Associations of Consistent Condom Use among Men who have Sex with Men (MSM) in Abuja, Nigeria.

Summary of "Associations of Consistent Condom Use among Men who have Sex with Men (MSM) in Abuja, Nigeria."

Objectives The objective of the study was to characterize factors associated with consistent condom use among men who had sex with men (MSM) in Abuja, Nigeria. Methods A convenience sample consisting of 297 MSM were recruited during 2008 using a combination of peer-referral and venue-based sampling. Descriptive statistics with chi square and t test were used for demographic, sexual identity and practices variables. Univariate and multivariate logistic regression were used to identify factors associated with consistent condom use with male partners in the last six months. Results Approximately more than half (53%, n=155/290) reported always using condoms with male partner in the last six months and 43%(n= 95/219) reported always using condoms with female partners in the last six months. 11%(n= 16/144) reported always engaging in safe sex defined as always using condoms with both male and female partners and always using water-based lube with male partners in the last six months. Independent associations with consistent condom use with male partners in the last six months were knowledge of at least one STI that can be transmitted through unprotected anal intercourse (OR 2.47, 95%
CI:
1.27-4.83, p<0.01) and having been tested for HIV (OR 2.40, 95%
CI:
1.27-4.54, p<0.01.) Conclusions MSM who had been HIV-tested at least once were more likely to use condoms consistently during anal intercourse in multivariate analyses. In addition, STI knowledge was also associated with consistent condom use during anal intercourse implying that interventions targeting high risk practices are effective as HIV prevention for this high risk group. Future directions include intervention research to determine the appropriate package of services for MSM in Nigeria. In addition, implementation science evaluations of how best to operationalize combination HIV prevention interventions for MSM given the criminalization and stigmatization of same-sex practices are crucial.

Affiliation

Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Center for Public Health and Human Rights, Baltimore, Maryland, United States; sstromda@jhsph.edu.

Journal Details

This article was published in the following journal.

Name: AIDS research and human retroviruses
ISSN: 1931-8405
Pages:

Links

• PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22574699
• DOI: http://dx.doi.org/10.1089/AID.2012.0070