Teclessou Julienne Noude, Akakpo Séfako Abla, Ekouevi Koumavi Didier, Koumagnanou Georges, Singo-Tokofai Assétina, Pitche Palokinam Vincent
Service of Dermato-Venerology, CHU Sylvanus Olympio, Unversity of Lome, Togo.
Public Health Department, University of Lomé, Togo.
Pan Afr Med J. 2017 Nov 1;28:191. doi: 10.11604/pamj.2017.28.191.11285. eCollection 2017.
The aim of this study was to assess sexual behavior and measure HIV prevalence among MSM in 2015, in Togo.
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.
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].
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.
本研究的目的是评估2015年多哥男男性行为者的性行为并测量其艾滋病毒感染率。
2015年2月至3月，我们在多哥的九个主要城市开展了一项横断面研究。采用应答者驱动抽样方法招募男男性行为者。行为数据通过访谈员 administered问卷收集。然后对男男性行为者进行血液检测以评估其艾滋病毒感染状况。数据录入Epidata数据库并导出至STATA 9.0进行分析。定性变量采用卡方检验进行比较。
本研究共纳入496名男男性行为者，其中43.35%来自首都洛美。在过去12个月中，88.9%的男男性行为者与男性发生过性行为，24.1%与女性发生过性行为。52.9%的男男性行为者最近一次性行为的对象是临时伴侣。在调查前的最后30天内，68.5%的男男性行为者在主动肛交时经常使用避孕套，71.9%在被动肛交时使用过避孕套。男男性行为者中艾滋病毒的全国感染率为13.0%。与艾滋病毒感染相关的因素有：男男性行为者的年龄（比值比=5.30 [1.85 - 15.1]）、艾滋病毒检测史（比值比=2.63 [1.18 - 5.87]）以及男男性行为者的居住城市（比值比=5.56 [2.90 - 10.64]）。
本研究证实，男男性行为者中的艾滋病毒感染率比普通人群高五倍（13%对2.5%）。因此，有必要重新思考针对男男性行为者等隐蔽和受污名化人群的艾滋病毒宣传和预防策略。
