Factors Associated with Having both Male and Female Recent Sexual Partnerships Among Men Who Have Sex with Men in Harare and Bulawayo, Zimbabwe
Rattachement africain : us, Zimbabwe. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
To better understand male and female sexual partnerships among men who have sex with men (MSM), we used data from a 2019 biobehavioral survey among MSM in Harare and Bulawayo, Zimbabwe to conduct bivariate analyses and multivariable logistic regression to determine whether sociodemographic characteristics and HIV-related factors were associated with having both male and female sexual partnerships within the last 6 months. Of included MSM (N = 1143), 31% reported both male and female partnerships in the last 6 months. Being married/cohabiting (adjusted odds ratio (aOR) = 8.58, 95% confidence interval (CI) = 4.92-14.95) or separated/divorced/widowed (aOR = 1.96, 95% CI = 1.24-3.08) vs. being single, and hazardous alcohol consumption (aOR = 1.58, 95% CI 1.19-2.09) were associated with higher odds of having both male and female recent partnerships. Being aged 35 + vs. 18-24 (aOR = 0.50, 95% CI = 0.31-0.81), condomless receptive anal intercourse at last sex with the main male partner (aOR = 0.43, 95% CI = 0.26-0.74), and positive HIV status (aOR = 0.46, 95% CI = 0.31-0.67) were associated with lower odds of recent male and female partnerships. MSM in Harare who reported harassment/abuse (aOR = 3.16, 95% CI = 1.72-5.79) had higher odds of both male and female partnerships than MSM in Bulawayo reporting harassment/abuse. The prevalence of both male and female recent partnerships (31%) was lower among MSM in this survey than in other biobehavioral surveys of MSM in sub-Saharan Africa. Findings suggest that MSM with recent male and female partnerships compared to MSM with only male recent partners have lower odds of positive HIV status and participate in behaviors that lower HIV risk; however, the direction of these relationships cannot be determined due to the cross-sectional nature of the data. The findings also suggest a possible connection between experiences of stigma of MSM behavior and not having both male and female partnerships that warrants further exploration. Accessible, stigma-free HIV testing and education programming that considers the potential overlap between the MSM and general populations via both male and female partnerships and the associated behaviors could be a key component of HIV elimination in Zimbabwe.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Factors Associated with Having both Male and Female Recent Sexual Partnerships Among Men Who Have Sex with Men in Harare and Bulawayo, Zimbabwe
- Date Crossref
- 18/01/2024
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Columbia University Harare, Zimbabwe (pays nommé en fin d’affiliation)Université ou école supérieure
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Centers for Disease Control and Prevention pays non établi dans la noticeOrganisme public
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Center for Global Health pays non établi dans la noticeOrganisme public
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ICAP Global Health pays non établi dans la noticeÉtablissement de santé
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Ministry of Health and Child Welfare Zimbabwe (code pays fourni par la source)Organisme public
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Catholic University of Zimbabwe Zimbabwe (code pays fourni par la source)Université ou école supérieure
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Mailman School of Public Health Department of Epidemiology pays non établi dans la noticeUniversité ou école supérieure
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Division of Global HIV and TB Harare, Zimbabwe (pays nommé en fin d’affiliation)Institution
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Zimbabwe Ministry of Health and Child Care AIDS and TB Programme Harare, Zimbabwe (pays nommé en fin d’affiliation)Organisme public
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GALZ Harare, Zimbabwe (pays nommé en fin d’affiliation)Institution
Columbia University (Harare, Zimbabwe), Centers for Disease Control and Prevention et Center for Global Health, avec 7 autres affiliations. Pays d’affiliation : Zimbabwe.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.