Few studies have been conducted in Africa to assess prevalence
of sexually transmitted infections (STIs) and risk factors among men who have
sex with men (MSM). We report findings from the first behavioural survey to
include STI testing among MSM in Kampala, Uganda.
Respondent-driven sampling (RDS) was used to recruit MSM for
a biobehavioural survey. Eligible participants were men who reported anal sex
with another man in the previous 3 months, were 18 years or older, and resided
in Kampala. Information was collected on demographics, sexual behaviour,
alcohol and drug use, and STI symptoms. Blood, urine and rectal specimens were
tested for syphilis, HIV, rectal and urethral gonorrhoea, and chlamydia.
Analyses weighted for RDS were conducted to assess associations with STI
diagnosis.
A total of 295 MSM participated in the survey. Almost half
(weighted percentage: 47.3%) reported STI symptoms in the last 6 months and
12.9% tested HIV-positive. Prevalence of non-HIV STI was 13.5%; syphilis
prevalence was 9.0%. Adjusting for age and education, STI was associated with
HIV, alcohol use before sex and having sold sex in the last 3 months, and inversely associated with having anonymous
sex partners.
We observed high levels of self-reported STI symptoms and
STI prevalence associated with alcohol use and HIV among MSM in Kampala. Public
health interventions supporting MSM are needed to address STI risk and
facilitate access to diagnosis and treatment services.
Via: http://ht.ly/SYE0k Purchase
full article at: http://goo.gl/hkbJdq
By:
- 1Division of Global HIV/AIDS, Center for Global Health, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.
- 2School of Public Health, Makerere University, Kampala, Uganda.
- 3Division of Global HIV/AIDS, Center for Global Health, Centers for Disease Control and Prevention (CDC), Entebbe, Uganda.
- 4Ministry of Health, Kampala, Uganda.
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