Interest in HIV pre‐exposure prophylaxis in men who have sex with men in West Africa (CohMSM ANRS 12324 – Expertise France). Issue 10 (29th August 2018)

• Record Type: Journal Article
• Authors: Coulaud, Pierre‐julien; Sagaon‐Teyssier, Luis; M'madi Mrenda, Bakridine; Maradan, Gwenaëlle; Mora, Marion; Bourrelly, Michel; Dembélé Keita, Bintou; Keita, Abdoul Aziz; Anoma, Camille; Babo Yoro, Stéphane‐Alain; Dah, Ter Tiero Elias; Coulibaly, Christian; Mensah, Ephrem; Agbomadji, Selom; Bernier, Adeline; Couderc, Clotilde; Laurent, Christian; Spire, Bruno
• Other Names: Granouillac Bruno investigator.; Izard Suzanne investigator.; March Laura investigator.; Peeters Martine investigator.; Serrano Laetitia investigator.; Berenger Cyril investigator.; Parisi Enzo investigator.; Palvadeau Paméla investigator.; Rojas Castro Daniela investigator.; Trenado Emmanuel investigator.; Camara Drissa investigator.; Cisse Oumar investigator.; Coulibaly Alou investigator.; Diallo Fodié investigator.; Diarra Mahamadou investigator.; Gadjigo Mady investigator.; Maiga Kader investigator.; Ouologuem Aly investigator.; Traore Fodé investigator.; Aka Niamkey Thomas investigator.; Coulibaly Noufo Hamed investigator.; Kotchi Rachelle investigator.; Kouabenan Patrick investigator.; Kouame Malan Jean‐Baptiste investigator.; Lokrou Kpassou Julien investigator.; N'Guessan Frédéric Dibi investigator.; Anglaret Xavier investigator.; Masumbuko Jean‐Marie investigator.; Oga Maxime investigator.; Ilboudo Ousseni investigator.; Ouedraogo Joseph investigator.; Ouedraogo Mamadou investigator.; Thio Elisabeth investigator.; Toure Juste Rodrigue investigator.; Traore Abdoulazziz investigator.; Traore Issa investigator.; Yougbare Fiffou investigator.; Meda Nicolas investigator.; Agboyibor Richard Mawuényégan Kouamivi investigator.; Attiogbe Messan investigator.; Badjassim Aléda Mawuli investigator.; Ekon Agbégnigan Lorette investigator.; Kokouba Anouwarsadat investigator.; Tablissi Diimiln Joseph Strauss investigator.; Yaka Kossi Jeff investigator.; Dagnra Claver Anoumou Yaotsè investigator.;
• Is Part Of: Tropical medicine & international health. Volume 23:Issue 10(2018)
• Page Start: 1084
• Page End: 1091
• Publication Date: 2018-08-29
• Subjects: Africa -- HIV -- men who have sex with men -- pre‐exposure prophylaxis -- prevention -- prophylaxis; Afrique -- HIV -- HSH -- PrEP -- prévention -- prophylaxie; Tropical medicine -- Periodicals; Public health -- Periodicals; 616.988
• DOI: 10.1111/tmi.13129
• Languages: English
• ISSNs: 1360-2276

Abstract

Summary: Objective: To explore the interest in taking PrEP among Western African men who have sex with men (MSM). Methods: A cross‐sectional survey was implemented at enrolment of HIV‐negative MSM in a multiple centre community‐based cohort study in four West African countries (Mali, Côte d'Ivoire, Burkina Faso, Togo). A standardised face‐to‐face questionnaire collected data on socio‐demographic and behavioural characteristics over the previous 6 months. Descriptive analysis and multivariate logistic regression helped identify factors associated with the interest in taking PrEP. Results: Of 564 participants, 87% were interested in taking PrEP. Interest in PrEP was associated with inconsistent condom use for anal sex (adjusted odds ratio (aOR): 2.11; 95% confidence interval (CI) 1.21–3.67), transactional sex (aOR: 2.02; 95% CI 1.11–3.71), searching for male sexual partners on the Internet in the previous month (aOR: 1.86; 95% CI 1.01–3.43), having a high level of self‐esteem (aOR: 1.20; 95% CI 1.06–1.36), having at least one sexually transmitted infections at enrolment (aOR: 5.08; 95% CI 1.40–18.4) and not being aware of PrEP (aOR: 2.03; 95% CI 1.04–3.96). Participants having sex with HIV‐positive male partners (aOR: 0.28; 95% CI 0.11–0.74), those being more sexually attracted to women than to men (aOR: 0.20; 95% CI 0.07–0.89) and those reporting psychological and material support from close friends (aOR: 0.33; 95% CI 0.15–0.73) were less interested in taking PreP. Conclusions: Western African HIV‐negative MSM appear very interested in taking PrEP, especially those most at risk of HIV infection. PrEP implementation in a comprehensive prevention package should be considered urgently.