Increasing HIV prevalence among males who possess intercourse with males in Nigeria: a trend analysis
Guys that have intercourse with guys (MSM) are conservatively predicted to be not as much as 1% for the Nigerian population yet nationally account fully for about 20per cent of brand new HIV disease. We estimated the trend in HIV prevalence and determined correlates of HIV illness among MSM.
This research used information from respondent-driven sampling in three rounds of built-in biological and behavioral surveillance survey (2007, 2010 and 2014) and covered three states in 2007, six states this year and eight states in 2014. Each round used methodology that is similar therefore permits contrast. Behavioral information were obtained making use of a structured questionnaire that is pre-coded. Variations in categorical factors had been evaluated with Chi Square. Logistic regression had been utilized to spot facets connected with HIV.
A complete of 879, 1545 and 3611 MSM were recruited in 2007, 2010 and 2014 correspondingly. Median age had been 22 years for 2007 and 2014 whilst it had been 24 years this year. About one-third of MSM in 2007 and 2014 and about two-fifths in 2010 had involved with transactional sex. HIV prevalence increased from 14% in 2007 to 17percent this season to 23% in 2014 (p
Globally, males who possess 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 for 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 men that have intercourse with guys are for a markedly different and increasing trajectory 1,2,3. In america, brand brand new HIV infections among MSM was calculated to be increasing at 8% per year since 2001 1. When you look at 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 own 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 centered on individual degree risk facets including unprotected anal that is receptive, large number of lifetime male lovers, inserting and non-injecting drug usage and high viral load when you look at the index partner 1. But, specific degree danger facets alone, have already been proved to be inadequate to spell out the high transmission characteristics of HIV among MSM plus the divergence of MSM epidemics in comparison with HIV epidemics in other populations 1, 2. Other risk facets such as for instance biological, couple-network degree, community-level and structural motorists have now been founded to be pertinent in knowing the persistent transmission that is high among MSM specially in the current presence of increased ART coverage whereby new infections should decrease as a consequence of reduced possibility of transmission due to the effectation of ART on viral load 2, 10, 11.
MSM in Nigeria are conservatively projected to be not as much as 1% associated with Nigerian population yet 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 last few years aided by the passage of the Same-Sex Marriage Prohibition law of 2014 13,14,15,16,17. The law that is new clauses that prohibited businesses from supplying solutions to MSM and facilitation of meetings that support gay individuals, thus further criminalizing same-sex activities 12. Research indicates why these restrictive policies further restrict the poor protection of HIV prevention, therapy, and care programs among MSM 12, 18,19,20,21. Really few HIV that is MSM-targeted prevention treatment and care solutions occur in a small wide range of states in Nigeria. It is mainly due to restricted data in the size estimate of MSM across states in addition to restricted financing for key population devoted programs. Information on MSM are mostly from three rounds regarding the population-based incorporated 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 with this research would be used by policy manufacturer and program supervisors for evidence-based decision making for HIV prevention among MSM in Nigeria.
In 2007, just three states – Lagos, Kano and Cross River, had been contained in the IBBSS. An additional three states were included in the IBBSS – the Federal Capital Territory (FCT), Kaduna and Oyo, while in 2014, Enugu and Rivers states were added to the six states included in the 2010 IBBSS in 2010, following increased awareness of the contribution of MSM to the HIV epidemic. Their state selection ensured that five for the six zones that are geopolitical Nigeria had russianbrides.com been represented into 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 towards the research.