Correlates of prior HIV testing among men who have sex with men in Cameroon: a cross-sectional analysis
Identifieur interne : 001F05 ( Main/Exploration ); précédent : 001F04; suivant : 001F06Correlates of prior HIV testing among men who have sex with men in Cameroon: a cross-sectional analysis
Auteurs : Ju Nyeong Park [États-Unis] ; Erin Papworth [États-Unis] ; Serge Clotaire Billong [Cameroun] ; Jean Bosco Elat [Cameroun] ; Sethson Kassegne [Bénin] ; Ashley Grosso [États-Unis] ; Laure Moukam [Cameroun] ; Isaac Macauley [Cameroun] ; Yves Roger Yomb [Cameroun] ; Valentin Mondoleba [Cameroun] ; Jules Eloundou [Cameroun] ; Matthew Lebreton [Cameroun] ; Sosthenes Charles Ketende [États-Unis] ; Stefan Baral [États-Unis]Source :
- BMC Public Health [ 1471-2458 ] ; 2014.
Abstract
Regular HIV testing is vital for timely linkage to the HIV care continuum and ensuring the success of behavioral and biomedical interventions to prevent HIV acquisition. Men who have sex with men (MSM) are a key population for HIV prevention, treatment, and care efforts globally. This study measures the factors associated with prior HIV testing among MSM in Cameroon.
In 2011, 272 and 239 MSM aged ≥ 18 were recruited from Douala and Yaoundé respectively using respondent-driven sampling (RDS) for a cross-sectional surveillance study. Participants completed a structured socio-behavioral survey and were offered HIV and syphilis testing and counseling.
The majority of men self-reported ever testing for HIV (81.6%; 413/506) and receiving their last HIV test result (95.4%; 394/413). Testing in the last 12 months was more prevalent in Douala (63.3%; 169/267) compared to Yaoundé (55.9%; 132/236). Median frequency of testing was every 18 months in Douala and every two years in Yaoundé. In multivariate RDS-weighted analysis, correlates of ever testing for HIV in Douala were: having higher than secondary education compared to having secondary education or less (aOR = 3.51, 95% CI: 1.32-9.34), ever accessing a community-based HIV service for MSM (aOR = 3.37, 95% CI: 1.57-7.24) and having ≥4 male oral or anal sexual partners in the past 12 months (aOR = 2.49, 1.08-5.74). In Yaoundé, having higher than secondary education (aOR = 7.96, 95% CI: 1.31-48.41) was associated with ever testing for HIV.
Supporting regular HIV testing and linkage to care is important in a context of high HIV prevalence and limited use of condoms and condom-compatible lubricants. Building the capacity of MSM organizations and mainstream health services to deliver affordable, integrated, confidential, and MSM-sensitive HIV testing may assist in effectively engaging more MSM in the HIV treatment cascade. Giving specific attention to MSM who are younger, of lower socioeconomic status and less connected to community-based MSM organizations may increase HIV testing uptake. Given the levels of HIV testing and high HIV prevalence among MSM in Cameroon, optimizing the safe and effective provision and uptake of antiretroviral-based prevention and treatment approaches is paramount in changing the trajectory of the HIV epidemic among these men and within their sexual networks.
Url:
DOI: 10.1186/1471-2458-14-1220
PubMed: 25424530
PubMed Central: 4258040
Affiliations:
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xml:lang="en" level="a" type="main">Correlates of prior HIV testing among men who have sex with men in Cameroon: a cross-sectional analysis</title><author><name sortKey="Park, Ju Nyeong" sort="Park, Ju Nyeong" uniqKey="Park J" first="Ju Nyeong" last="Park">Ju Nyeong Park</name><affiliation wicri:level="3"><nlm:aff id="Aff5">Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:regionArea><placeName><settlement type="city">Baltimore</settlement><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Papworth, Erin" sort="Papworth, Erin" uniqKey="Papworth E" first="Erin" last="Papworth">Erin Papworth</name><affiliation wicri:level="3"><nlm:aff id="Aff5">Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:regionArea><placeName><settlement type="city">Baltimore</settlement><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Billong, Serge Clotaire" sort="Billong, Serge Clotaire" uniqKey="Billong S" first="Serge Clotaire" last="Billong">Serge Clotaire Billong</name><affiliation wicri:level="1"><nlm:aff id="Aff6">Comité national de lutte contre le sida (CNLS), Ministère de la Sante Publique (MINSANTE), Yaoundé, Cameroon</nlm:aff><country xml:lang="fr">Cameroun</country><wicri:regionArea>Comité national de lutte contre le sida (CNLS), Ministère de la Sante Publique (MINSANTE), Yaoundé</wicri:regionArea><wicri:noRegion>Yaoundé</wicri:noRegion></affiliation></author><author><name sortKey="Elat, Jean Bosco" sort="Elat, Jean Bosco" uniqKey="Elat J" first="Jean Bosco" last="Elat">Jean Bosco Elat</name><affiliation wicri:level="1"><nlm:aff id="Aff6">Comité national de lutte contre le sida (CNLS), Ministère de la Sante Publique (MINSANTE), Yaoundé, Cameroon</nlm:aff><country xml:lang="fr">Cameroun</country><wicri:regionArea>Comité national de lutte contre le sida (CNLS), Ministère de la Sante Publique (MINSANTE), Yaoundé</wicri:regionArea><wicri:noRegion>Yaoundé</wicri:noRegion></affiliation></author><author><name sortKey="Kassegne, Sethson" sort="Kassegne, Sethson" uniqKey="Kassegne S" first="Sethson" last="Kassegne">Sethson Kassegne</name><affiliation wicri:level="1"><nlm:aff id="Aff7">West and Central Africa region, Population Services International, Cotonou, Bénin</nlm:aff><country xml:lang="fr">Bénin</country><wicri:regionArea>West and Central Africa region, Population Services International, Cotonou</wicri:regionArea><wicri:noRegion>Cotonou</wicri:noRegion></affiliation></author><author><name sortKey="Grosso, Ashley" sort="Grosso, Ashley" uniqKey="Grosso A" first="Ashley" last="Grosso">Ashley Grosso</name><affiliation wicri:level="3"><nlm:aff id="Aff5">Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:regionArea><placeName><settlement type="city">Baltimore</settlement><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Moukam, Laure" sort="Moukam, Laure" uniqKey="Moukam L" first="Laure" last="Moukam">Laure Moukam</name><affiliation wicri:level="1"><nlm:aff id="Aff8">Association Camerounaise pour le Marketing Social (ACMS), Yaoundé, Cameroon</nlm:aff><country xml:lang="fr">Cameroun</country><wicri:regionArea>Association Camerounaise pour le Marketing Social (ACMS), Yaoundé</wicri:regionArea><wicri:noRegion>Yaoundé</wicri:noRegion></affiliation></author><author><name sortKey="Macauley, Isaac" sort="Macauley, Isaac" uniqKey="Macauley I" first="Isaac" last="Macauley">Isaac Macauley</name><affiliation wicri:level="1"><nlm:aff id="Aff9">CARE International Cameroon, Yaoundé, Cameroon</nlm:aff><country xml:lang="fr">Cameroun</country><wicri:regionArea>CARE International Cameroon, Yaoundé</wicri:regionArea><wicri:noRegion>Yaoundé</wicri:noRegion></affiliation></author><author><name sortKey="Yomb, Yves Roger" sort="Yomb, Yves Roger" uniqKey="Yomb Y" first="Yves Roger" last="Yomb">Yves Roger Yomb</name><affiliation wicri:level="1"><nlm:aff id="Aff10">Alternatives-Cameroun, Douala, Cameroon</nlm:aff><country xml:lang="fr">Cameroun</country><wicri:regionArea>Alternatives-Cameroun, Douala</wicri:regionArea><wicri:noRegion>Douala</wicri:noRegion></affiliation></author><author><name sortKey="Mondoleba, Valentin" sort="Mondoleba, Valentin" uniqKey="Mondoleba V" first="Valentin" last="Mondoleba">Valentin Mondoleba</name><affiliation wicri:level="1"><nlm:aff id="Aff6">Comité national de lutte contre le sida (CNLS), Ministère de la Sante Publique (MINSANTE), Yaoundé, Cameroon</nlm:aff><country xml:lang="fr">Cameroun</country><wicri:regionArea>Comité national de lutte contre le sida (CNLS), Ministère de la Sante Publique (MINSANTE), Yaoundé</wicri:regionArea><wicri:noRegion>Yaoundé</wicri:noRegion></affiliation></author><author><name sortKey="Eloundou, Jules" sort="Eloundou, Jules" uniqKey="Eloundou J" first="Jules" last="Eloundou">Jules Eloundou</name><affiliation wicri:level="1"><nlm:aff id="Aff11">Humanity First, Yaoundé, Cameroon</nlm:aff><country xml:lang="fr">Cameroun</country><wicri:regionArea>Humanity First, Yaoundé</wicri:regionArea><wicri:noRegion>Yaoundé</wicri:noRegion></affiliation></author><author><name sortKey="Lebreton, Matthew" sort="Lebreton, Matthew" uniqKey="Lebreton M" first="Matthew" last="Lebreton">Matthew Lebreton</name><affiliation wicri:level="1"><nlm:aff id="Aff12">Mosaic/Global Viral Cameroon, Yaoundé, Cameroon</nlm:aff><country xml:lang="fr">Cameroun</country><wicri:regionArea>Mosaic/Global Viral Cameroon, Yaoundé</wicri:regionArea><wicri:noRegion>Yaoundé</wicri:noRegion></affiliation></author><author><name sortKey="Ketende, Sosthenes Charles" sort="Ketende, Sosthenes Charles" uniqKey="Ketende S" first="Sosthenes Charles" last="Ketende">Sosthenes Charles Ketende</name><affiliation wicri:level="3"><nlm:aff id="Aff5">Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:regionArea><placeName><settlement type="city">Baltimore</settlement><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Baral, Stefan" sort="Baral, Stefan" uniqKey="Baral S" first="Stefan" last="Baral">Stefan Baral</name><affiliation wicri:level="3"><nlm:aff id="Aff5">Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:regionArea><placeName><settlement type="city">Baltimore</settlement><region type="state">Maryland</region></placeName></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Regular HIV testing is vital for timely linkage to the HIV care continuum and ensuring the success of behavioral and biomedical interventions to prevent HIV acquisition. Men who have sex with men (MSM) are a key population for HIV prevention, treatment, and care efforts globally. This study measures the factors associated with prior HIV testing among MSM in Cameroon.</p></sec><sec><title>Methods</title><p>In 2011, 272 and 239 MSM aged ≥ 18 were recruited from Douala and Yaoundé respectively using respondent-driven sampling (RDS) for a cross-sectional surveillance study. Participants completed a structured socio-behavioral survey and were offered HIV and syphilis testing and counseling.</p></sec><sec><title>Results</title><p>The majority of men self-reported ever testing for HIV (81.6%; 413/506) and receiving their last HIV test result (95.4%; 394/413). Testing in the last 12 months was more prevalent in Douala (63.3%; 169/267) compared to Yaoundé (55.9%; 132/236). Median frequency of testing was every 18 months in Douala and every two years in Yaoundé. In multivariate RDS-weighted analysis, correlates of ever testing for HIV in Douala were: having higher than secondary education compared to having secondary education or less (aOR = 3.51, 95% CI: 1.32-9.34), ever accessing a community-based HIV service for MSM (aOR = 3.37, 95% CI: 1.57-7.24) and having ≥4 male oral or anal sexual partners in the past 12 months (aOR = 2.49, 1.08-5.74). In Yaoundé, having higher than secondary education (aOR = 7.96, 95% CI: 1.31-48.41) was associated with ever testing for HIV.</p></sec><sec><title>Conclusions</title><p>Supporting regular HIV testing and linkage to care is important in a context of high HIV prevalence and limited use of condoms and condom-compatible lubricants. Building the capacity of MSM organizations and mainstream health services to deliver affordable, integrated, confidential, and MSM-sensitive HIV testing may assist in effectively engaging more MSM in the HIV treatment cascade. Giving specific attention to MSM who are younger, of lower socioeconomic status and less connected to community-based MSM organizations may increase HIV testing uptake. Given the levels of HIV testing and high HIV prevalence among MSM in Cameroon, optimizing the safe and effective provision and uptake of antiretroviral-based prevention and treatment approaches is paramount in changing the trajectory of the HIV epidemic among these men and within their sexual networks.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Beyrer, C" uniqKey="Beyrer C">C Beyrer</name></author><author><name sortKey="Baral, Sd" uniqKey="Baral S">SD Baral</name></author><author><name sortKey="Van Griensven, F" uniqKey="Van Griensven F">F van Griensven</name></author><author><name sortKey="Goodreau, Sm" uniqKey="Goodreau S">SM Goodreau</name></author><author><name sortKey="Chariyalertsak, S" uniqKey="Chariyalertsak S">S Chariyalertsak</name></author><author><name sortKey="Wirtz, Al" uniqKey="Wirtz A">AL Wirtz</name></author><author><name sortKey="Brookmeyer, R" uniqKey="Brookmeyer R">R 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E" uniqKey="Gonzalez Figueroa E">E Gonzalez-Figueroa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pant Pai, N" uniqKey="Pant Pai N">N Pant Pai</name></author><author><name sortKey="Sharma, J" uniqKey="Sharma J">J Sharma</name></author><author><name sortKey="Shivkumar, S" uniqKey="Shivkumar S">S Shivkumar</name></author><author><name sortKey="Pillay, S" uniqKey="Pillay S">S Pillay</name></author><author><name sortKey="Vadnais, C" uniqKey="Vadnais C">C Vadnais</name></author><author><name sortKey="Joseph, L" uniqKey="Joseph L">L Joseph</name></author><author><name sortKey="Dheda, K" uniqKey="Dheda K">K Dheda</name></author><author><name sortKey="Peeling, Rw" uniqKey="Peeling R">RW Peeling</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mackellar, Da" uniqKey="Mackellar D">DA MacKellar</name></author><author><name sortKey="Valleroy, La" uniqKey="Valleroy L">LA Valleroy</name></author><author><name sortKey="Secura, Gm" uniqKey="Secura G">GM Secura</name></author><author><name sortKey="Bartholow, Bn" uniqKey="Bartholow B">BN Bartholow</name></author><author><name sortKey="Mcfarland, W" uniqKey="Mcfarland W">W McFarland</name></author><author><name sortKey="Shehan, D" uniqKey="Shehan D">D Shehan</name></author><author><name sortKey="Ford, W" uniqKey="Ford W">W Ford</name></author><author><name sortKey="Lalota, M" uniqKey="Lalota M">M LaLota</name></author><author><name sortKey="Celentano, Dd" uniqKey="Celentano D">DD Celentano</name></author><author><name sortKey="Koblin, Ba" uniqKey="Koblin B">BA Koblin</name></author><author><name sortKey="Torian, Lv" uniqKey="Torian L">LV Torian</name></author><author><name sortKey="Perdue, Te" uniqKey="Perdue T">TE Perdue</name></author><author><name sortKey="Janssen, Rs" uniqKey="Janssen R">RS Janssen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grosso, A" uniqKey="Grosso A">A Grosso</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Gardner, Em" uniqKey="Gardner E">EM Gardner</name></author><author><name sortKey="Mclees, Mp" uniqKey="Mclees M">MP McLees</name></author><author><name sortKey="Steiner, Jf" uniqKey="Steiner J">JF Steiner</name></author><author><name sortKey="Del Rio, C" uniqKey="Del Rio C">C Del Rio</name></author><author><name sortKey="Burman, Wj" uniqKey="Burman W">WJ Burman</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Bénin</li><li>Cameroun</li><li>États-Unis</li></country><region><li>Maryland</li></region><settlement><li>Baltimore</li></settlement></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Park, Ju Nyeong" sort="Park, Ju Nyeong" uniqKey="Park J" first="Ju Nyeong" last="Park">Ju Nyeong Park</name></region><name sortKey="Baral, Stefan" sort="Baral, Stefan" uniqKey="Baral S" first="Stefan" last="Baral">Stefan Baral</name><name sortKey="Grosso, Ashley" sort="Grosso, Ashley" uniqKey="Grosso A" first="Ashley" last="Grosso">Ashley Grosso</name><name sortKey="Ketende, Sosthenes Charles" sort="Ketende, Sosthenes Charles" uniqKey="Ketende S" first="Sosthenes Charles" last="Ketende">Sosthenes Charles Ketende</name><name sortKey="Papworth, Erin" sort="Papworth, Erin" uniqKey="Papworth E" first="Erin" last="Papworth">Erin Papworth</name></country><country name="Cameroun"><noRegion><name sortKey="Billong, Serge Clotaire" sort="Billong, Serge Clotaire" uniqKey="Billong S" first="Serge Clotaire" last="Billong">Serge Clotaire Billong</name></noRegion><name sortKey="Elat, Jean Bosco" sort="Elat, Jean Bosco" uniqKey="Elat J" first="Jean Bosco" last="Elat">Jean Bosco Elat</name><name sortKey="Eloundou, Jules" sort="Eloundou, Jules" uniqKey="Eloundou J" first="Jules" last="Eloundou">Jules Eloundou</name><name sortKey="Lebreton, Matthew" sort="Lebreton, Matthew" uniqKey="Lebreton M" first="Matthew" last="Lebreton">Matthew Lebreton</name><name sortKey="Macauley, Isaac" sort="Macauley, Isaac" uniqKey="Macauley I" first="Isaac" last="Macauley">Isaac Macauley</name><name sortKey="Mondoleba, Valentin" sort="Mondoleba, Valentin" uniqKey="Mondoleba V" first="Valentin" last="Mondoleba">Valentin Mondoleba</name><name sortKey="Moukam, Laure" sort="Moukam, Laure" uniqKey="Moukam L" first="Laure" last="Moukam">Laure Moukam</name><name sortKey="Yomb, Yves Roger" sort="Yomb, Yves Roger" uniqKey="Yomb Y" first="Yves Roger" last="Yomb">Yves Roger Yomb</name></country><country name="Bénin"><noRegion><name sortKey="Kassegne, Sethson" sort="Kassegne, Sethson" uniqKey="Kassegne S" first="Sethson" last="Kassegne">Sethson Kassegne</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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