Risk Factors Associated with HIV Among Men Who Have Sex Only with Men and Men Who Have Sex with Both Men and Women in Three Urban Areas in Mozambique |
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| Authors: | Isabel Sathane Roberta Horth Peter Young Celso Inguane Rassul Nalá Angelica E. Miranda Tim Lane H. Fisher Raymond Beverley Cummings Willi McFarland |
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| Affiliation: | 1.International Training and Education Center for Health,Maputo,Mozambique;2.Global Health Sciences,University of California San Francisco,San Francisco,USA;3.Division of Global HIV/AIDS,U.S. Centers for Disease Control and Prevention,Maputo,Mozambique;4.Department of Anthropology,University of Washington,Seattle,USA;5.Instituto Nacional de Saúde,Maputo,Mozambique;6.Universidade Federal do Espírito Santo,Vitória,Brazil;7.San Francisco Department of Public Health,San Francisco,USA |
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| Abstract: | Using respondent-driven sampling (RDS), an integrated biological behavioral survey among men that have sex with men (MSM) enrolled 457 participants in Maputo [63.0 % were MSM who had sex with women (MSMW)], 538 in Beira (36.2 % MSMW) and 330 in Nampula-Nacala (54.8 % MSMW) in 2011. Analysis suggests that MSM who have sex only with men (MSMO) had increased odds of having HIV (aOR 2.7) compared to MSMW. HIV among MSMO associated with age, self-reported STI (aOR 4.2), having a single male anal partner (aOR 3.8) and having transactional sex with a man (aOR 3.5) in the past year. Among MSMW, HIV associated with age, lower education (aOR 32.5), being uncircumcised (aOR 3.1) and having transactional sex with a woman (aOR 6.0) in the past year. Findings confirm that MSMO and MSMW have distinct HIV risks in Mozambique; HIV programs for MSM in Southern Africa should take such differences into consideration. |
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