Department of Public Health, School of Health Technology, Federal University of Technology, Owerri, Imo State, Nigeria.
J Prev Med Hyg. 2024 Jan 1;64(4):E382-E397. doi: 10.15167/2421-4248/jpmh2023.64.4.2931. eCollection 2023 Dec.
Men who have sex with men (MSM) belong to the key population group which contributes to the high burden of human immunodeficiency viruses (HIV)/acquired immunodeficiency syndrome (AIDS) despite the ongoing HIV prevention programs in Nigeria. The current study assessed the risk factors of HIV/AIDS among men who have sex with men in Akwa-Ibom State, Nigeria.
This study was a cross-sectional study of 400 men who have sex with men selected from three senatorial zones in Akwa Ibom. A statistical package for service solution version 23 was used to analyze the data. Descriptive statistics, Relative risk and Binary logistic regression were used to compare proportions between risk factors and HIV/AIDS among the MSM.
More than half (50.5%) of the respondents were between the ages of 20-29 years. Above 66% of the respondents made their debut into MSM at the age bracket of 13-19 years. 50% of the respondents preferred unprotected sex with fellow men. About 99% of the respondents have multiple sexual partners. More than 72% of the respondents had engaged in group sex. About 64% of the respondents use tramadol before sex. Greater than half (54%) of the respondents have shared injection needles. Averagely, 97% of the respondent engaged in transactional sex in the past 3 months. 11.8% of the 400 respondents tested positive for HIV. There was a significant association between risk factors and HIV among the MSM studied.
MSM in Akwa Ibom State engage in high-risk behaviors, therefore, a risk reduction program targeted at each specific identified risk is highly recommended.
男男性行为者（MSM）属于关键人群，尽管尼日利亚正在开展艾滋病毒预防规划，但他们对艾滋病毒/获得性免疫缺陷综合征（AIDS）的负担仍然很高。本研究评估了尼日利亚阿克瓦-伊博姆州男男性行为者感染艾滋病毒/艾滋病的危险因素。
这是一项横断面研究，研究对象为从阿克瓦伊博姆州三个参议员区中选取的 400 名男男性行为者。使用统计软件包服务解决方案版本 23 分析数据。采用描述性统计、相对风险和二元逻辑回归比较危险因素和 MSM 中 HIV/AIDS 之间的比例。
超过一半（50.5%）的受访者年龄在 20-29 岁之间。超过 66%的受访者在 13-19 岁开始进行男男性行为。50%的受访者更喜欢与同性发生无保护性行为。约 99%的受访者有多个性伴侣。超过 72%的受访者有过群交行为。约 64%的受访者在性行为前使用曲马多。超过一半（54%）的受访者共用过注射针头。平均而言，97%的受访者在过去 3 个月中有过易性交易行为。400 名受访者中有 11.8%检测出 HIV 阳性。在研究的 MSM 中，危险因素与 HIV 之间存在显著关联。
阿克瓦-伊博姆州的 MSM 存在高风险行为，因此，强烈建议针对每个特定确定的风险制定减少风险的方案。
