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Published in: AIDS and Behavior 7/2018

01-07-2018 | Original Paper

HIV Prevalence and Related Risk Factors in Men Who Have Sex with Men in Bamako, Mali: Findings from a Bio-behavioral Survey Using Respondent-Driven Sampling

Authors: Maria Lahuerta, Padmaja Patnaik, Tako Ballo, Nouhoum Telly, Justin Knox, Bouyagui Traore, Seydou Doumbia, Avi Hakim

Published in: AIDS and Behavior | Issue 7/2018

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Abstract

Using respondent driven sampling, we conducted a cross-sectional bio-behavioral survey among men who have sex with men (MSM) in Bamako, Mali. Eligibility criteria included age ≥18 years and having had sex with another man in the last 6 months. We enrolled 552 MSM, 99.6% were tested for HIV. MSM in Bamako were young (69.6% ≤24 years) and educated (63.7% ≥secondary). HIV prevalence among MSM in Bamako was 13.7; 90.1% of HIV-infected men were unaware of their HIV status. Almost one-third had never been tested for HIV. Factors associated with higher odds of HIV included younger age, being receptive with last partner, condom breaking during anal sex in last 6 months, talking to peer educator about HIV, and having sexually transmitted infection symptoms in past year. The results suggest the need for enhanced HIV prevention and treatment services targeted at MSM in Bamako, with emphasis on repeated HIV testing.
Literature
1.
go back to reference Cellule de Planification et de Statistique (CPS/SSDSPF), Institut National de la Statistique (INSTAT/MPATP), Internationa I-SeI. Enquête Démographique et de Santé au Mali 2012-2013.. Rockville, Maryland, USA: CPS, INSTAT, INFO-STAT et ICF International; 2014. Cellule de Planification et de Statistique (CPS/SSDSPF), Institut National de la Statistique (INSTAT/MPATP), Internationa I-SeI. Enquête Démographique et de Santé au Mali 2012-2013.. Rockville, Maryland, USA: CPS, INSTAT, INFO-STAT et ICF International; 2014.
2.
go back to reference Ministère de la Santé du Mali, Cellule de Coordination du Comité Sectoriel de Lutte contre le SIDA, Institut National de Recherche en Santé Publique, Centre de Contrôle et de Prévention des Maladies (CDC), Agence Américaine pour le Développement International (USAID). Enquete integree sur la prevalence et les comportement en matiere d’IST (ISBS) mee au Mali d’Avril a Juin 2009 2009. Ministère de la Santé du Mali, Cellule de Coordination du Comité Sectoriel de Lutte contre le SIDA, Institut National de Recherche en Santé Publique, Centre de Contrôle et de Prévention des Maladies (CDC), Agence Américaine pour le Développement International (USAID). Enquete integree sur la prevalence et les comportement en matiere d’IST (ISBS) mee au Mali d’Avril a Juin 2009 2009.
3.
go back to reference Smith AD, Tapsoba P, Peshu N, Sanders EJ, Jaffe HW. Men who have sex with men and HIV/AIDS in sub-Saharan Africa. Lancet. 2009;374(9687):416–22.CrossRefPubMed Smith AD, Tapsoba P, Peshu N, Sanders EJ, Jaffe HW. Men who have sex with men and HIV/AIDS in sub-Saharan Africa. Lancet. 2009;374(9687):416–22.CrossRefPubMed
4.
go back to reference Beyrer C, Baral SD, van Griensven F, Goodreau SM, Chariyalertsak S, Wirtz AL, et al. Global epidemiology of HIV infection in men who have sex with men. Lancet. 2012;380(9839):367–77.CrossRefPubMedPubMedCentral Beyrer C, Baral SD, van Griensven F, Goodreau SM, Chariyalertsak S, Wirtz AL, et al. Global epidemiology of HIV infection in men who have sex with men. Lancet. 2012;380(9839):367–77.CrossRefPubMedPubMedCentral
5.
go back to reference Lane T, Raymond HF, Dladla S, Rasethe J, Struthers H, McFarland W, et al. High HIV prevalence among men who have sex with men in Soweto, South Africa: results from the Soweto Men’s study. AIDS Behav. 2011;15(3):626–34.CrossRefPubMed Lane T, Raymond HF, Dladla S, Rasethe J, Struthers H, McFarland W, et al. High HIV prevalence among men who have sex with men in Soweto, South Africa: results from the Soweto Men’s study. AIDS Behav. 2011;15(3):626–34.CrossRefPubMed
6.
go back to reference Price MA, Rida W, Mwangome M, Mutua G, Middelkoop K, Roux S, et al. Identifying at-risk populations in Kenya and South Africa: HIV incidence in cohorts of men who report sex with men, sex workers, and youth. J Acquir Immune Defic Syndr. 2012;59(2):185–93.CrossRefPubMed Price MA, Rida W, Mwangome M, Mutua G, Middelkoop K, Roux S, et al. Identifying at-risk populations in Kenya and South Africa: HIV incidence in cohorts of men who report sex with men, sex workers, and youth. J Acquir Immune Defic Syndr. 2012;59(2):185–93.CrossRefPubMed
7.
go back to reference Rispel LC, Metcalf CA, Cloete A, Reddy V, Lombard C. HIV prevalence and risk practices among men who have sex with men in two South African cities. J Acquir Immune Defic Syndr. 2011;57(1):69–76.CrossRefPubMed Rispel LC, Metcalf CA, Cloete A, Reddy V, Lombard C. HIV prevalence and risk practices among men who have sex with men in two South African cities. J Acquir Immune Defic Syndr. 2011;57(1):69–76.CrossRefPubMed
8.
go back to reference Sanders EJ, Graham SM, Okuku HS, van der Elst EM, Muhaari A, Davies A, et al. HIV-1 infection in high risk men who have sex with men in Mombasa, Kenya. AIDS. 2007;21(18):2513–20.CrossRefPubMed Sanders EJ, Graham SM, Okuku HS, van der Elst EM, Muhaari A, Davies A, et al. HIV-1 infection in high risk men who have sex with men in Mombasa, Kenya. AIDS. 2007;21(18):2513–20.CrossRefPubMed
9.
go back to reference Ross MW, Nyoni J, Ahaneku HO, Mbwambo J, McClelland RS, McCurdy SA. High HIV seroprevalence, rectal STIs and risky sexual behaviour in men who have sex with men in Dar es Salaam and Tanga, Tanzania. BMJ Open. 2014;4(8):e006175.CrossRefPubMedPubMedCentral Ross MW, Nyoni J, Ahaneku HO, Mbwambo J, McClelland RS, McCurdy SA. High HIV seroprevalence, rectal STIs and risky sexual behaviour in men who have sex with men in Dar es Salaam and Tanga, Tanzania. BMJ Open. 2014;4(8):e006175.CrossRefPubMedPubMedCentral
10.
go back to reference Wade AS, Kane CT, Diallo PA, Diop AK, Gueye K, Mboup S, et al. HIV infection and sexually transmitted infections among men who have sex with men in Senegal. AIDS. 2005;19(18):2133–40.CrossRefPubMed Wade AS, Kane CT, Diallo PA, Diop AK, Gueye K, Mboup S, et al. HIV infection and sexually transmitted infections among men who have sex with men in Senegal. AIDS. 2005;19(18):2133–40.CrossRefPubMed
11.
go back to reference Baral S, Trapence G, Motimedi F, Umar E, Iipinge S, Dausab F, et al. HIV prevalence, risks for HIV infection, and human rights among men who have sex with men (MSM) in Malawi, Namibia, and Botswana. PLoS ONE. 2009;4(3):e4997.CrossRefPubMedPubMedCentral Baral S, Trapence G, Motimedi F, Umar E, Iipinge S, Dausab F, et al. HIV prevalence, risks for HIV infection, and human rights among men who have sex with men (MSM) in Malawi, Namibia, and Botswana. PLoS ONE. 2009;4(3):e4997.CrossRefPubMedPubMedCentral
12.
go back to reference Dahoma M, Johnston LG, Holman A, Miller LA, Mussa M, Othman A, et al. HIV and related risk behavior among men who have sex with men in Zanzibar, Tanzania: results of a behavioral surveillance survey. AIDS Behav. 2011;15(1):186–92.CrossRefPubMed Dahoma M, Johnston LG, Holman A, Miller LA, Mussa M, Othman A, et al. HIV and related risk behavior among men who have sex with men in Zanzibar, Tanzania: results of a behavioral surveillance survey. AIDS Behav. 2011;15(1):186–92.CrossRefPubMed
13.
go back to reference Lane T, Osmand T, Marr A, Shade SB, Dunkle K, Sandfort T, et al. The Mpumalanga Men’s Study (MPMS): results of a baseline biological and behavioral HIV surveillance survey in two MSM communities in South Africa. PLoS ONE. 2014;9(11):e111063.CrossRefPubMedPubMedCentral Lane T, Osmand T, Marr A, Shade SB, Dunkle K, Sandfort T, et al. The Mpumalanga Men’s Study (MPMS): results of a baseline biological and behavioral HIV surveillance survey in two MSM communities in South Africa. PLoS ONE. 2014;9(11):e111063.CrossRefPubMedPubMedCentral
14.
go back to reference Lane T, Shade SB, McIntyre J, Morin SF. Alcohol and sexual risk behavior among men who have sex with men in South African township communities. AIDS Behav. 2008;12(4 Suppl):S78–85.CrossRefPubMed Lane T, Shade SB, McIntyre J, Morin SF. Alcohol and sexual risk behavior among men who have sex with men in South African township communities. AIDS Behav. 2008;12(4 Suppl):S78–85.CrossRefPubMed
15.
go back to reference Merrigan M, Azeez A, Afolabi B, Chabikuli ON, Onyekwena O, Eluwa G, et al. HIV prevalence and risk behaviours among men having sex with men in Nigeria. Sex Transm Infect. 2011;87(1):65–70.CrossRefPubMed Merrigan M, Azeez A, Afolabi B, Chabikuli ON, Onyekwena O, Eluwa G, et al. HIV prevalence and risk behaviours among men having sex with men in Nigeria. Sex Transm Infect. 2011;87(1):65–70.CrossRefPubMed
16.
go back to reference Baral S, Burrell E, Scheibe A, Brown B, Beyrer C, Bekker LG. HIV risk and associations of HIV infection among men who have sex with men in peri-urban Cape Town, South Africa. BMC Public Health. 2011;11:766.CrossRefPubMedPubMedCentral Baral S, Burrell E, Scheibe A, Brown B, Beyrer C, Bekker LG. HIV risk and associations of HIV infection among men who have sex with men in peri-urban Cape Town, South Africa. BMC Public Health. 2011;11:766.CrossRefPubMedPubMedCentral
17.
go back to reference Sylla A, Togo A, Dembele A. Analyse de la situation du groupe des hommes ayant des rapports sexuels avec d’autres hommes Bamako: Association de Recherche de Communication et d’Accompagnement à Domicile des personnes vivant avec le VIH/SIDA. 2005. Sylla A, Togo A, Dembele A. Analyse de la situation du groupe des hommes ayant des rapports sexuels avec d’autres hommes Bamako: Association de Recherche de Communication et d’Accompagnement à Domicile des personnes vivant avec le VIH/SIDA. 2005.
18.
go back to reference Soutoura. L’experience de l’ONG Soutoura dans l’encadrement des hommes qui ont des rapports sexuels avec d’autres hommes dans le district de Bamako. 2011. Soutoura. L’experience de l’ONG Soutoura dans l’encadrement des hommes qui ont des rapports sexuels avec d’autres hommes dans le district de Bamako. 2011.
19.
go back to reference Heckathorn DD. Respondent-driven sampling: a new approach to the study of hidden populations. Soc Probl. 1997;44:174–99.CrossRef Heckathorn DD. Respondent-driven sampling: a new approach to the study of hidden populations. Soc Probl. 1997;44:174–99.CrossRef
20.
go back to reference Heckathorn DD. Respondent-driven sampling II: deriving valid population estimates from chain-referral samples of hidden populations. Soc Probl. 2002;49:11–34.CrossRef Heckathorn DD. Respondent-driven sampling II: deriving valid population estimates from chain-referral samples of hidden populations. Soc Probl. 2002;49:11–34.CrossRef
21.
go back to reference Wejnert C. An empirical test of respondent-driven sampling: point estimates, variance, degree measures, and out-of-equilibrium data. Sociol Methodol. 2009;39:73–116.CrossRefPubMedPubMedCentral Wejnert C. An empirical test of respondent-driven sampling: point estimates, variance, degree measures, and out-of-equilibrium data. Sociol Methodol. 2009;39:73–116.CrossRefPubMedPubMedCentral
22.
go back to reference Matthew J, Salganik DDH. Sampling and estimation in hidden populations using respondent-driven sampling. Sociol Methodol. 2004;34(1):193–240.CrossRef Matthew J, Salganik DDH. Sampling and estimation in hidden populations using respondent-driven sampling. Sociol Methodol. 2004;34(1):193–240.CrossRef
23.
go back to reference ICAP at Columbia University, Cellule Sectorielle de Lutte Contre le SIDA (CSLS), (CDC) CfDCaP. Qualitative study among men who have sex with men in Bamako, Mali: Report of findings. 2014. ICAP at Columbia University, Cellule Sectorielle de Lutte Contre le SIDA (CSLS), (CDC) CfDCaP. Qualitative study among men who have sex with men in Bamako, Mali: Report of findings. 2014.
24.
go back to reference Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med. 1998;158(16):1789–95.CrossRefPubMed Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med. 1998;158(16):1789–95.CrossRefPubMed
25.
go back to reference Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003;41(11):1284–92.CrossRefPubMed Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003;41(11):1284–92.CrossRefPubMed
26.
go back to reference Baral SD, Ketende S, Mnisi Z, Mabuza X, Grosso A, Sithole B, et al. A cross-sectional assessment of the burden of HIV and associated individual- and structural-level characteristics among men who have sex with men in Swaziland. J Int AIDS Soc. 2013;16(Suppl 3):18768.CrossRefPubMedPubMedCentral Baral SD, Ketende S, Mnisi Z, Mabuza X, Grosso A, Sithole B, et al. A cross-sectional assessment of the burden of HIV and associated individual- and structural-level characteristics among men who have sex with men in Swaziland. J Int AIDS Soc. 2013;16(Suppl 3):18768.CrossRefPubMedPubMedCentral
27.
go back to reference Hakim AJ, Aho J, Semde G, Diarrassouba M, Ehoussou K, Vuylsteke B, et al. The epidemiology of HIV and prevention needs of men who have sex with men in Abidjan, Cote d’Ivoire. PLoS ONE. 2015;10(4):e0125218.CrossRefPubMedPubMedCentral Hakim AJ, Aho J, Semde G, Diarrassouba M, Ehoussou K, Vuylsteke B, et al. The epidemiology of HIV and prevention needs of men who have sex with men in Abidjan, Cote d’Ivoire. PLoS ONE. 2015;10(4):e0125218.CrossRefPubMedPubMedCentral
28.
go back to reference Cellule Sectoriel de Lutte contre le SIDA MdlS, Mali. Mali National Guidelines for HIV care and treatment. Cellule Sectoriel de Lutte contre le SIDA MdlS, Mali. Mali National Guidelines for HIV care and treatment.
29.
go back to reference Beyrer C, Baral SD, Collins C, Richardson ET, Sullivan PS, Sanchez J, et al. The global response to HIV in men who have sex with men. Lancet. 2016;388(10040):198–206.CrossRefPubMed Beyrer C, Baral SD, Collins C, Richardson ET, Sullivan PS, Sanchez J, et al. The global response to HIV in men who have sex with men. Lancet. 2016;388(10040):198–206.CrossRefPubMed
30.
go back to reference Grant RM, Lama JR, Anderson PL, McMahan V, Liu AY, Vargas L, et al. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Engl J Med. 2010;363(27):2587–99.CrossRefPubMedPubMedCentral Grant RM, Lama JR, Anderson PL, McMahan V, Liu AY, Vargas L, et al. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Engl J Med. 2010;363(27):2587–99.CrossRefPubMedPubMedCentral
31.
go back to reference Liu AY, Vittinghoff E, Chillag K, Mayer K, Thompson M, Grohskopf L, et al. Sexual risk behavior among HIV-uninfected men who have sex with men participating in a tenofovir preexposure prophylaxis randomized trial in the United States. J Acquir Immune Defic Syndr. 2013;64(1):87–94.CrossRefPubMedPubMedCentral Liu AY, Vittinghoff E, Chillag K, Mayer K, Thompson M, Grohskopf L, et al. Sexual risk behavior among HIV-uninfected men who have sex with men participating in a tenofovir preexposure prophylaxis randomized trial in the United States. J Acquir Immune Defic Syndr. 2013;64(1):87–94.CrossRefPubMedPubMedCentral
32.
go back to reference Malekinejad M, Johnston LG, Kendall C, Kerr LR, Rifkin MR, Rutherford GW. Using respondent-driven sampling methodology for HIV biological and behavioral surveillance in international settings: a systematic review. AIDS Behav. 2008;12(4 Suppl):S105–30.CrossRefPubMed Malekinejad M, Johnston LG, Kendall C, Kerr LR, Rifkin MR, Rutherford GW. Using respondent-driven sampling methodology for HIV biological and behavioral surveillance in international settings: a systematic review. AIDS Behav. 2008;12(4 Suppl):S105–30.CrossRefPubMed
Metadata
Title
HIV Prevalence and Related Risk Factors in Men Who Have Sex with Men in Bamako, Mali: Findings from a Bio-behavioral Survey Using Respondent-Driven Sampling
Authors
Maria Lahuerta
Padmaja Patnaik
Tako Ballo
Nouhoum Telly
Justin Knox
Bouyagui Traore
Seydou Doumbia
Avi Hakim
Publication date
01-07-2018
Publisher
Springer US
Published in
AIDS and Behavior / Issue 7/2018
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-017-1793-7

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