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HIV prevalence and risk behavior among male and female adults screened for enrolment into a vaccine preparedness study in Maputo, Mozambique
- Source :
- PLoS ONE, PLoS ONE, Vol 14, Iss 9, p e0221682 (2019)
- Publication Year :
- 2018
-
Abstract
- IntroductionMozambique continues to have a significant burden of HIV. Developing strategies to control the HIV epidemic remains a key priority for the Mozambican public health community. The primary aim of this study was to determine HIV prevalence and risk behavior among males and females screened for a HIV vaccine preparedness study in Maputo, Mozambique.MethodsMale and female participants between 18-35 years old were recruited from the general community and from female sex worker (FSW) and lesbian, gay, bisexual, and transgender (LGBT) associations in Maputo. All participants were screened for HIV and a questionnaire was administered to each participant to assess HIV risk behavior.ResultsA total of 1125 adults were screened for HIV infection, among whom 506 (45%) were male. Among men, 5.7% reported having had sex with men (MSM) and 12% of female participants reported having exchanged sex for money, goods or favors in the past 3 months. The overall HIV prevalence was 10.4%; 10.7% of women, and 10.1% of men were HIV infected; 41.4% of MSM were seropositive. HIV infection was associated with older age (25-35 years old) (OR: 6.13, 95% CI: 3.01, 12.5), MSM (OR: 9.07, 95% CI: 3.85, 21.4), self-perception of being at high-risk for HIV (OR: 3.99, 95% CI: 1.27, 12.5) and self-report of a history of a diagnosis of sexually transmitted infection (OR: 3.75, 95% CI: 1.57, 8.98).ConclusionIn our cohort, HIV prevalence was much higher among MSM compared to the overall prevalence. Behavioral factors were found to be more associated with HIV prevalence than demographic factors. The study findings demonstrate the critical importance of directing services to minority communities, such as MSM, when prevention strategies are being devised for the general population.
- Subjects :
- Male
RNA viruses
Bacterial Diseases
Cross-sectional study
Epidemiology
HIV Infections
Pathology and Laboratory Medicine
Treponematoses
Cohort Studies
Geographical Locations
Sexual and Gender Minorities
0302 clinical medicine
Immunodeficiency Viruses
Risk Factors
Transgender
Prevalence
Medicine and Health Sciences
Medicine
030212 general & internal medicine
Young adult
HIV vaccine
10. No inequality
Mozambique
AIDS Vaccines
education.field_of_study
Vaccines
Multidisciplinary
virus diseases
HIV diagnosis and management
3. Good health
Medical Microbiology
HIV epidemiology
Viral Pathogens
Cohort
Viruses
Infectious diseases
Female
Pathogens
0305 other medical science
Cohort study
Research Article
Neglected Tropical Diseases
Adult
medicine.medical_specialty
Adolescent
Science
Sexual Behavior
Urology
Population
Sexually Transmitted Diseases
Men WHO Have Sex with Men
Viral diseases
Microbiology
03 medical and health sciences
Young Adult
Risk-Taking
Virology
Retroviruses
Infectious disease control
Humans
Syphilis
Homosexuality, Male
education
Microbial Pathogens
030505 public health
business.industry
Viral vaccines
Genitourinary Infections
Public health
Lentivirus
Organisms
HIV vaccines
Biology and Life Sciences
HIV
Tropical Diseases
Diagnostic medicine
Cross-Sectional Studies
People and Places
Africa
Population Groupings
business
Demography
Sexuality Groupings
Subjects
Details
- ISSN :
- 19326203
- Volume :
- 14
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- PloS one
- Accession number :
- edsair.doi.dedup.....c30e4a29844c0e4a4b131d9096f928bf