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Background: Understanding the time to hypertension occurrence after antiretroviral treatment (ART) initiation in people living with HIV (PLHIV) and its determinants is important for designing interventions for control. Objective: This study sought to estimate the median time of ART use to hypertension onset and its predictors in Nigerian PLHIV. Design: A retrospective longitudinal study. Methods: This retrospective review of 2503 normotensive adult PLHIV (⩾18 years) from 2004 to 2020 in two HIV clinics in Nigeria. Incident hypertension was based on clinical diagnosis or two consecutive blood pressure readings ⩾140/90 mmHg, taken during the 8 months of data collection. Survival event was defined as incident hypertension during follow-up or interview day for observed patients unless they were right censored. The Kaplan-Meier survival curve was used to estimate the survival probabilities of hypertension. The Cox proportional hazard model was fitted to identify predictors of hypertension at p

Background: Men with sex with men (MSM) may face obstacles in accessing culturally competent and quality healthcare services since current medical practice does not often promote discussing sexual habits. The coronavirus disease-2019 (COVID-19) pandemic has further affected this group. This study assessed the impacts of COVID-19 and the general challenges of MSM in Benue State, Nigeria. Materials and Methods: This study was a quantitative cross-sectional survey conducted across three geopolitical zones of Benue State using a multistage cluster sampling method to collect data from MSM. The data collected were analyzed using IBM-Statistical Package for Social Sciences (IBM-SPSS) version 25.0 for Windows IBM Corp., Armonk, New York. Result: More than half (59.2%) of respondents said they were not denied healthcare services, and 78.4% were not afraid to seek them. Most (88%) were comfortable seeking medical help, and 61.6% did not experience stigmatization from healthcare providers. Many (68.0%) were not exposed to violence after sharing their status with healthcare providers. About half (50.4%) said COVID-19 did not affect their general quality of life. Over half (51.2%) said there was a decline in access to resources like food and money during the pandemic, 49.6% experienced difficulties accessing HIV testing, and 52.0% could not access PrEP. More than half (53.6%) reported challenges getting viral load or other laboratory tests, but 57.5% had no trouble getting HIV medication prescriptions. Conclusion: The Federal Government, and the Ministry of Health, Nigeria, should support intervention programs, peer educators, and outreach workers providing services to MSM.

Objective: High-risk behaviors among MSM have continually made this group susceptible to HIV and other STIs. Therefore, the study seeks to assess the prevalence of high-risk behaviors among MSM in Nigeria. Methodology: This quantitative descriptive cross-sectional survey examined the high-risk behaviors among MSM. The study was conducted in the state's three local government areas using a multistage cluster sampling technique. Data collection was done using an interviewer-administered structured questionnaire, and analysis was performed with IBM-SPSS version 25.0. Result: A significant number, 91.2% (114) of MSM in Benue State, had anal sex but mostly without protection, 75.2% (94). However, 108 (94.7%) used lubricants during anal sex, particularly those with multiple sexual partners (79, 63.2%). Also, 66 (52.8%) used/inject drugs. Sexual health was also challenging as 110 (88.0%) had been diagnosed with STIs. Most participants with STIs (118, 94.3%) said their sexual partner infected them. A substantial proportion, 16 (76.2%) of MSM aged 18-20 years, were using or injecting drugs, likewise those aged 21-25 years (14, 63.6%) (p