despite huge assets in international HIV and expanded treatment that is antiretroviralART) programs which have led to significant decreases in HIV among other sub-populations (basic populace, feminine intercourse employees), HIV among MSM has remained for a sustained increase globally hot russian brides 1, 3. In high earnings nations, the trend of HIV epidemic is for a decrease except among MSM 1. Similarly, available information on HIV incidence and prevalence from low and middle-income countries declare that the HIV epidemic among gay, bisexual along with other males that have intercourse with guys are on a markedly different and trajectory 1,2,3 that is increasing. In america, brand new HIV infections among MSM happens to be predicted to be increasing at 8% per year since 2001 1. Into the Amsterdam Cohort research among MSM, HIV purchase increased from 1.0 per 100 person-years in 1992 to 2.0 per 100-person years during 2009 4, 5 while in China, from prospective cohort studies carried out among MSM between 2005 and 2007, HIV purchase had been reported to possess increased from 2.6 to 5.6 per 100 person-years 6,7,8,9.

Many studies of HIV purchase and transmission among MSM have actually largely dedicated to specific degree risk factors including unprotected receptive anal sex, lot of lifetime male lovers, inserting and non-injecting medication usage and high viral load within the index partner 1. Nonetheless, specific degree danger facets alone, have now been been shown to be inadequate to spell out the high transmission characteristics of HIV among MSM and also the divergence of MSM epidemics when compared to HIV epidemics various other populations 1, 2. Other danger facets such as for instance biological, couple-network degree, community-level and structural motorists have already been founded become relevant in comprehending the persistent transmission that is high among MSM particularly in the clear presence of increased ART protection whereby brand brand new infections should decrease due to reduced odds of transmission due to the aftereffect of ART on viral load 2, 10, 11.

MSM in Nigeria are conservatively approximated to be significantly less than 1% for the population that is nigerian nationally account fully for about 20per cent of brand new HIV infections 12. MSM are criminalized and stigmatized and also this has further worsened in the last few years aided by the passage through of the Marriage that is same-Sex Prohibition of 2014 13,14,15,16,17. The law that is new clauses that prohibited companies from supplying solutions to MSM and facilitation of meetings that support homosexual individuals, thus further criminalizing same-sex activities 12. Research indicates why these restrictive policies further limit the poor coverage of HIV avoidance, treatment, and care programs among MSM 12, 18,19,20,21. Really few HIV that is MSM-targeted prevention therapy and care solutions occur in a finite quantity of states in Nigeria. This might be mainly due to limited information on the size estimate of MSM across states along with restricted financing for key population devoted programs. Data on MSM are mostly from three rounds associated with Integrated that is population-based Biological Behavioural Surveillance Survey (IBBSS) conducted in, 2007, 2010, and 2014. This study aimed to evaluate the noticeable improvement in HIV prevalence and figure out correlates of HIV among MSM in Nigeria. Proof with this scholarly research will undoubtedly be employed by policy manufacturer and system managers for evidence-based choice making for HIV prevention among MSM in Nigeria.

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In 2007, just three states – Lagos, Kano and Cross River, were contained in the IBBSS. An additional three states were included in the IBBSS – the Federal Capital Territory (FCT), Kaduna and Oyo, while in 2014, Enugu and Rivers states were added to the six states included in the 2010 IBBSS in 2010, following increased awareness of the contribution of MSM to the HIV epidemic. Their state selection ensured that five for the six zones that are geopolitical Nigeria had been represented when you look at the study. Therefore, the west that is southLagos and Oyo), south east (Enugu), south south (streams), north central (FCT) and north west areas (Kano and Kaduna) contributed into the research.

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