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

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

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Guys that have intercourse with guys (MSM) are conservatively calculated to be not as much as 1% associated with population that is nigerian nationally account 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 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 methodology that is similar therefore permits contrast. Behavioral information were obtained utilizing an organized pre-coded questionnaire. Variations in categorical factors had been examined with Chi Square. Logistic regression ended up being utilized to recognize facets associated with HIV.

A complete 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 year. About one-third of MSM in 2007 and 2014 and about two-fifths this year had involved in transactional sex. HIV prevalence increased from 14% in 2007 to 17per cent this season to 23per cent in 2014 (p


Globally, males that have intercourse with guys (MSM) remain disproportionately affected and infected by HIV 1, 2. Despite huge assets in worldwide HIV and expanded treatment that is antiretroviralART) programs which have led to significant decreases in HIV among other sub-populations (basic population, feminine intercourse employees), HIV among MSM has remained on a sustained increase globally 1, 3. In high earnings nations, the trend of HIV epidemic was for a decrease except among MSM 1. Likewise, available information on HIV incidence and prevalence from low and middle-income nations declare that the HIV epidemic among gay, bisexual as well as other males who possess intercourse with guys are on a markedly different and trajectory 1,2,3 that is increasing. In america, new HIV infections among MSM was approximated to be increasing at 8% per annum since 2001 1. When you look at 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 in ’09 4, 5 while in China, from prospective studies that are cohort among MSM between 2005 and 2007, HIV purchase ended up being reported to own 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 mostly dedicated to specific degree risk facets including unprotected receptive rectal intercourse, large number of lifetime male partners, inserting and non-injecting medication usage and high viral load into the index partner 1. Nevertheless, specific level danger facets alone, were proved to be inadequate to describe the high transmission characteristics of HIV among MSM and also the divergence of MSM epidemics when comparing to HIV epidemics various other populations 1, 2. Other danger facets such as for instance biological, couple-network degree, community-level and structural motorists happen founded become relevant in comprehending the persistent high transmission prices among MSM particularly in the current presence of increased ART protection whereby brand brand brand new infections should decrease due to reduced possibility of transmission because of the aftereffect of ART on viral load 2, 10, 11.

MSM in Nigeria are conservatively calculated to be not as much as 1% associated with the Nigerian population yet nationally account fully for about 20% 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 of the Marriage that is same-Sex Prohibition of 2014 13,14,15,16,17. The brand new legislation included clauses that prohibited companies from providing 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 limit the coverage that is poor of 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 restricted amount of states in Nigeria. This really is mainly due to restricted information from the size estimate of MSM across states along with restricted capital for key population committed programs. Information on MSM are mostly from three rounds for the Integrated that is population-based Biological Behavioural Surveillance Survey (IBBSS) conducted in, 2007, 2010, and 2014. This research aimed to evaluate the improvement in HIV prevalence and discover correlates of HIV among MSM in Nigeria. Proof out of this scholarly research will soon be employed by policy manufacturer and system supervisors 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, had been 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. Hawaii selection ensured that five associated with six geopolitical areas in Nigeria had been represented within the study. Thus, the south west (Lagos 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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