Rollins School of Public Health, Emory University, Atlanta, Georgia, United States.
Pan Afr Med J. 2021 Apr 6;38:331. doi: 10.11604/pamj.2021.38.331.27237. eCollection 2021.
the neighboring Republics of Chad and Cameroon have respectively one of the lowest and highest HIV prevalence rates in central Africa at 1.3% and 4.5%, respectively. We conducted a comparative description of social behaviors and HIV risk factors among heterosexual men and explored the baseline of the first UNAIDS target (by 2020, 90% of people living with HIV will know their status) in the two countries.
this was a retrospective cross-sectional study using Demographic and Health Survey data. We fitted a separate multilevel logistic model for each country. In total, 5248 men were interviewed in Chad and 7191 men in Cameroon.
Cameroonian men have a higher level of education, higher HIV testing rate, and are more knowledgeable about HIV than Chadian men. However, Chadian men have a lower number of lifetime sexual partners (2 interquartile range (IQR), 1-4) compared to Cameroonian men (6 IQR 3-15) and 86.96% of Chadian versus 57.30% of Cameroonian men reported fidelity to their domestic partners in the last twelve months.
there is a crucial need to encourage HIV screening and testing among Chadian men, especially in rural areas. Testing also needs to be increased in Cameroon to meet the first UNAIDS target. Government and partners in Cameroon could support more research and campaigns that aim at reducing multiple sexual partnerships among the communities in Cameroon.
乍得和喀麦隆这两个邻国分别是中部非洲艾滋病毒感染率最低和最高的国家，分别为 1.3%和 4.5%。我们对异性恋男性的社会行为和艾滋病毒风险因素进行了比较描述，并探讨了两国实现联合国艾滋病规划署（UNAIDS）首个目标（到 2020 年，90%的艾滋病毒感染者将知晓其感染状况）的基线情况。
这是一项使用人口与健康调查数据的回顾性横断面研究。我们为每个国家分别拟合了一个多水平逻辑模型。共有 5248 名乍得男性和 7191 名喀麦隆男性接受了访谈。
喀麦隆男性的受教育程度更高，艾滋病毒检测率更高，对艾滋病毒的了解也更多。然而，乍得男性的性伴侣人数较少（2 个四分位间距（IQR），1-4），而喀麦隆男性为 6 个 IQR（3-15），86.96%的乍得男性在过去 12 个月内对其性伴侣忠诚，而喀麦隆男性为 57.30%。
乍得男性迫切需要鼓励进行艾滋病毒筛查和检测，尤其是在农村地区。喀麦隆也需要增加检测，以实现 UNAIDS 的首个目标。喀麦隆政府和合作伙伴可以支持更多旨在减少社区中多个性伴侣的研究和宣传活动。
