Predictors of HIV Among 1 Million Clients in High-Risk Male Populations in Tanzania
| Autor: | Gaspar Mbita, Albert N. Komba, Caterina Casalini, Eva Bazant, Kelly Curran, Alice Christensen, Daniel Nyato, Young-Mi Kim, Jason Reed, Neema Makyao, Upendo Kategile, Donaldson F. Conserve, Diana Faini, Jos van Roosmalen, Thomas van den Akker |
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| Přispěvatelé: | Athena Institute, Network Institute, APH - Global Health, Ethics, Law & Medical humanities, APH - Quality of Care |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Male
Sex Workers SDG 16 - Peace Social Psychology SDG 16 - Peace Justice and Strong Institutions Sexually Transmitted Diseases Public Health Environmental and Occupational Health virus diseases HIV Infections Tanzania Male client of female sex workers Justice and Strong Institutions Sexual and Gender Minorities Men who have sex with men Cross-Sectional Studies Infectious Diseases HIV Seropositivity Men living in areas with high risk of HIV Sexually transmitted infections Humans Female Homosexuality Male |
| Zdroj: | Mbita, G, Komba, A N, Casalini, C, Bazant, E, Curran, K, Christensen, A, Nyato, D, Kim, Y-M, Reed, J, Makyao, N, Kategile, U, Conserve, D F, Faini, D, van Roosmalen, J & van den Akker, T 2022, ' Predictors of HIV Among 1 Million Clients in High-Risk Male Populations in Tanzania ', AIDS and Behavior, vol. 26, no. 10, pp. 3185-3198 . https://doi.org/10.1007/s10461-022-03667-9 AIDS and Behavior, 26(10), 3185-3198. Springer Verlag Mbita, G, Komba, A N, Casalini, C, Bazant, E, Curran, K, Christensen, A, Nyato, D, Kim, Y M, Reed, J, Makyao, N, Kategile, U, Conserve, D F, Faini, D, van Roosmalen, J & van den Akker, T 2022, ' Predictors of HIV Among 1 Million Clients in High-Risk Male Populations in Tanzania ', AIDS and Behavior, vol. 26, no. 10, pp. 3185-3198 . https://doi.org/10.1007/s10461-022-03667-9 AIDS and Behavior, 26(10), 3185-3198. Springer New York |
| ISSN: | 1573-3254 1090-7165 |
| Popis: | The World Health Organization identified men as an essential group to target with HIV testing and treatment strategies;: men who have sex with men (MSM) and male clients of female sex workers (CFSW) account for 35% of new HIV infections globally. Using a cross-sectional design from a community-based HIV prevention project in Tanzania (October 2015–September 2018) and multivariable logistic regression, we identified predictors of HIV seropositivity among men. Of 1,041,343 men on their initial visit to the project, 36,905 (3.5%) were MSM; 567,005 (54.5%) were CFSW; and 437,343 (42.0%) were other men living near hotspots (OMHA). Three predictors of HIV seropositivity emerged across all three groups: being uncircumcised, having sexually transmitted infection symptoms, and harmful drinking of alcohol before sex. Any reported form of gender-based violence among MSM and OMHA and inconsistent condom use among CFSW were associated with HIV seropositivity. These findings may inform community HIV strategies like self-testing, delivery of pre-exposure prophylaxis and antiretroviral therapy, and behavioral change communication targeting men at higher risk of infection. |
| Databáze: | OpenAIRE |
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