Predictors of HIV Among 1 Million Clients in High-Risk Male Populations in Tanzania
Document Type
Journal Article
Publication Date
4-1-2022
Journal
AIDS and behavior
DOI
10.1007/s10461-022-03667-9
Keywords
Male client of female sex workers; Men living in areas with high risk of HIV; Men who have sex with men; Sexually transmitted infections; Tanzania
Abstract
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.
APA Citation
Mbita, Gaspar; Komba, Albert N.; Casalini, Caterina; Bazant, Eva; Curran, Kelly; Christensen, Alice; Nyato, Daniel; Kim, Young-Mi; Reed, Jason; Makyao, Neema; Kategile, Upendo; Conserve, Donaldson F.; Faini, Diana; van Roosmalen, Jos; and van den Akker, Thomas, "Predictors of HIV Among 1 Million Clients in High-Risk Male Populations in Tanzania" (2022). GW Authored Works. Paper 834.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/834
Department
Prevention and Community Health