HIV testing, knowledge and willingness to use PReP among partnered men who have sex with men in South Africa and Namibia
SOURCE: AIDS and Behavior
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2021
TITLE AUTHOR(S): R.Stephenson, L.A.Darbes, T.Chavanduka, Z.Essack, H.Van Rooyen
KEYWORDS: HIV/AIDS PREVENTION, HOMOSEXUALITY, MEN, NAMIBIA, ORAL PRE-EXPOSURE PROPHYLAXIS (PrEP)
DEPARTMENT: Public Health, Societies and Belonging (HSC), Impact Centre (IC), Impact Centre (PRESS), Impact Centre (CC)
Print: HSRC Library: shelf number 11758
HANDLE: 20.500.11910/15794
URI: http://hdl.handle.net/20.500.11910/15794
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2021
TITLE AUTHOR(S): R.Stephenson, L.A.Darbes, T.Chavanduka, Z.Essack, H.Van Rooyen
KEYWORDS: HIV/AIDS PREVENTION, HOMOSEXUALITY, MEN, NAMIBIA, ORAL PRE-EXPOSURE PROPHYLAXIS (PrEP)
DEPARTMENT: Public Health, Societies and Belonging (HSC), Impact Centre (IC), Impact Centre (PRESS), Impact Centre (CC)
Print: HSRC Library: shelf number 11758
HANDLE: 20.500.11910/15794
URI: http://hdl.handle.net/20.500.11910/15794
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
There is strong evidence that gay, bisexual and other men who have sex with men (GBMSM) in African countries experience high prevalence of HIV. However, missing from the literature is an understanding of the HIV risk behaviors and prevention needs of partnered GBMSM in African countries. The Together Tomorrow project sampled 440 partnered GBMSM (220 couples) in South Africa and Namibia. Prevalence of HIV was high at 42%, with 33% of men in sero-discordant relationships. Despite high levels of HIV testing in the past 6 months (65%), condom use with main and outside sex partners was low. Men reported low levels of willingness to use pre-exposure prophylaxis (PrEP) (16%). HIV testing in the past 12 months and willingness to use PrEP were significantly associated with recent binge drinking and substance use. Men in sero-discordant relationships, those with sexual agreements and those who had experienced any form of IPV were all less likely to report that they had recently tested for HIV. There is a need to develop interventions that meet the unique needs of African partnered GBMSM and tackle stigma and discrimination as drivers of HIV risk in these settings.-
Related Research Outputs:
- Barriers to HIV/AIDS prevention, care, and treatment for men who have sex with men
- Integrated strategies for combination HIV prevention: principles and examples for men who have sex with men in the Americas and heterosexual African populations
- Comprehensive HIV prevention package for MSM in southern Africa: pilot study: Phase III of the Sibanye Health Project
- Comprehensive HIV prevention package for MSM in southern Africa: pilot study: the Sibanye Health Project
- Elements of condom-use decision making among South African men who have sex with men
- Combination HIV prevention among MSM in South Africa: results from agent-based modeling
- Sibanye methods for prevention packages program project protocol: pilot study of HIV prevention interventions for men who have sex with men in South Africa
- Letter to the editor: response to
- Sibanye: it's in the pack, a comprehensive HIV prevention programme for MSM
- Black, gay and out/in: interview with Utando Baduza
- Gender violence and HIV prevention for South African men
- Stigma and discrimination experiences of HIV-positive men who have sex with men in Cape Town, South Africa
- Sugar daddies' and HIV: is it really about money, money, money?
- HIV testing and self-reported HIV status in South African men who have sex with men: results from a community-based survey
- Randomized trial of a community-based alcohol-related HIV risk-reduction intervention for men and women in Cape Town South Africa
- Methodological and ethical challenges in conducting behavioural and HIV surveillance among men who have sex with men (MSM) in South Africa: lessons learned and future pointers
- Researching MSM in South Africa: some preliminary notes from the frontlines of a hidden epidemic
- Regional MSM research initiatives: UNAIDS/UNDP research project
- The Johannesburg/eThewkini Men's Study (JEMS): a rapid assessment of the HIV epidemic among men who have sex with men (MSM) in South Africa: technical report
- Breaking the silence: South African HIV policies and the needs of men who have sex with men