Increasing HIV prevalence among males that have intercourse with guys in Nigeria: a trend analysis

Increasing HIV prevalence among males that have intercourse with guys in Nigeria: a trend analysis

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Guys who’ve sex with males (MSM) are conservatively projected to be lower than 1% for the population that is nigerian nationally account fully for about 20per cent of brand new HIV disease. We estimated the trend in HIV prevalence and determined correlates of HIV disease among MSM.

This research utilized information from respondent-driven sampling in three rounds of built-in 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 similar methodology and hence permits contrast. Behavioral information were acquired making use of an organized questionnaire that is pre-coded. Variations in categorical factors had been examined with Chi Square. Logistic regression ended up being used to spot factors connected with HIV.

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

Background

Globally, males that have intercourse with guys (MSM) remain disproportionately infected and affected by HIV 1, 2. Despite huge assets in global 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 1, 3. In high earnings nations, the trend of HIV epidemic is for a decrease except among MSM 1. Likewise, available information on HIV incidence and prevalence from low and middle-income nations claim that the HIV epidemic among gay, bisexual as well as other males that have intercourse with guys are on a markedly different and increasing trajectory 1,2,3. In america, brand new HIV infections among MSM is predicted to be increasing at 8% per annum since 2001 1. Into the Amsterdam Cohort research among MSM, HIV acquisition increased from 1.0 per 100 person-years in 1992 to 2.0 per 100-person years in ’09 4, 5 while in China, from prospective cohort studies carried out among MSM between 2005 and 2007, HIV purchase had been reported to own increased from 2.6 to 5.6 per 100 person-years 6,7,8,9.

Most studies of HIV acquisition and transmission among MSM have actually mostly centered on specific degree risk facets including unprotected anal that is receptive, large number of lifetime male lovers, inserting and non-injecting medication usage and high viral load when you look at the index partner 1. Nonetheless, specific degree danger facets alone, have now been been shown to be inadequate to describe the high transmission characteristics of HIV among MSM while the divergence of MSM epidemics compared to HIV epidemics various other populations 1, 2. Other danger factors such as for example biological, couple-network degree, community-level and structural motorists have already been founded become relevant in comprehending the persistent high transmission prices among MSM particularly in the current presence of increased ART protection whereby brand brand new russian bride.com infections should decrease due to reduced probability of transmission due to the effectation of ART on viral load 2, 10, 11.

MSM in Nigeria are conservatively believed to be lower than 1% associated with the population that is nigerian nationally account fully for about 20% of brand new HIV infections 12. MSM are criminalized and stigmatized and also this has further worsened in modern times aided by the passage of the Marriage that is same-Sex Prohibition of 2014 13,14,15,16,17. The brand new legislation included clauses that prohibited businesses from supplying solutions to MSM and facilitation of meetings that support homosexual individuals, thus further criminalizing same-sex activities 12. Research reports have shown why these restrictive policies further restrict the coverage that is poor of avoidance, therapy, and care programs among MSM 12, 18,19,20,21. Extremely few HIV that is MSM-targeted prevention therapy and care solutions occur in a small range states in Nigeria. This might be mainly due to restricted information regarding the size estimate of MSM across states along with restricted capital for key population committed programs. Information on MSM are mainly from three rounds associated with population-based incorporated Biological and Behavioural Surveillance Survey (IBBSS) conducted in, 2007, 2010, and 2014. This research aimed to evaluate the noticeable improvement in HIV prevalence and discover correlates of HIV among MSM in Nigeria. Proof using this scholarly research will undoubtedly be employed by policy manufacturer and system supervisors for evidence-based decision making for HIV prevention among MSM in Nigeria.

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In 2007, only three states – Lagos, Kano and Cross River, had been contained in the IBBSS. This season, after increased knowing of the share of MSM to your HIV epidemic, yet another three states had been within the IBBSS – the Federal Capital Territory (FCT), Kaduna and Oyo, whilst in 2014, Enugu and streams states had been put into the six states within the 2010 IBBSS. Hawaii selection ensured that five associated with the six geopolitical areas in Nigeria had been represented when you look at the study. Hence, the west that is southLagos and Oyo), south east (Enugu), south south (streams), north central (FCT) and north west areas (Kano and Kaduna) contributed to your research.

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