Guys who possess intercourse with guys (MSM) are conservatively believed to be lower than 1% associated with 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 methodology that is similar hence enables contrast. Behavioral information were acquired utilizing a organized questionnaire that is pre-coded. Differences in categorical factors had been examined with Chi Square. Logistic regression had been used to determine facets related to HIV.
An overall total of 879, 1545 and 3611 MSM had been recruited in 2007, 2010 and 2014 correspondingly. Median age was 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 this season had engaged in transactional sex. HIV prevalence increased from 14% in 2007 to 17percent this year to 23per cent in 2014 (p
Globally, males that have sex with males (MSM) remain disproportionately infected and affected by HIV 1, 2. Despite huge opportunities in worldwide 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 along with other men who possess intercourse with guys are on a markedly different and trajectory 1,2,3 that is increasing. In america, brand new HIV infections among MSM happens to be projected to be increasing at 8% per annum 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 in ’09 4, 5 while in China, from prospective studies that are cohort among MSM between 2005 and 2007, HIV purchase ended up being reported to own increased from 2.6 to 5.6 per 100 person-years 6,7,8,9.
Most studies of HIV purchase and transmission among MSM have actually mostly dedicated to individual level risk facets including unprotected receptive rectal intercourse, large number of lifetime male lovers, inserting and non-injecting medication usage and high viral load into the index partner 1. But, specific degree danger facets alone, were been shown to be insufficient to describe the high transmission characteristics of HIV among MSM while the divergence of MSM epidemics in comparison to HIV epidemics various other populations 1, 2. Other risk facets such as for example biological, couple-network degree, community-level and structural drivers were founded become relevant in knowing the persistent high transmission prices among MSM particularly in the current presence of increased ART protection whereby brand new infections should decrease as a consequence of reduced probability of transmission due to the aftereffect of ART on viral load 2, 10, 11.
MSM in Nigeria are conservatively projected to be lower than 1% associated with the population that is nigerian nationally account fully for about 20per cent of brand new HIV infections 12. MSM are criminalized and stigmatized and this has further worsened in the past few years with all the passage of the Same-Sex Marriage Prohibition law of 2014 13,14,15,16,17. The new legislation included clauses that prohibited organizations from supplying solutions to MSM and facilitation of meetings that support homosexual individuals, 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 finite amount of states in Nigeria. This russianbrides really is mainly as a result of restricted information in the size estimate of MSM across states in addition to restricted financing for key population committed programs. Information on MSM are largely from three rounds associated with the Integrated that is population-based Biological Behavioural Surveillance Survey (IBBSS) conducted in, 2007, 2010, and 2014. This research aimed to evaluate the improvement in HIV prevalence and figure out correlates of HIV among MSM in Nigeria. Proof using this research will likely be employed by policy manufacturer and system supervisors for evidence-based choice making for HIV prevention among MSM in Nigeria.
In 2007, just three states – Lagos, Kano and Cross River, had been within the IBBSS. This season, after increased knowing of the share of MSM to your HIV epidemic, yet another three states had been within the IBBSS – the Federal Capital Territory (FCT), Kaduna and Oyo, whilst in 2014, Enugu and streams states had been added to the six states contained in the 2010 IBBSS. Their state selection ensured that five for the six zones that are geopolitical Nigeria had been represented when you look at the study. Hence, the west that is southLagos and Oyo), south east (Enugu), south south (streams), north central (FCT) and north west areas (Kano and Kaduna) contributed towards the research.