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Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Human Immunodeficiency Virus | Research article

Human immunodeficiency virus (HIV) among men who have sex with men: results of the first integrated biological and behavioral survey in Burkina Faso, West Africa

Authors: Henri Gautier Ouedraogo, Odette Ky-Zerbo, Ashley Grosso, Sara Goodman, Benoît Cesaire Samadoulougou, Grissoum Tarnagda, Adama Baguiya, Simon Tiendrebeogo, Marcel Lougue, Nongoba Sawadogo, Yves Traore, Nicolas Barro, Stefan Baral, Seni Kouanda

Published in: BMC Public Health | Issue 1/2019

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Abstract

Background

Many men who have sex with men (MSM) are at significant risk for HIV infection. The objective of this study was to determine the prevalence and correlates of HIV infection among MSM in Burkina Faso.

Methods

A cross-sectional biological and behavioral survey was conducted from January to August 2013 among MSM in Ouagadougou and Bobo-Dioulasso. MSM 18 years old and above were recruited using respondent driven sampling (RDS). A survey was administered to study participants followed by HIV testing. Population prevalence estimates and 95% confidence intervals (CI) adjusted for the RDS design were produced using the RDS Analysis Tool version 6.0.1 (RDS, Inc., Ithaca, NY).

Results

A total of 662 MSM were enrolled in Ouagadougou (n = 333) and Bobo-Dioulasso (n = 329). The majority were unmarried, with an average age of 22.1 ± 4.4 years old in Ouagadougou and 23.1 ± 4.7 years old in Bobo-Dioulasso. RDS-adjusted HIV prevalence was 1.7% (95% CI: 0.9–3.1) in Ouagadougou and 2.7% (95% CI: 1.6–4.6) in Bobo-Dioulasso. HIV prevalence among MSM under 25 years old was 1.3% (95% CI: 0.6–2.8) and 0.9% (95% CI: 0.4–2.5) respectively in Ouagadougou and Bobo-Dioulasso, compared to 5.4% (95% CI: 2.2–12.5) and 6.6% (95% CI: 3.4–12.3) among those 25 years old or older in these cities (p = 0.010 and p < 0.001).

Conclusions

Results from this first biological and behavioral survey among MSM in Burkina Faso suggest a need for programs to raise awareness among MSM and promote safer sex, particularly for young MSM to prevent HIV transmission. These programs would need support from donors for innovative actions such as promoting and providing pre-exposure prophylaxis, condoms and water-based lubricants, HIV counseling, testing, early treatment initiation and effective involvement of the MSM communities.
Literature
2.
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 Lond Engl. 2016;388(10040):198–206. 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 Lond Engl. 2016;388(10040):198–206.
3.
go back to reference Stromdahl S, Hickson F, Pharris A, Sabido M, Baral S, Thorson A. A systematic review of evidence to inform HIV prevention interventions among men who have sex with men in Europe. Euro Surveill Bull Eur Sur Mal Transm Eur Commun Dis Bull. 2015;20(15). [Cited 2016 Jul 17]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25953133. Stromdahl S, Hickson F, Pharris A, Sabido M, Baral S, Thorson A. A systematic review of evidence to inform HIV prevention interventions among men who have sex with men in Europe. Euro Surveill Bull Eur Sur Mal Transm Eur Commun Dis Bull. 2015;20(15). [Cited 2016 Jul 17]. Available from: https://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​25953133.
5.
go back to reference Makofane K, Gueboguo C, Lyons D, Sandfort T. Men who have sex with men inadequately addressed in African AIDS National Strategic Plans. Glob Public Health. 2013;8(2):129–43.CrossRef Makofane K, Gueboguo C, Lyons D, Sandfort T. Men who have sex with men inadequately addressed in African AIDS National Strategic Plans. Glob Public Health. 2013;8(2):129–43.CrossRef
6.
go back to reference Baral SD, Grosso A, Holland C, Papworth E. The epidemiology of HIV among men who have sex with men in countries with generalized HIV epidemics. Curr Opin HIV AIDS. 2014;9(2):156–67.CrossRef Baral SD, Grosso A, Holland C, Papworth E. The epidemiology of HIV among men who have sex with men in countries with generalized HIV epidemics. Curr Opin HIV AIDS. 2014;9(2):156–67.CrossRef
7.
go back to reference Baral S, Phaswana-Mafuya N. Rewriting the narrative of the epidemiology of HIV in sub-Saharan Africa. SAHARA J J Soc Asp HIVAIDS Res Alliance SAHARA Hum Sci Res Counc. 2012;9(3):127–30. Baral S, Phaswana-Mafuya N. Rewriting the narrative of the epidemiology of HIV in sub-Saharan Africa. SAHARA J J Soc Asp HIVAIDS Res Alliance SAHARA Hum Sci Res Counc. 2012;9(3):127–30.
8.
go back to reference Djomand G, Quaye S, Sullivan PS. HIV epidemic among key populations in West Africa. Curr Opin HIV AIDS. 2014 Sep;9(5):506–13.CrossRef Djomand G, Quaye S, Sullivan PS. HIV epidemic among key populations in West Africa. Curr Opin HIV AIDS. 2014 Sep;9(5):506–13.CrossRef
9.
go back to reference MacAllister J, Sherwood J, Galjour J, Robbins S, Zhao J, Dam K, et al. A comprehensive review of available epidemiologic and HIV service data for female sex workers, men who have sex with men, and people who inject drugs in select West and Central African countries. J Acquir Immune Defic Syndr 1999. 2015;68 Suppl 2:S83–90.CrossRef MacAllister J, Sherwood J, Galjour J, Robbins S, Zhao J, Dam K, et al. A comprehensive review of available epidemiologic and HIV service data for female sex workers, men who have sex with men, and people who inject drugs in select West and Central African countries. J Acquir Immune Defic Syndr 1999. 2015;68 Suppl 2:S83–90.CrossRef
10.
go back to reference Muraguri N, Temmerman M, Geibel S. A decade of research involving men who have sex with men in sub-Saharan Africa: current knowledge and future directions. SAHARA J J Soc Asp HIVAIDS Res Alliance SAHARA Hum Sci Res Counc. 2012;9(3):137–47. Muraguri N, Temmerman M, Geibel S. A decade of research involving men who have sex with men in sub-Saharan Africa: current knowledge and future directions. SAHARA J J Soc Asp HIVAIDS Res Alliance SAHARA Hum Sci Res Counc. 2012;9(3):137–47.
11.
go back to reference Tanser F, de Oliveira T, Maheu-Giroux M, Bärnighausen T. Concentrated HIV subepidemics in generalized epidemic settings. Curr Opin HIV AIDS. 2014 Mar;9(2):115–25.CrossRef Tanser F, de Oliveira T, Maheu-Giroux M, Bärnighausen T. Concentrated HIV subepidemics in generalized epidemic settings. Curr Opin HIV AIDS. 2014 Mar;9(2):115–25.CrossRef
12.
go back to reference Duvall S, Irani L, Compaoré C, Sanon P, Bassonon D, Anato S, et al. Assessment of policy and access to HIV prevention, care, and treatment services for men who have sex with men and for sex workers in Burkina Faso and Togo. J Acquir Immune Defic Syndr 1999. 2015;68 Suppl 2:S189–97.CrossRef Duvall S, Irani L, Compaoré C, Sanon P, Bassonon D, Anato S, et al. Assessment of policy and access to HIV prevention, care, and treatment services for men who have sex with men and for sex workers in Burkina Faso and Togo. J Acquir Immune Defic Syndr 1999. 2015;68 Suppl 2:S189–97.CrossRef
14.
go back to reference Fay H, Baral SD, Trapence G, Motimedi F, Umar E, Iipinge S, et al. Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana. AIDS Behav. 2011;15(6):1088–97.CrossRef Fay H, Baral SD, Trapence G, Motimedi F, Umar E, Iipinge S, et al. Stigma, health care access, and HIV knowledge among men who have sex with men in Malawi, Namibia, and Botswana. AIDS Behav. 2011;15(6):1088–97.CrossRef
15.
go back to reference Poteat T, Ackerman B, Diouf D, Ceesay N, Mothopeng T, Odette K-Z, et al. HIV prevalence and behavioral and psychosocial factors among transgender women and cisgender men who have sex with men in 8 African countries: A cross-sectional analysis. PLoS Med. 2017;14(11):e1002422. Poteat T, Ackerman B, Diouf D, Ceesay N, Mothopeng T, Odette K-Z, et al. HIV prevalence and behavioral and psychosocial factors among transgender women and cisgender men who have sex with men in 8 African countries: A cross-sectional analysis. PLoS Med. 2017;14(11):e1002422.
16.
go back to reference Muraguri N, Tun W, Okal J, Broz D, Raymond HF, Kellogg T, et al. HIV and STI prevalence and risk factors among male sex workers and other men who have sex with men in Nairobi, Kenya. J Acquir Immune Defic Syndr 1999. 2015;68(1):91–6.CrossRef Muraguri N, Tun W, Okal J, Broz D, Raymond HF, Kellogg T, et al. HIV and STI prevalence and risk factors among male sex workers and other men who have sex with men in Nairobi, Kenya. J Acquir Immune Defic Syndr 1999. 2015;68(1):91–6.CrossRef
17.
go back to reference Park JN, Papworth E, Kassegne S, Moukam L, Billong SC, Macauley I, et al. HIV prevalence and factors associated with HIV infection among men who have sex with men in Cameroon. J Int AIDS Soc. 2013;16 Suppl 3:18752.CrossRef Park JN, Papworth E, Kassegne S, Moukam L, Billong SC, Macauley I, et al. HIV prevalence and factors associated with HIV infection among men who have sex with men in Cameroon. J Int AIDS Soc. 2013;16 Suppl 3:18752.CrossRef
18.
go back to reference Wirtz AL, Jumbe V, Trapence G, Kamba D, Umar E, Ketende S, et al. HIV among men who have sex with men in Malawi: elucidating HIV prevalence and correlates of infection to inform HIV prevention. J Int AIDS Soc. 2013;16 Suppl 3:18742.CrossRef Wirtz AL, Jumbe V, Trapence G, Kamba D, Umar E, Ketende S, et al. HIV among men who have sex with men in Malawi: elucidating HIV prevalence and correlates of infection to inform HIV prevention. J Int AIDS Soc. 2013;16 Suppl 3:18742.CrossRef
19.
go back to reference Aberle-Grasse J, McFarland W, El-Adas A. HIV prevalence and correlates of infection among MSM: 4 areas in Ghana, the Ghana Men’s health study, 2010–2011. In Atlanta; 2013. Aberle-Grasse J, McFarland W, El-Adas A. HIV prevalence and correlates of infection among MSM: 4 areas in Ghana, the Ghana Men’s health study, 2010–2011. In Atlanta; 2013.
21.
go back to reference Vu L, Adebajo S, Tun W, Sheehy M, Karlyn A, Njab J, et al. High HIV prevalence among men who have sex with men in Nigeria: implications for combination prevention. J Acquir Immune Defic Syndr 1999. 2013;63(2):221–7.CrossRef Vu L, Adebajo S, Tun W, Sheehy M, Karlyn A, Njab J, et al. High HIV prevalence among men who have sex with men in Nigeria: implications for combination prevention. J Acquir Immune Defic Syndr 1999. 2013;63(2):221–7.CrossRef
24.
go back to reference Heckathorn DD. Respondent-driven sampling: a new approach to the study of hidden populations. Univ Calif Press Behalf Soc Study Soc Probl. 1997;44(2):174–99. Heckathorn DD. Respondent-driven sampling: a new approach to the study of hidden populations. Univ Calif Press Behalf Soc Study Soc Probl. 1997;44(2):174–99.
28.
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 [Internet]. 2013 2 [cited 2016 Jul 17];16(4Suppl 3). Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3852353/ 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 [Internet]. 2013 2 [cited 2016 Jul 17];16(4Suppl 3). Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pmc/​articles/​PMC3852353/​
30.
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 Feb;87(1):65–70.CrossRef 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 Feb;87(1):65–70.CrossRef
34.
go back to reference Gouws E, Cuchi P, International Collaboration on Estimating HIV Incidence by Modes of Transmission. Focusing the HIV response through estimating the major modes of HIV transmission: a multi-country analysis. Sex Transm Infect. 2012;88 Suppl 2:i76–85.CrossRef Gouws E, Cuchi P, International Collaboration on Estimating HIV Incidence by Modes of Transmission. Focusing the HIV response through estimating the major modes of HIV transmission: a multi-country analysis. Sex Transm Infect. 2012;88 Suppl 2:i76–85.CrossRef
35.
go back to reference Papworth E, Ceesay N, An L, Thiam-Niangoin M, Ky-Zerbo O, Holland C, et al. Epidemiology of HIV among female sex workers, their clients, men who have sex with men and people who inject drugs in West and Central Africa. J Int AIDS Soc. 2013;16 Suppl 3:18751.CrossRef Papworth E, Ceesay N, An L, Thiam-Niangoin M, Ky-Zerbo O, Holland C, et al. Epidemiology of HIV among female sex workers, their clients, men who have sex with men and people who inject drugs in West and Central Africa. J Int AIDS Soc. 2013;16 Suppl 3:18751.CrossRef
36.
go back to reference Baggaley RF, White RG, Boily M-C. HIV transmission risk through anal intercourse: systematic review, meta-analysis and implications for HIV prevention. Int J Epidemiol. 2010 Aug;39(4):1048–63.CrossRef Baggaley RF, White RG, Boily M-C. HIV transmission risk through anal intercourse: systematic review, meta-analysis and implications for HIV prevention. Int J Epidemiol. 2010 Aug;39(4):1048–63.CrossRef
37.
go back to reference Jin F, Jansson J, Law M, Prestage GP, Zablotska I, Imrie JCG, et al. Per-contact probability of HIV transmission in homosexual men in Sydney in the era of HAART. AIDS Lond Engl. 2010;24(6):907–13.CrossRef Jin F, Jansson J, Law M, Prestage GP, Zablotska I, Imrie JCG, et al. Per-contact probability of HIV transmission in homosexual men in Sydney in the era of HAART. AIDS Lond Engl. 2010;24(6):907–13.CrossRef
38.
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 Lond Engl. 2009;374(9687):416–22.CrossRef Smith AD, Tapsoba P, Peshu N, Sanders EJ, Jaffe HW. Men who have sex with men and HIV/AIDS in sub-Saharan Africa. Lancet Lond Engl. 2009;374(9687):416–22.CrossRef
39.
go back to reference Abara WE, Garba I. HIV epidemic and human rights among men who have sex with men in sub-Saharan Africa: implications for HIV prevention, care, and surveillance. Glob Public Health. 2015;30:1–14. Abara WE, Garba I. HIV epidemic and human rights among men who have sex with men in sub-Saharan Africa: implications for HIV prevention, care, and surveillance. Glob Public Health. 2015;30:1–14.
40.
go back to reference Delany-Moretlwe S, Cowan FM, Busza J, Bolton-Moore C, Kelley K, Fairlie L. Providing comprehensive health services for young key populations: needs, barriers and gaps. J Int AIDS Soc. 2015;18(2 Suppl 1):19833.PubMedPubMedCentral Delany-Moretlwe S, Cowan FM, Busza J, Bolton-Moore C, Kelley K, Fairlie L. Providing comprehensive health services for young key populations: needs, barriers and gaps. J Int AIDS Soc. 2015;18(2 Suppl 1):19833.PubMedPubMedCentral
42.
go back to reference Okal J, Raymond HF, Tun W, Musyoki H, Dadabhai S, Broz D, et al. Lessons learned from respondent-driven sampling recruitment in Nairobi: experiences from the field. BMC Res Notes [Internet]. 2016 Mar 11 [cited 2018 Oct 19];9(1):158. Available from: https://doi.org/10.1186/s13104-016-1965-y. Okal J, Raymond HF, Tun W, Musyoki H, Dadabhai S, Broz D, et al. Lessons learned from respondent-driven sampling recruitment in Nairobi: experiences from the field. BMC Res Notes [Internet]. 2016 Mar 11 [cited 2018 Oct 19];9(1):158. Available from: https://​doi.​org/​10.​1186/​s13104-016-1965-y.
Metadata
Title
Human immunodeficiency virus (HIV) among men who have sex with men: results of the first integrated biological and behavioral survey in Burkina Faso, West Africa
Authors
Henri Gautier Ouedraogo
Odette Ky-Zerbo
Ashley Grosso
Sara Goodman
Benoît Cesaire Samadoulougou
Grissoum Tarnagda
Adama Baguiya
Simon Tiendrebeogo
Marcel Lougue
Nongoba Sawadogo
Yves Traore
Nicolas Barro
Stefan Baral
Seni Kouanda
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-6361-1

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