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Characterizing social cohesion and gender identity as risk determinants of HIV among cisgender men who have sex with men and transgender women in Côte d’Ivoire
- Source :
- Ann Epidemiol
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- PURPOSE: HIV prevalence has been previously estimated among cisgender men who have sex with men (MSM) in Côte d’Ivoire; however, limited data exist relating to the role of social cohesion and gender identity within this population. This study aims to examine these factors as risk determinants of HIV among MSM in Côte d’Ivoire. METHODS: We conducted a cross-sectional study using respondent-driven sampling for recruitment with a structured sociobehavioral instrument and testing for HIV. After respondent-driven sampling adjustment, chi-squared tests and bivariate logistic regression and multivariate logistic regression analyses were performed to characterize social and identity-based risk determinants of biologically confirmed prevalent HIV infection. RESULTS: HIV prevalence was 11.2% (n = 146/1301). Transgender woman identity was associated with higher odds of HIV compared with cisgender MSM (aOR = 3.4, 95% CI [2.0–5.8], P < .001). Having a combined social cohesion score of medium (aOR = 0.4, 95% CI [0.2–0.8], P < .01) or high (aOR = 0.2, 95% CI [0.1–0.3], P < .001) was associated with lower odds of HIV compared with a low score. CONCLUSION: These data suggest that social cohesion is a determinant of prevalent HIV infection in Côte d’Ivoire among gay men, other cisgender MSM, and transgender women. The differences in HIV burden and social cohesion between transgender women and cisgender MSM highlight the need to better target the diversity of people traditionally included in the MSM umbrella to ensure comprehensive HIV prevention and treatment interventions.
- Subjects :
- Adult
Male
Epidemiology
Sexual Behavior
Social Stigma
Population
Human immunodeficiency virus (HIV)
HIV Infections
medicine.disease_cause
Logistic regression
Risk Assessment
Transgender Persons
01 natural sciences
Article
Transgender women
Odds
Men who have sex with men
03 medical and health sciences
0302 clinical medicine
Risk Factors
Transgender
Prevalence
Humans
Medicine
030212 general & internal medicine
Homosexuality, Male
0101 mathematics
education
education.field_of_study
Gender identity
business.industry
010102 general mathematics
virus diseases
Cote d'Ivoire
Cross-Sectional Studies
Social Capital
Female
business
Transsexualism
Demography
Subjects
Details
- ISSN :
- 10472797
- Volume :
- 42
- Database :
- OpenAIRE
- Journal :
- Annals of Epidemiology
- Accession number :
- edsair.doi.dedup.....184d14f647e9a79b7ddfe90cdf3665fc