High HIV prevalence among men who have sex with men in Soweto, South Africa

Results from the Soweto men's study

Tim Lane, Henry Raymond, Sibongile Dladla, Joseph Rasethe, Helen Struthers, Willi McFarland, James McIntyre

Research output: Contribution to journalArticle

148 Citations (Scopus)

Abstract

The Soweto Men's Study assessed HIV prevalence and associated risk factors among MSM in Soweto, South Africa. Using respondent driven sampling (RDS) recruitment methods, we recruited 378 MSM (including 15 seeds) over 30 weeks in 2008. All results were adjusted for RDS sampling design. Overall HIV prevalence was estimated at 13.2% (95% confidence interval 12.4-13.9%), with 33.9% among gay-identified men, 6.4% among bisexual-identified men, and 10.1% among straight-identified MSM. In multivariable analysis, HIV infection was associated with being older than 25 (adjusted odds ratio (AOR) 3.8, 95% CI 3.2-4.6), gay self-identification (AOR 2.3, 95% CI 1.8-3.0), monthly income less than ZAR500 (AOR 1.4, 95% CI 1.2-1.7), purchasing alcohol or drugs in exchange for sex with another man (AOR 3.9, 95% CI 3.2-4.7), reporting any URAI (AOR 4.4, 95% CI 3.5-5.7), reporting between six and nine partners in the prior 6 months (AOR 5.7, 95% CI 4.0-8.2), circumcision, (AOR 0.2, 95% CI 0.1-0.2), a regular female partner (AOR 0.2, 95% CI 0.2-0.3), smoking marijuana in the last 6 months (AOR 0.6, 95% CI 0.5-0.8), unprotected vaginal intercourse in the last 6 months (AOR 0.5, 95% CI 0.4-0.6), and STI symptoms in the last year (AOR 0.7, 95% CI 0.5-0.8). The results of the Soweto Men's Study confirm that MSM are at high risk for HIV infection, with gay men at highest risk. HIV prevention and treatment for MSM are urgently needed.

Original languageEnglish (US)
Pages (from-to)626-634
Number of pages9
JournalAIDS and behavior
Volume15
Issue number3
DOIs
StatePublished - Apr 1 2011

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South Africa
Odds Ratio
HIV
HIV Infections
Marijuana Smoking
Sexually Transmitted Diseases
Seeds
Alcohols
Confidence Intervals
Sexual Minorities

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology

Keywords

  • Africa
  • Gay men
  • HIV prevalence
  • Men who have sex with men
  • Risk factors

Cite this

Lane, Tim ; Raymond, Henry ; Dladla, Sibongile ; Rasethe, Joseph ; Struthers, Helen ; McFarland, Willi ; McIntyre, James. / High HIV prevalence among men who have sex with men in Soweto, South Africa : Results from the Soweto men's study. In: AIDS and behavior. 2011 ; Vol. 15, No. 3. pp. 626-634.
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High HIV prevalence among men who have sex with men in Soweto, South Africa : Results from the Soweto men's study. / Lane, Tim; Raymond, Henry; Dladla, Sibongile; Rasethe, Joseph; Struthers, Helen; McFarland, Willi; McIntyre, James.

In: AIDS and behavior, Vol. 15, No. 3, 01.04.2011, p. 626-634.

Research output: Contribution to journalArticle

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