Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Sexual risk behaviours and HIV-1 prevalence among urban men who have sex with men in Cape Town, South Africa

Sexual risk behaviours and HIV-1 prevalence among urban men who have sex with men in Cape Town,... Background : Distinct homosexual and heterosexual HIV epidemics have previously been recognised in South Africa. However, linked HIV prevalence and self-reported sexual risk behaviour data have not been reported for men who have sex with men (MSM) in Cape Town since 1986. Methods : We conducted a cross-sectional, anonymous, venue-based HIV risk behaviour and prevalence study of 542 self-identified MSM in greater Cape Town using a self-administered risk questionnaire and the OraSure ® testing device to asses HIV-1 prevalence. Results : This sample had an overall HIV prevalence of 10.4% (56/539). We found that self-identifying as gay, homosexual or queer (adjusted odds ratio (AOR) 4.5, 95% confidence interval (CI) 1.0–20.0) and reporting ever having had a sexually transmissible infection diagnosis (AOR 4.3, 95% CI: 2.3–8.3) were significantly predictive of testing HIV-1 positive, while reporting unprotected anal intercourse with a known HIV-negative partner (AOR 0.4, 95% CI: 0.2–0.9) was significantly protective. Conclusion : These data suggest a mature epidemic with consistent high-risk taking among MSM in Cape Town, and significant associations of select self-reported risk behaviours and HIV-1 serostatus. There is a need for continued and robust HIV surveillance along with detailed risk behaviour trends over time to inform the development of targeted risk-reduction interventions for this population. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Sexual Health CSIRO Publishing

Sexual risk behaviours and HIV-1 prevalence among urban men who have sex with men in Cape Town, South Africa

Download PDF
5 pages

Loading next page...
 
/lp/csiro-publishing/sexual-risk-behaviours-and-hiv-1-prevalence-among-urban-men-who-have-4nlLbp7Gfe

References

References for this paper are not available at this time. We will be adding them shortly, thank you for your patience.

Publisher
CSIRO Publishing
Copyright
CSIRO
ISSN
1448-5028
eISSN
1449-8987
DOI
10.1071/SH09090
pmid
20465978
Publisher site
See Article on Publisher Site

Abstract

Background : Distinct homosexual and heterosexual HIV epidemics have previously been recognised in South Africa. However, linked HIV prevalence and self-reported sexual risk behaviour data have not been reported for men who have sex with men (MSM) in Cape Town since 1986. Methods : We conducted a cross-sectional, anonymous, venue-based HIV risk behaviour and prevalence study of 542 self-identified MSM in greater Cape Town using a self-administered risk questionnaire and the OraSure ® testing device to asses HIV-1 prevalence. Results : This sample had an overall HIV prevalence of 10.4% (56/539). We found that self-identifying as gay, homosexual or queer (adjusted odds ratio (AOR) 4.5, 95% confidence interval (CI) 1.0–20.0) and reporting ever having had a sexually transmissible infection diagnosis (AOR 4.3, 95% CI: 2.3–8.3) were significantly predictive of testing HIV-1 positive, while reporting unprotected anal intercourse with a known HIV-negative partner (AOR 0.4, 95% CI: 0.2–0.9) was significantly protective. Conclusion : These data suggest a mature epidemic with consistent high-risk taking among MSM in Cape Town, and significant associations of select self-reported risk behaviours and HIV-1 serostatus. There is a need for continued and robust HIV surveillance along with detailed risk behaviour trends over time to inform the development of targeted risk-reduction interventions for this population.

Journal

Sexual Health – CSIRO Publishing

Published: May 14, 2010

Keywords: cross-sectional study, gay, homosexual.

References

  • HIV-1 subtypes in different risk groups in South Africa.
    Williamson C
  • The changing pattern of transmission and clinical presentation of HIV infection in the Western Cape region of South Africa 1984–95.
    Wood R
  • An association between HIV-1 subtype and mode of transmission in Cape Town, South Africa.
    van Harmelen J
  • Advancing human rights through constitutional protection for gays and lesbians in South Africa.
    Louw R
  • Gay identity-related factors and sexual risk among men who have sex with men in San Francisco.
    Flores SA
  • Gay identity, interpersonal violence, and HIV risk behaviors: an empirical test of theoretical relationships among a probability-based sample of urban men who have sex with men.
    Relf MV
  • Elevated risk for HIV infection among men who have sex with men in low- and middle-income countries 2000–2006: a systematic review.
    Baral S
  • Sexually transmitted diseases enhance HIV transmission: no longer a hypothesis.
    Cohen MS
  • From epidemiological synergy to public health policy: the contribution of other sexually transmitted diseases to sexual transmission of HIV infection.
    Fleming DT
  • Risk behaviour and sexually transmitted diseases are on the rise in gay men, but what is happening with HIV?
    Stolte IG
  • Commercial sex work and risk of HIV infection among young drug-injecting men who have sex with men in San Francisco.
    Bacon O
  • HIV, sexually transmitted infections, and risk behaviors in male commercial sex workers in Sydney.
    Estcourt CS
  • Sex hustling, injection drug use, and nongay identification by men who have sex with men. Associations with high-risk sexual behaviors and condom use.
    Rietmeijer CA
  • Sex trade involvement and rates of human immunodeficiency virus positivity among young gay and bisexual men.
    Weber AE
  • To test or not to test: are Hispanic men at highest risk for HIV getting tested?
    Fernández MI
  • Repeat HIV testing, risk behaviors, and HIV seroconversion among young men who have sex with men: a call to monitor and improve the practice of prevention.
    MacKellar DA
  • Repeat HIV testers at a London same-day testing clinic.
    Norton J
  • Unprotected anal intercourse between potentially HIV-serodiscordant men who have sex with men, San Francisco.
    Chen SY
  • Risk factors for incident HIV infection in men having sex with men: a case-control study.
    Read TR
  • Sexual risk behavior among HIV-positive men who have sex with men: a literature review.
    van Kesteren NM
  • Prevalence of seroadaptive behaviors of men who have sex with men, San Francisco, 2004
    Snowden J