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Seroprevalence, Knowledge and Behavioral Factors Associated with HIV Infection Among Men Who have Sex with Men (MSM) in Benin

Received: 17 February 2020    Accepted: 24 February 2020    Published: 3 March 2020
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Abstract

Most of HIV infections among adults in sub-Saharan Africa have been acquired through unprotected sex, including with sex workers and through sex between men. Unprotected sex between men promotes the transmission of STIs and HIV in particular. Unprotected anal penetration is a high-risk route of transmission. The study will estimate HIV prevalence and describe the risk factors associated among MSM population. From January to April 2016, 414 participants were enrolled in the study by the "Respondent-Driven Sampling"; the variables measured were biological, behavioral and HIV knowledge factors. Univariate and multivariate analysis were conducted and the results were weighted. MSM are predominantly young: 50.4% (41.7- 59.2) are between 20 and 24 years old, the weighted HIV prevalence is 21.8% (95% CI: 13.5 - 30.7). More than half of participants 54.4% (43.9 - 64.8) did not have accurate knowledge of HIV. Condom use during the last anal sex is significantly associated with HIV AOR (adjusted odd ratios) 0.47 (95% CI: 0.36-0.62), p<0.0001) adjusted on potentially confounding factors. This is about those below 25 years AOR 0.7 (95%CI: 0.55-0.90, p<0.0005), the educational level AOR 22.18 (95% CI: 9.49-59.75, p<0.0001), living in couple, AOR: 2.01 (95% CI: 1.54-2.63) p<0.0001; frequency of condom use with lubricant, AOR: 1.3 (95% CI: 1.03-1.65, p<0.029). This study highlights a high HIV prevalence among the MSM population and therefore shows the need to develop specific high-impact prevention programs towards this key target group while promoting an environment of protection and respect for human right.

Published in Central African Journal of Public Health (Volume 6, Issue 2)
DOI 10.11648/j.cajph.20200602.17
Page(s) 95-105
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

HIV, Epidemiology, Men Sex Men, Risk Factors, Africa

References
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Cite This Article
  • APA Style

    Pepin Septime Hector Hessou, Yolaine Glele-Ahanhanzo, Clement Ahoussinou, Colette Sylvie Azandjeme, Codjo Djignefa Dadje, et al. (2020). Seroprevalence, Knowledge and Behavioral Factors Associated with HIV Infection Among Men Who have Sex with Men (MSM) in Benin. Central African Journal of Public Health, 6(2), 95-105. https://doi.org/10.11648/j.cajph.20200602.17

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    ACS Style

    Pepin Septime Hector Hessou; Yolaine Glele-Ahanhanzo; Clement Ahoussinou; Colette Sylvie Azandjeme; Codjo Djignefa Dadje, et al. Seroprevalence, Knowledge and Behavioral Factors Associated with HIV Infection Among Men Who have Sex with Men (MSM) in Benin. Cent. Afr. J. Public Health 2020, 6(2), 95-105. doi: 10.11648/j.cajph.20200602.17

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    AMA Style

    Pepin Septime Hector Hessou, Yolaine Glele-Ahanhanzo, Clement Ahoussinou, Colette Sylvie Azandjeme, Codjo Djignefa Dadje, et al. Seroprevalence, Knowledge and Behavioral Factors Associated with HIV Infection Among Men Who have Sex with Men (MSM) in Benin. Cent Afr J Public Health. 2020;6(2):95-105. doi: 10.11648/j.cajph.20200602.17

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  • @article{10.11648/j.cajph.20200602.17,
      author = {Pepin Septime Hector Hessou and Yolaine Glele-Ahanhanzo and Clement Ahoussinou and Colette Sylvie Azandjeme and Codjo Djignefa Dadje and Wilfrid Bonou and Virgile Capo-Chichi and Bruno Doussoh and Michel Boko and Michel Alary},
      title = {Seroprevalence, Knowledge and Behavioral Factors Associated with HIV Infection Among Men Who have Sex with Men (MSM) in Benin},
      journal = {Central African Journal of Public Health},
      volume = {6},
      number = {2},
      pages = {95-105},
      doi = {10.11648/j.cajph.20200602.17},
      url = {https://doi.org/10.11648/j.cajph.20200602.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20200602.17},
      abstract = {Most of HIV infections among adults in sub-Saharan Africa have been acquired through unprotected sex, including with sex workers and through sex between men. Unprotected sex between men promotes the transmission of STIs and HIV in particular. Unprotected anal penetration is a high-risk route of transmission. The study will estimate HIV prevalence and describe the risk factors associated among MSM population. From January to April 2016, 414 participants were enrolled in the study by the "Respondent-Driven Sampling"; the variables measured were biological, behavioral and HIV knowledge factors. Univariate and multivariate analysis were conducted and the results were weighted. MSM are predominantly young: 50.4% (41.7- 59.2) are between 20 and 24 years old, the weighted HIV prevalence is 21.8% (95% CI: 13.5 - 30.7). More than half of participants 54.4% (43.9 - 64.8) did not have accurate knowledge of HIV. Condom use during the last anal sex is significantly associated with HIV AOR (adjusted odd ratios) 0.47 (95% CI: 0.36-0.62), p<0.0001) adjusted on potentially confounding factors. This is about those below 25 years AOR 0.7 (95%CI: 0.55-0.90, p<0.0005), the educational level AOR 22.18 (95% CI: 9.49-59.75, p<0.0001), living in couple, AOR: 2.01 (95% CI: 1.54-2.63) p<0.0001; frequency of condom use with lubricant, AOR: 1.3 (95% CI: 1.03-1.65, p<0.029). This study highlights a high HIV prevalence among the MSM population and therefore shows the need to develop specific high-impact prevention programs towards this key target group while promoting an environment of protection and respect for human right.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Seroprevalence, Knowledge and Behavioral Factors Associated with HIV Infection Among Men Who have Sex with Men (MSM) in Benin
    AU  - Pepin Septime Hector Hessou
    AU  - Yolaine Glele-Ahanhanzo
    AU  - Clement Ahoussinou
    AU  - Colette Sylvie Azandjeme
    AU  - Codjo Djignefa Dadje
    AU  - Wilfrid Bonou
    AU  - Virgile Capo-Chichi
    AU  - Bruno Doussoh
    AU  - Michel Boko
    AU  - Michel Alary
    Y1  - 2020/03/03
    PY  - 2020
    N1  - https://doi.org/10.11648/j.cajph.20200602.17
    DO  - 10.11648/j.cajph.20200602.17
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 95
    EP  - 105
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20200602.17
    AB  - Most of HIV infections among adults in sub-Saharan Africa have been acquired through unprotected sex, including with sex workers and through sex between men. Unprotected sex between men promotes the transmission of STIs and HIV in particular. Unprotected anal penetration is a high-risk route of transmission. The study will estimate HIV prevalence and describe the risk factors associated among MSM population. From January to April 2016, 414 participants were enrolled in the study by the "Respondent-Driven Sampling"; the variables measured were biological, behavioral and HIV knowledge factors. Univariate and multivariate analysis were conducted and the results were weighted. MSM are predominantly young: 50.4% (41.7- 59.2) are between 20 and 24 years old, the weighted HIV prevalence is 21.8% (95% CI: 13.5 - 30.7). More than half of participants 54.4% (43.9 - 64.8) did not have accurate knowledge of HIV. Condom use during the last anal sex is significantly associated with HIV AOR (adjusted odd ratios) 0.47 (95% CI: 0.36-0.62), p<0.0001) adjusted on potentially confounding factors. This is about those below 25 years AOR 0.7 (95%CI: 0.55-0.90, p<0.0005), the educational level AOR 22.18 (95% CI: 9.49-59.75, p<0.0001), living in couple, AOR: 2.01 (95% CI: 1.54-2.63) p<0.0001; frequency of condom use with lubricant, AOR: 1.3 (95% CI: 1.03-1.65, p<0.029). This study highlights a high HIV prevalence among the MSM population and therefore shows the need to develop specific high-impact prevention programs towards this key target group while promoting an environment of protection and respect for human right.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • Key Populations Department, National Reference Centre for AIDS Research and Care (CNRRPEC-CNHU/Bénin), Cotonou, Benin; Population Health and Best Practices in Health Axis Quebec City UHC Research Centre - Laval University, Saint-Sacrement Hospital, Quebec, Canada; Inter-faculty Centre for Training and Research in Environment for Development, University of Abomey-Calavi (UAC), Calavi, Bénin

  • Epidemiology and Biostatistics Department, Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Benin

  • Health Research Department, Institute of Analysis, Communication and Social Groups (INACES), Misserete, Oueme, Benin

  • Epidemiology and Biostatistics Department, Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Benin

  • Population Health and Best Practices in Health Axis Quebec City UHC Research Centre - Laval University, Saint-Sacrement Hospital, Quebec, Canada

  • Research Department, Leadership & Development (LEADDS), Cotonou, Benin

  • Research Department, Leadership & Development (LEADDS), Cotonou, Benin

  • Research Department, Leadership & Development (LEADDS), Cotonou, Benin

  • Inter-faculty Centre for Training and Research in Environment for Development, University of Abomey-Calavi (UAC), Calavi, Bénin

  • Population Health and Best Practices in Health Axis Quebec City UHC Research Centre - Laval University, Saint-Sacrement Hospital, Quebec, Canada

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