Increasing HIV prevalence among males who possess intercourse with males in Nigeria: a trend analysis

Increasing HIV prevalence among males who possess intercourse with males in Nigeria: a trend analysis

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Guys who possess intercourse with guys (MSM) are conservatively approximated to be significantly less than 1% of this population that is nigerian nationally account fully for about 20per cent of brand new HIV illness. We estimated the trend in HIV prevalence and determined correlates of HIV illness among MSM.

This research utilized information from respondent-driven sampling in three rounds of built-in biological and behavioral surveillance study (2007, 2010 and 2014) and covered three states in 2007, six states this year and eight states in 2014. Each round utilized similar methodology and hence permits contrast. Behavioral information were acquired utilizing an organized questionnaire that is pre-coded. Variations in categorical variables had been examined with Chi Square. Logistic regression had been used to recognize factors related to HIV.

A complete of 879, 1545 and 3611 MSM had been russian brides club recruited in 2007, 2010 and 2014 correspondingly. Median age had been 22 years for 2007 and 2014 although it ended up being 24 years this year. About one-third of MSM in 2007 and 2014 and about two-fifths this season had engaged in transactional intercourse. HIV prevalence increased from 14% in 2007 to 17percent this season to 23per cent in 2014 (p

Background

Globally, males that have intercourse with guys (MSM) remain disproportionately affected and infected by HIV 1, 2. Despite huge assets in international HIV and expanded treatment that is antiretroviralART) programs which have led to significant decreases in HIV among other sub-populations (basic populace, feminine intercourse employees), HIV among MSM has remained on a sustained increase globally 1, 3. The trend of HIV epidemic has been on a decline except among MSM 1 in high income countries. Likewise, available information on HIV incidence and prevalence from low and middle-income nations claim that the HIV epidemic among gay, bisexual as well as other males who possess intercourse with guys are for a markedly different and increasing trajectory 1,2,3. In the united states, brand new HIV infections among MSM happens to be believed to be increasing at 8% per year since 2001 1. Into the Amsterdam Cohort research among MSM, HIV purchase increased from 1.0 per 100 person-years in 1992 to 2.0 per 100-person years during 2009 4, 5 while in China, from prospective studies that are cohort among MSM between 2005 and 2007, HIV purchase had been reported to possess increased from 2.6 to 5.6 per 100 person-years 6,7,8,9.

Many studies of HIV purchase and transmission among MSM have actually mostly dedicated to specific level risk facets including unprotected anal that is receptive, large number of lifetime male lovers, inserting and non-injecting medication use and high viral load within the index partner 1. Nonetheless, specific degree risk facets alone, have already been proved to be inadequate to spell out the high transmission characteristics of HIV among MSM and also the divergence of MSM epidemics in comparison to HIV epidemics various other populations 1, 2. Other danger facets such as for example biological, couple-network degree, community-level and structural motorists have already been founded become relevant in knowing the persistent high transmission prices among MSM particularly in the current presence of increased ART protection whereby brand brand new infections should decrease due to reduced possibility of transmission due to the effectation of ART on viral load 2, 10, 11.

MSM in Nigeria are conservatively projected to be lower than 1% associated with population that is nigerian nationally account fully for about 20per cent of brand new HIV infections 12. MSM are criminalized and stigmatized and also this has further worsened in the past few years using the passage through of the Same-Sex Marriage Prohibition law of 2014 13,14,15,16,17. The brand new legislation included clauses that prohibited companies from providing solutions to MSM and facilitation of meetings that support homosexual people, thus further criminalizing same-sex activities 12. Research indicates why these restrictive policies further restrict the poor protection of HIV avoidance, therapy, and care programs among MSM 12, 18,19,20,21. Really few HIV that is MSM-targeted prevention therapy and care solutions occur in a small quantity of states in Nigeria. This might be mainly due to restricted information from the size estimate of MSM across states along with restricted capital for key population devoted programs. Information on MSM are mainly from three rounds for the population-based built-in Biological and Behavioural Surveillance Survey (IBBSS) conducted in, 2007, 2010, and 2014. This research aimed to evaluate the noticeable improvement in HIV prevalence and discover correlates of HIV among MSM in Nigeria. Proof using this scholarly research will likely to be utilized by policy manufacturer and system managers for evidence-based decision making for HIV prevention among MSM in Nigeria.

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In 2007, just three states – Lagos, Kano and Cross River, had been within the IBBSS. This season, after increased understanding of the share of MSM to your HIV epidemic, yet another three states had been contained in the IBBSS – the Federal Capital Territory (FCT), Kaduna and Oyo, whilst in 2014, Enugu and Rivers states had been put into the six states within the 2010 IBBSS. Their state selection ensured that five associated with the six geopolitical areas in Nigeria had been represented when you look at the study. Therefore, the the west (Lagos and Oyo), south east (Enugu), south south (streams), north central (FCT) and north west areas (Kano and Kaduna) contributed to your research.

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