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Male clients of male sex workers in West Africa: A neglected high-risk population
- Source :
- PLoS ONE, PLoS ONE, 2019, 14 (5), pp.e0212245. ⟨10.1371/journal.pone.0212245⟩, PLoS ONE, Public Library of Science, 2019, 14 (5), pp.e0212245. ⟨10.1371/journal.pone.0212245⟩, PLoS ONE, Vol 14, Iss 5, p e0212245 (2019)
- Publication Year :
- 2019
- Publisher :
- HAL CCSD, 2019.
-
Abstract
- International audience; Research on male clients of male sex workers (MCMSW) has been neglected for a long time globally. We aimed to characterize MCMSW and to identify factors associated with their sexual practices using data from the prospective cohort study CohMSM conducted in Burkina Faso, Côte d'Ivoire, Mali and Togo. Our study focused on HIV-negative men who have sex with other men (MSM), recruited between 06/2015 and 01/2018 by a team of trained peer educators. Scheduled study visits at 6, 12 and 18 months included medical examinations, HIV screening, risk-reduction counselling and face-to-face interviews to collect information on their sociodemographic characteristics, sexual behaviours, and HIV risk-reduction strategies (HIV-RRS). Three stigmatization sub-scores were constructed (experienced, perceived and internalized). Mixed-effects logistic regression was used for data analysis. Of the 280 participants recruited at baseline, 238, 211 and 118, respectively, had a follow-up visit at 6, 12 and 18 months. Over a total of 847 visits, 47 transactional sex (TS) encounters were reported by 38 MCMSW (13.6%). Of the latter, only one participant reported systematic TS (2.6%), 18 (47.4%) stopped reporting TS after baseline, while 6 (15.8%) reported TS after baseline. Thirteen participants (34.2%) reported occasional TS. After adjusting for country of study and age, the following self-reported factors were associated with a greater likelihood of being MCMSW: protected anal sex, exclusively insertive anal sex with male sexual partners, avoidance of sex after consuming psychoactive products and experiencing stigmatization (all during the previous 6 months). The majority of MCMSW in this study practiced HIV-RRS with male sexual partners, including engaging in protected anal sex, avoidance of sex when consuming psychoactive products, and practising exclusively insertive anal sex.
- Subjects :
- RNA viruses
Male
Bisexuals
[SDV]Life Sciences [q-bio]
Human sexuality
HIV Infections
030312 virology
Logistic regression
Pathology and Laboratory Medicine
Mali
Men who have sex with men
Geographical Locations
Sexual and Gender Minorities
0302 clinical medicine
Immunodeficiency Viruses
Risk Factors
Medicine and Health Sciences
Medicine
030212 general & internal medicine
Homosexuality
Young adult
Male Sex Workers
Prospective cohort study
media_common
0303 health sciences
education.field_of_study
Multidisciplinary
Middle Aged
[SDV] Life Sciences [q-bio]
Professions
Medical Microbiology
Viral Pathogens
Viruses
Infectious diseases
Pathogens
Research Article
Adult
Science
media_common.quotation_subject
Sexual Behavior
Population
HIV prevention
Men WHO Have Sex with Men
Transactional sex
Viral diseases
Microbiology
03 medical and health sciences
Young Adult
Retroviruses
Burkina Faso
Humans
Homosexuality, Male
education
Microbial Pathogens
Preventive medicine
Sex Workers
business.industry
Lentivirus
Organisms
Biology and Life Sciences
HIV
Public and occupational health
Logistic Models
People and Places
Africa
Population Groupings
business
Demography
Sexuality Groupings
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Database :
- OpenAIRE
- Journal :
- PLoS ONE, PLoS ONE, 2019, 14 (5), pp.e0212245. ⟨10.1371/journal.pone.0212245⟩, PLoS ONE, Public Library of Science, 2019, 14 (5), pp.e0212245. ⟨10.1371/journal.pone.0212245⟩, PLoS ONE, Vol 14, Iss 5, p e0212245 (2019)
- Accession number :
- edsair.doi.dedup.....7b3c7182cd6d0fa6d3a127df8232c475
- Full Text :
- https://doi.org/10.1371/journal.pone.0212245⟩