Prevalence of condomless anal intercourse and associated risk factors among men who have sex with men in Bamako, Mali

Details

• Alternative Title:
  Int J STD AIDS
• Personal Author:
  Knox, Justin ; Patnaik, Padmaja ; Hakim, Avi J ; Telly, Nouhoum ; Ballo, Tako ; Traore, Bouyagui ; Doumbia, Seydou ; Lahuerta, Maria
• Description:
  Background:
  
  Men who have sex with men (MSM) are disparately impacted by HIV in sub-Saharan Africa and condomless anal intercourse (CAI) is a major driver of HIV transmission. The objective of the current study was to identify factors associated with CAI among MSM in Bamako, Mali, among whom HIV prevalence was 13.7%.
  
  Methods:
  
  A bio-behavioral survey was conducted between October 2014 and February 2015 using respondent-driven sampling to recruit 552 adult MSM. Weighted statistical analyses were conducted to determine the prevalence of CAI with one’s most recent male partner and survey logistic procedures were used to identify associated factors.
  
  Results:
  
  The prevalence of CAI with one’s most recent male partner was 40.7%. Associated factors included: inability to get a condom when needed (aOR = 5.8, 95%CI: 2.7–12.3) and believing CAI is acceptable under some circumstances (aOR = 8.4, 95%CI: 4.4–16.2).
  
  Conclusions:
  
  Programs addressing HIV among MSM in Mali should aim to increase access to condoms and education about HIV prevention through consistent condom use during anal intercourse.
  
  
• Subjects:
  Adult Africa Article Condoms Cross-Sectional Studies HIV HIV Infections Homosexuality, Male Humans Male Mali MSM Prevalence Risk Risk Factors Sexual And Gender Minorities Sexual Behavior Sexual Partners Unprotected Anal Intercourse

  More +
• Source:
  Int J STD AIDS. 32(3):218-227
• Pubmed ID:
  33622107
• Pubmed Central ID:
  PMC8728683
• Document Type:
  Journal Article
• Funding:
  001/WHO_/World Health OrganizationInternational/ ; K01 AA028199/AA/NIAAA NIH HHSUnited States/ ; T32 DA031099/DA/NIDA NIH HHSUnited States/ ; U2G GH000398/GH/CGH CDC HHSUnited States/
• Volume:
  32
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:c34ac5e0cff28ca0347257fcee0cfa1ea60c087bac9f9b9eb4a164b2d82768b4
• Download URL:
  https://stacks.cdc.gov/view/cdc/113146/cdc_113146_DS1.pdf
• File Type:
  [PDF - 106.63 KB ]