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Guys that have intercourse with males (MSM) are conservatively approximated to be not as much as 1% for the population that is nigerian nationally account fully for about 20per cent of brand new HIV illness. We estimated the trend in HIV prevalence and determined correlates of HIV disease among MSM.
This research utilized data from respondent-driven sampling in three rounds of built-in biological and behavioral surveillance survey (2007, 2010 and 2014) and covered three states in 2007, six states this season and eight states in 2014. Each round utilized methodology that is similar therefore permits contrast. Behavioral information were acquired utilizing an organized pre-coded questionnaire. Variations in categorical factors had been evaluated with Chi Square. Logistic regression ended up being utilized to determine 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 had been 24 years this year. About one-third of MSM in 2007 and 2014 and about two-fifths this season had engaged in transactional intercourse. HIV prevalence increased from 14% in 2007 to 17percent this year to 23per cent in 2014 (p
Background
Globally, males that have intercourse with males (MSM) remain disproportionately infected and affected by HIV 1, 2. Despite huge opportunities in worldwide HIV and expanded antiretroviral treatment (ART) programs which have triggered significant decreases in HIV among other sub-populations (basic populace, feminine intercourse workers), HIV among MSM has remained on a sustained increase globally 1, 3. In high income nations, the trend of HIV epidemic is for a decrease except among MSM 1. Likewise, available information on HIV incidence and prevalence from low and middle-income nations suggest that the HIV epidemic among gay, bisexual along with other males that have intercourse with guys are on a markedly different and increasing trajectory 1,2,3. In the united states, brand new HIV infections among MSM happens to be calculated to be increasing at 8% per year since 2001 1. Within 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.
Most studies of HIV purchase and transmission among MSM have actually mostly centered on specific degree risk facets including unprotected anal that is receptive, large number of lifetime male lovers, inserting and non-injecting medication usage and high viral load when you look at the index partner 1. Nonetheless, specific degree danger facets alone, were proved to be inadequate to describe the high transmission characteristics of HIV among MSM additionally the divergence of MSM epidemics when comparing to HIV epidemics in other populations 1, 2. Other danger facets such russian mail order wives as for instance biological, couple-network degree, community-level and structural motorists have now been founded become relevant in understanding the persistent transmission that is high among MSM particularly in the current presence of increased ART protection whereby brand brand new infections should decrease due to reduced odds of transmission due to the aftereffect of ART on viral load 2, 10, 11.
MSM in Nigeria are conservatively calculated to be lower than 1% regarding the Nigerian population yet 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 modern times utilizing the passage of the Same-Sex Marriage Prohibition law of 2014 13,14,15,16,17. The brand new law included clauses that prohibited companies from supplying solutions to MSM and facilitation of meetings that support homosexual people, thus further criminalizing same-sex activities 12. Research reports have shown why these restrictive policies further restrict the poor protection of HIV avoidance, therapy, and care programs among MSM 12, 18,19,20,21. Really few MSM-targeted HIV avoidance, therapy and care solutions exist in a small amount of states in Nigeria. This really is mainly due to restricted information from the size estimate of MSM across states along with restricted money for key population devoted programs. Information on MSM are mostly from three rounds associated with Integrated that is population-based Biological Behavioural Surveillance Survey (IBBSS) conducted in, 2007, 2010, and 2014. This study aimed to evaluate the noticeable improvement in HIV prevalence and discover correlates of HIV among MSM in Nigeria. Proof using this scholarly research will likely to be employed 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 within the IBBSS. An additional three states were included in the IBBSS – the Federal Capital Territory (FCT), Kaduna and Oyo, while in 2014, Enugu and Rivers states were added to the six states included in the 2010 IBBSS in 2010, following increased awareness of the contribution of MSM to the HIV epidemic. Their state selection ensured that five associated with six zones that are geopolitical Nigeria had been represented within the study. Hence, the west that is southLagos and Oyo), south east (Enugu), south south (Rivers), north central (FCT) and north west areas (Kano and Kaduna) contributed to your research.
