HIV Infection among Men Who Have Sex with Men in Kampala, Uganda–A Respondent Driven Sampling Survey

Details

• Alternative Title:
  PLoS One
• Personal Author:
  Hladik, Wolfgang ; Barker, Joseph ; Ssenkusu, John M. ; Opio, Alex ; Tappero, Jordan W. ; Hakim, Avi ; Serwadda, David
• Corporate Authors:
  for the Crane Survey Group
• Description:
  Background
  
  Uganda's generalized HIV epidemic is well described, including an estimated adult male HIV prevalence in Kampala of 4.5%, but no data are available on the prevalence of and risk factors for HIV infection among men who have sex with men (MSM).
  
  Methodology/Principal Findings
  
  From May 2008 to February 2009, we used respondent-driven sampling to recruit MSM ≥18 years old in Kampala who reported anal sex with another man in the previous three months. We collected demographic and HIV-related behavioral data through audio computer-assisted self-administered interviews. Laboratory testing included biomarkers for HIV and other sexually transmitted infections. We obtained population estimates adjusted for the non-random sampling frame using RDSAT and STATA. 300 MSM were surveyed over 11 waves; median age was 25 years (interquartile range, 21–29 years). Overall HIV prevalence was 13.7% (95% confidence interval [CI] 7.9%–20.1%), and was higher among MSM ≥25 years (22.4%) than among MSM aged 18–24 years (3.9%, odds ratio [OR] 5.69, 95% CI 2.02–16.02). In multivariate analysis, MSM ≥25 years (adjusted OR [aOR] 4.32, 95% CI 1.33–13.98) and those reporting ever having been exposed to homophobic abuse (verbal, moral, sexual, or physical abuse; aOR 5.38, 95% CI 1.95–14.79) were significantly more likely to be HIV infected.
  
  Conclusions/Significance
  
  MSM in Kampala are at substantially higher risk for HIV than the general adult male population. MSM reporting a lifetime history of homophobic abuse are at increased risk of being HIV infected. Legal challenges and stigma must be overcome to provide access to tailored HIV prevention and care services.
  
  
• Subjects:
  Adult Female Health Surveys HIV Infections Homosexuality, Male Humans Male Prevalence Risk Assessment Young Adult
• Source:
  PLoS One. 2012; 7(5).
• DOI:
  http://dx.doi.org/10.1371/journal.pone.0038143
• Pubmed ID:
  22693590
• Pubmed Central ID:
  PMC3364961
• Document Type:
  Journal Article
• Funding:
  PEPFAR/United States
• Name as Subject:
  United States. President's Emergency Plan For AIDS Relief (PEPFAR)
• Place as Subject:
  Uganda
• Volume:
  7
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:85bc8bd28598d3dd93dbd1386d3b229a716b963a0e49c0098ade9406ffed738a91f35d7458ea9173566ec93a77e019360467a174eb80da24e4583b754a0f14c7
• Download URL:
  https://stacks.cdc.gov/view/cdc/8198/cdc_8198_DS1.pdf
• File Type:
  [PDF - 102.99 KB ]