New HIV infections may be highest in men who have sex with men in Africa.
Article Type: Report
Subject: HIV infection (Statistics)
HIV infection (Demographic aspects)
HIV infection (Risk factors)
HIV infection (Prevention)
Sex (Health aspects)
Disease transmission (Methods)
Men (Health aspects)
Men (Research)
Pub Date: 05/01/2012
Publication: Name: Reproductive Health Matters Publisher: Elsevier Science Publishers Audience: General Format: Magazine/Journal Subject: Family and marriage; Health; Women's issues/gender studies Copyright: COPYRIGHT 2012 Reproductive Health Matters ISSN: 0968-8080
Issue: Date: May, 2012 Source Volume: 20 Source Issue: 39
Topic: Event Code: 680 Labor Distribution by Employer; 310 Science & research Canadian Subject Form: Sexual behaviour
Geographic: Geographic Scope: Africa Geographic Code: 60AFR Africa
Accession Number: 296571609
Full Text: A review of HIV incidence in 1,834 men who have sex with men (MSM) was drawn from a larger study of "at risk" populations in Kenya (Mombasa and Nairobi) and South Africa (Cape Town) being conducted by the International AIDS Vaccine Initiative. It found that MSM may now be at considerably higher risk of acquiring HIV than heterosexual women (largely sex workers) and heterosexual men who bought sex. Participants were monitored monthly for one year in South Africa and quarterly for 2-4 years in Kenya. Lower-than-expected HIV incidence was found amongst female sex workers and their clients (3% in women in Cape Town, 2.7% in female sex workers and 2.3% in non-sex-workers in Mombasa and 0.4% in Nairobi). HIV incidence was high in MSM (annual incidence 9.7% in Nairobi and 6.1% in Mombasa). (Only three men who identified as MSM in Cape Town were identified and they were HIV-negative.) Incidence in non-MSM men was 0.9% in Mombasa, and 0% in Nairobi and Cape Town. Receptive anal sex was very strongly associated with HIV infection but insertive anal sex was not. The study found that those who paid for sex were more than five times less likely to acquire HIV than those who did not, which was unexpected but suggests that people paying for sex may now be more wary of HIV and STIs and more likely to use condoms. (1,2)

(1.) Price MA, Rida W, Mwangome M, et al. Identifying high-risk populations in Kenya and South Africa: HIV incidence in cohorts of men who report sex with men, sex workers, and youth. Journal of AIDS 2012;59(2):185-93.

(2.) Cairns G. Men who have sex with men may now be the highest-risk group for HIV in Africa, IAVI study suggests. AIDSMap News, 1 February 2012.

Doi: 10.1016/S0968-8080(12)39622-5
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