TY - JOUR
T1 - Predictors of HIV Among 1 Million Clients in High-Risk Male Populations in Tanzania
AU - Mbita, Gaspar
AU - Komba, Albert N.
AU - Casalini, Caterina
AU - Bazant, Eva
AU - Curran, Kelly
AU - Christensen, Alice
AU - Nyato, Daniel
AU - Kim, Young-Mi
AU - Reed, Jason
AU - Makyao, Neema
AU - Kategile, Upendo
AU - Conserve, Donaldson F.
AU - Faini, Diana
AU - van Roosmalen, Jos
AU - van den Akker, Thomas
N1 - Funding Information: This analysis was conducted under the SAUTI Project, which received a grant from U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through the United States Agency for International Development (USAID), Grant number AID-AID-621-A-15-00003. The contents are the authors' responsibility and do not necessarily reflect the views of USAID, PEPFAR, or the United States Government. The funder provided support in the form of salaries for the co-authors at Jhpiego and the co-author from USAID, who approved the submitted manuscript. Publisher Copyright: © 2022, The Author(s).
PY - 2022/10
Y1 - 2022/10
N2 - 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.
AB - 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.
KW - Male client of female sex workers
KW - Men living in areas with high risk of HIV
KW - Men who have sex with men
KW - Sexually transmitted infections
KW - Tanzania
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U2 - https://doi.org/10.1007/s10461-022-03667-9
DO - https://doi.org/10.1007/s10461-022-03667-9
M3 - Article
C2 - 35362905
SN - 1090-7165
VL - 26
SP - 3185
EP - 3198
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 10
ER -
