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Sexual behaviours and risk with women in MSM in sub-Saharan Africa.
- Source :
-
AIDS (London, England) [AIDS] 2024 Mar 01; Vol. 38 (3), pp. 273-287. Date of Electronic Publication: 2024 Feb 01. - Publication Year :
- 2024
-
Abstract
- In sub-Saharan Africa (SSA), MSM - a high HIV prevalence group - experience strong social stigma and pressure to have female partners. Accordingly, they could constitute a bridging group for HIV transmission to cisgender women. We developed a multilevel summary of MSM sexual behaviors and risk with women in various SSA regions. Following PRISMA guidelines, we conducted a mixed-method systematic review of data of sex with women in MSM in SSA. We performed meta-analyses on quantitative data (i.e. percent of recent sex and condomless sex with women) for each SSA region (when proportions reported in ≥4 studies). Pooled proportions were calculated using random-effects models. Qualitative data were analyzed using the three-step thematic synthesis methodology. The pooled proportion of MSM who had sex with women was 58% (33-83%) in East Africa (in the previous 3 months), and 27% (13-48%) in Southern Africa and 50% (95% CI 39-62%) in West Africa (in the previous 6 months); 23% (16-32%) of MSM in West Africa had condomless sex with a woman (during the most recent encounter). Approximately one quarter of MSM had recent multiple female partners. MSM reported having sex with women because of heteronormative pressure, erotic/romantic attraction, or financial needs leading to transactional sex. MSM may act as a bridging population to women in SSA, as they commonly practice sex with women and risky sexual behaviors with them. HIV programmes and community-based support for MSM should be adapted to this population to reduce this risk.<br /> (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
Details
- Language :
- English
- ISSN :
- 1473-5571
- Volume :
- 38
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- AIDS (London, England)
- Publication Type :
- Report
- Accession number :
- 38300157
- Full Text :
- https://doi.org/10.1097/QAD.0000000000003787