The Mpumalanga Men's Study (MPMS): Results of a Baseline Biological and Behavioral HIV Surveillance Survey in Two MSM Communities in South Africa
Identifieur interne : 000231 ( Pmc/Curation ); précédent : 000230; suivant : 000232The Mpumalanga Men's Study (MPMS): Results of a Baseline Biological and Behavioral HIV Surveillance Survey in Two MSM Communities in South Africa
Auteurs : Tim Lane [États-Unis] ; Thomas Osmand [États-Unis] ; Alexander Marr [États-Unis] ; Starley B. Shade [États-Unis] ; Kristin Dunkle [États-Unis] ; Theodorus Sandfort [États-Unis] ; Helen Struthers [Afrique du Sud] ; Susan Kegeles [États-Unis] ; James A. Mcintyre [Afrique du Sud]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
The Mpumalanga Men's Study (MPMS) is the assessment of the Project
Url:
DOI: 10.1371/journal.pone.0111063
PubMed: 25401785
PubMed Central: 4234301
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<front><div type="abstract" xml:lang="en"><p>The Mpumalanga Men's Study (MPMS) is the assessment of the Project <italic>Boithato</italic>
HIV prevention intervention for South African MSM. <italic>Boithato</italic>
aims to increase consistent condom use, regular testing for HIV-negative MSM, and linkage to care for HIV-positive MSM. The MPMS baseline examined HIV prevalence and associated risk behaviors, and testing, care, and treatment behaviors among MSM in Gert Sibande and Ehlanzeni districts in Mpumalanga province, South Africa in order to effectively target intervention activities. We recruited 307 MSM in Gert Sibande and 298 in Ehlanzeni through respondent-driven sampling (RDS) between September 2012-March 2013. RDS-adjusted HIV prevalence estimates are 28.3% (95% CI 21.1%–35.3%) in Gert Sibande, and 13.7% (95% CI 9.1%–19.6%) in Ehlanzeni. Prevalence is significantly higher among MSM over age 25 [57.8% (95% CI 43.1%–72.9%) vs. 17.9% (95% CI 10.6%–23.9%), <italic>P</italic>
<0.001 in Gert Sibande; 34.5% (95%CI 20.5%–56.0%) vs. 9.1% (95% CI 4.6%–13.9%), <italic>P</italic>
<0.001 in Ehlanzeni]. In Gert Sibande, prevalence is higher among self-identified gay and transgender MSM vs. other MSM [39.3% (95%CI, 28.3%–47.9%), <italic>P</italic>
<0.01], inconsistent condom users [38.1% (18.1%–64.2%), <italic>P</italic>
<0.05], those with a current regular male partner [35.0% (27.1%–46.4%), P<0.05], and those with lifetime experience of intimate partner violence with men [40.4%, (95%CI 28.9%–50.9%), <italic>P</italic>
<0.05]. Prevalence of previous HIV testing was 65.8% (95%CI 58.8%–74.0%) in Gert Sibande, and 69.3% (95%CI 61.9%–76.8%) in Ehlanzeni. Regular HIV testing was uncommon [(34.6%, (95%CI 27.9%–41.4%) in Gert Sibande; 31.0% (95%CI 24.9%–37.8%) in Ehlanzeni]. Among HIV-positive participants, few knew their status (28.1% in Gert Sibande and 14.5% in Ehlanzeni), or were appropriately linked to care (18.2% and 11.3%, respectively), or taking antiretroviral therapy (13.6% and 9.6% respectively). MPMS results demonstrate the importance of implementing interventions for MSM to increase consistent condom use, regular HIV testing, and linkage and engagement in care for HIV-infected MSM.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id>
<journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id>
<journal-id journal-id-type="publisher-id">plos</journal-id>
<journal-id journal-id-type="pmc">plosone</journal-id>
<journal-title-group><journal-title>PLoS ONE</journal-title>
</journal-title-group>
<issn pub-type="epub">1932-6203</issn>
<publisher><publisher-name>Public Library of Science</publisher-name>
<publisher-loc>San Francisco, USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25401785</article-id>
<article-id pub-id-type="pmc">4234301</article-id>
<article-id pub-id-type="publisher-id">PONE-D-14-24055</article-id>
<article-id pub-id-type="doi">10.1371/journal.pone.0111063</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
<subj-group subj-group-type="Discipline-v2"><subject>Biology and Life Sciences</subject>
<subj-group><subject>Plant Science</subject>
<subj-group><subject>Plant Pathology</subject>
<subj-group><subject>Disease Surveillance</subject>
<subj-group><subject>Infectious Disease Surveillance</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v2"><subject>Medicine and health sciences</subject>
<subj-group><subject>Epidemiology</subject>
</subj-group>
<subj-group><subject>Infectious diseases</subject>
<subj-group><subject>Viral diseases</subject>
<subj-group><subject>HIV infections</subject>
</subj-group>
</subj-group>
<subj-group><subject>Infectious Disease Control</subject>
</subj-group>
</subj-group>
<subj-group><subject>Public and Occupational Health</subject>
<subj-group><subject>Behavioral and Social Aspects of Health</subject>
<subject>Global Health</subject>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v2"><subject>People and places</subject>
<subj-group><subject>Geographical locations</subject>
<subj-group><subject>Africa</subject>
<subj-group><subject>South Africa</subject>
</subj-group>
</subj-group>
</subj-group>
<subj-group><subject>Population Groupings</subject>
<subj-group><subject>Sexual Preferences</subject>
<subj-group><subject>Men WHO Have Sex with Men</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v2"><subject>Research and Analysis Methods</subject>
<subj-group><subject>Research Design</subject>
<subj-group><subject>Survey Research</subject>
<subj-group><subject>Surveys</subject>
<subj-group><subject>Health Surveys</subject>
</subj-group>
</subj-group>
</subj-group>
<subj-group><subject>Cross-Sectional Studies</subject>
</subj-group>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>The Mpumalanga Men's Study (MPMS): Results of a Baseline Biological and Behavioral HIV Surveillance Survey in Two MSM Communities in South Africa</article-title>
<alt-title alt-title-type="running-head">The Mpumalanga Men's Study</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Lane</surname>
<given-names>Tim</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Osmand</surname>
<given-names>Thomas</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marr</surname>
<given-names>Alexander</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Shade</surname>
<given-names>Starley B.</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dunkle</surname>
<given-names>Kristin</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sandfort</surname>
<given-names>Theodorus</given-names>
</name>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Struthers</surname>
<given-names>Helen</given-names>
</name>
<xref ref-type="aff" rid="aff4"><sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff5"><sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kegeles</surname>
<given-names>Susan</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>McIntyre</surname>
<given-names>James A.</given-names>
</name>
<xref ref-type="aff" rid="aff4"><sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff6"><sup>6</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>1</label>
<addr-line>Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, California, United States of America</addr-line>
</aff>
<aff id="aff2"><label>2</label>
<addr-line>Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America</addr-line>
</aff>
<aff id="aff3"><label>3</label>
<addr-line>HIV Center for Clinical and Behavioral Studies, Columbia University, New York, New York, United States of America</addr-line>
</aff>
<aff id="aff4"><label>4</label>
<addr-line>Anova Health Institute, Johannesburg, South Africa</addr-line>
</aff>
<aff id="aff5"><label>5</label>
<addr-line>Division of Infectious Diseases & HIV Medicine, Department of Medicine, University of Cape Town, Cape Town, South Africa</addr-line>
</aff>
<aff id="aff6"><label>6</label>
<addr-line>School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa</addr-line>
</aff>
<contrib-group><contrib contrib-type="editor"><name><surname>Graham</surname>
<given-names>Susan Marie</given-names>
</name>
<role>Editor</role>
<xref ref-type="aff" rid="edit1"></xref>
</contrib>
</contrib-group>
<aff id="edit1"><addr-line>University of Washington, United States of America</addr-line>
</aff>
<author-notes><corresp id="cor1">* E-mail: <email>Tim.Lane@ucsf.edu</email>
</corresp>
<fn fn-type="conflict"><p><bold>Competing Interests: </bold>
The authors have declared that no competing interests exist.</p>
</fn>
<fn fn-type="con"><p>Conceived and designed the experiments: TL TO TS. Performed the experiments: TL TO. Analyzed the data: TL TO AM SBS. Contributed reagents/materials/analysis tools: TL TS KD SK. Wrote the paper: TL TO AM SBS TS HS SK JAM.</p>
</fn>
</author-notes>
<pub-date pub-type="collection"><year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>17</day>
<month>11</month>
<year>2014</year>
</pub-date>
<volume>9</volume>
<issue>11</issue>
<elocation-id>e111063</elocation-id>
<history><date date-type="received"><day>4</day>
<month>6</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>19</day>
<month>9</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-year>2014</copyright-year>
<copyright-holder>Lane et al</copyright-holder>
<license><license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>
, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
</license>
</permissions>
<abstract><p>The Mpumalanga Men's Study (MPMS) is the assessment of the Project <italic>Boithato</italic>
HIV prevention intervention for South African MSM. <italic>Boithato</italic>
aims to increase consistent condom use, regular testing for HIV-negative MSM, and linkage to care for HIV-positive MSM. The MPMS baseline examined HIV prevalence and associated risk behaviors, and testing, care, and treatment behaviors among MSM in Gert Sibande and Ehlanzeni districts in Mpumalanga province, South Africa in order to effectively target intervention activities. We recruited 307 MSM in Gert Sibande and 298 in Ehlanzeni through respondent-driven sampling (RDS) between September 2012-March 2013. RDS-adjusted HIV prevalence estimates are 28.3% (95% CI 21.1%–35.3%) in Gert Sibande, and 13.7% (95% CI 9.1%–19.6%) in Ehlanzeni. Prevalence is significantly higher among MSM over age 25 [57.8% (95% CI 43.1%–72.9%) vs. 17.9% (95% CI 10.6%–23.9%), <italic>P</italic>
<0.001 in Gert Sibande; 34.5% (95%CI 20.5%–56.0%) vs. 9.1% (95% CI 4.6%–13.9%), <italic>P</italic>
<0.001 in Ehlanzeni]. In Gert Sibande, prevalence is higher among self-identified gay and transgender MSM vs. other MSM [39.3% (95%CI, 28.3%–47.9%), <italic>P</italic>
<0.01], inconsistent condom users [38.1% (18.1%–64.2%), <italic>P</italic>
<0.05], those with a current regular male partner [35.0% (27.1%–46.4%), P<0.05], and those with lifetime experience of intimate partner violence with men [40.4%, (95%CI 28.9%–50.9%), <italic>P</italic>
<0.05]. Prevalence of previous HIV testing was 65.8% (95%CI 58.8%–74.0%) in Gert Sibande, and 69.3% (95%CI 61.9%–76.8%) in Ehlanzeni. Regular HIV testing was uncommon [(34.6%, (95%CI 27.9%–41.4%) in Gert Sibande; 31.0% (95%CI 24.9%–37.8%) in Ehlanzeni]. Among HIV-positive participants, few knew their status (28.1% in Gert Sibande and 14.5% in Ehlanzeni), or were appropriately linked to care (18.2% and 11.3%, respectively), or taking antiretroviral therapy (13.6% and 9.6% respectively). MPMS results demonstrate the importance of implementing interventions for MSM to increase consistent condom use, regular HIV testing, and linkage and engagement in care for HIV-infected MSM.</p>
</abstract>
<funding-group><funding-statement>This research was supported by the National Institute of Allergy and Infectious Disease (NIAID) R01AI089292. The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement>
</funding-group>
<counts><page-count count="11"></page-count>
</counts>
<custom-meta-group><custom-meta id="data-availability"><meta-name>Data Availability</meta-name>
<meta-value>The authors confirm that, for approved reasons, some access restrictions apply to the data underlying the findings. Due to ethical restrictions, data are unavailable for public deposition. Requests for the data underlying the findings in this paper will be made available upon request to the corresponding author: <email>Tim.Lane@uscf.edu</email>
.</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
<notes><title>Data Availability</title>
<p>The authors confirm that, for approved reasons, some access restrictions apply to the data underlying the findings. Due to ethical restrictions, data are unavailable for public deposition. Requests for the data underlying the findings in this paper will be made available upon request to the corresponding author: <email>Tim.Lane@uscf.edu</email>
.</p>
</notes>
</front>
</pmc>
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