Increasing HIV prevalence among males that have intercourse with guys in Nigeria: a trend analysis

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Increasing HIV prevalence among males that have intercourse with guys in Nigeria: a trend analysis

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Guys who possess intercourse with guys (MSM) are conservatively believed to be lower than 1% of this Nigerian population yet nationally account fully for about 20per cent of brand new HIV disease. 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 similar methodology and therefore permits contrast. Behavioral data were acquired making use of an organized pre-coded questionnaire. Variations in categorical variables had been examined with Chi Square. Logistic regression had been utilized to recognize facets related to 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 ended up being 24 years this season. About one-third of MSM in 2007 and 2014 and about two-fifths this year had engaged in transactional intercourse. HIV prevalence increased from 14% in 2007 to 17percent this year to 23per cent in 2014 (p


Globally, males who possess intercourse with guys (MSM) remain disproportionately affected and infected by HIV 1, 2. Despite huge assets in worldwide HIV and expanded antiretroviral treatment (ART) programs which have led to significant declines in HIV among other sub-populations (basic populace, feminine intercourse employees), HIV among MSM has remained for a sustained increase globally 1, 3. In high income nations, the trend of HIV epidemic is for a decrease except among MSM 1. Similarly, available information on HIV incidence and prevalence from low and middle-income countries 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, brand brand new HIV infections among MSM happens to be calculated to be increasing at 8% per year 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 had been 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 mostly dedicated to specific degree risk facets including unprotected receptive rectal intercourse, large number of lifetime male lovers, inserting and non-injecting medication usage and high viral load into the index partner 1. Nevertheless, specific degree danger facets alone, have already been been shown to be inadequate to spell out the high transmission characteristics of HIV among MSM together with divergence of MSM epidemics in comparison with HIV epidemics in other populations 1, 2. Other danger factors such as for example biological, couple-network degree, community-level and structural motorists are founded become relevant in comprehending the persistent transmission that is high among MSM particularly in the current presence of increased ART protection whereby brand brand new infections should decrease as a consequence of reduced possibility of transmission due to the aftereffect of ART on viral load 2, 10, 11.

MSM in Nigeria are conservatively believed to be not as much as 1% associated with the population that is nigerian nationally account fully for about 20per cent of brand new HIV infections 12. MSM are criminalized and stigmatized and also this has further worsened in the last few years utilizing the passage of the Same-Sex Marriage Prohibition law of 2014 13,14,15,16,17. The law that is new clauses that prohibited businesses from supplying 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, therapy, and care programs among MSM 12, 18,19,20,21. Extremely few HIV that is MSM-targeted prevention therapy and care solutions occur in a finite amount of states in Nigeria. This will be mainly as a result of limited data regarding the size estimate of MSM across states along with restricted capital for key population committed programs. Information on MSM are mainly from three rounds regarding the Integrated that is population-based Biological Behavioural Surveillance Survey (IBBSS) conducted in, 2007, 2010, and 2014. This research aimed to evaluate the noticeable improvement in HIV prevalence and figure out correlates of HIV among MSM in Nigeria. Evidence with this scholarly research would be utilized 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. This season, after increased understanding of the share of MSM to your HIV epidemic, an extra three states had been within the IBBSS – the Federal Capital Territory (FCT), Kaduna and Oyo, whilst in 2014, Enugu and streams states were put into the six states contained in the 2010 IBBSS. Their state selection ensured that five associated with six geopolitical areas in Nigeria had been represented within the study. Therefore, the west that is southLagos and Oyo), south east (Enugu), south south (streams), north central (FCT) and north west areas (Kano and Kaduna) contributed to your research.

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