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Guys that have intercourse with males (MSM) are conservatively calculated to be significantly less than 1% associated with Nigerian population yet nationally account fully for about 20per cent of brand new HIV infection. We estimated the trend in HIV prevalence and determined correlates of HIV disease among MSM.

This research used information from respondent-driven sampling in three rounds of built-in biological and behavioral surveillance study (2007, 2010 and 2014) and covered three states in 2007, six states this season and eight states in 2014. Each round utilized similar methodology and therefore permits contrast. Behavioral data were acquired utilizing a organized pre-coded questionnaire. Variations in categorical factors had been evaluated with Chi Square. Logistic regression had been used to spot facets related to HIV.

An overall total of 879, 1545 and 3611 MSM were recruited in 2007, 2010 and russian wife 2014 correspondingly. Median age was 22 years for 2007 and 2014 although it ended up being 24 years this season. About one-third of MSM in 2007 and 2014 and about two-fifths this season had involved in transactional intercourse. HIV prevalence increased from 14% in 2007 to 17percent this season to 23per cent in 2014 (p

Background

Globally, males who possess sex with males (MSM) remain disproportionately affected and infected by HIV 1, 2. Despite huge opportunities in international HIV and expanded treatment that is antiretroviralART) programs which have led to significant decreases in HIV among other sub-populations (basic populace, feminine intercourse employees), HIV among MSM has remained for a sustained increase globally 1, 3. The trend of HIV epidemic has been on a decline except among MSM 1 in high income countries. Likewise, available information on HIV incidence and prevalence from low and middle-income nations declare that the HIV epidemic among gay, bisexual along with other males who possess intercourse with guys are for a markedly different and trajectory 1,2,3 that is increasing. In the united states, new HIV infections among MSM was believed to be increasing at 8% per year since 2001 1. When you look at the Amsterdam Cohort research among MSM, HIV purchase increased from 1.0 per 100 person-years in 1992 to 2.0 per 100-person years during 2009 4, 5 while in China, from prospective cohort studies carried out among MSM between 2005 and 2007, HIV purchase was reported to possess increased from 2.6 to 5.6 per 100 person-years 6,7,8,9.

Many studies of HIV purchase and transmission among MSM have actually mostly dedicated to specific degree risk facets including unprotected anal that is receptive, large number of lifetime male lovers, inserting and non-injecting medication usage and high viral load within the index partner 1. Nonetheless, specific degree danger facets alone, have already been been shown to be insufficient to describe the high transmission characteristics of HIV among MSM therefore the divergence of MSM epidemics in comparison to HIV epidemics various other populations 1, 2. Other danger factors such as for example biological, couple-network degree, community-level and structural motorists have now been established become relevant in comprehending the persistent high transmission rates among MSM particularly in the clear presence of increased ART coverage whereby brand brand new infections should decrease as a consequence of reduced probability of transmission due to the aftereffect of ART on viral load 2, 10, 11.

MSM in Nigeria are conservatively projected to be lower than 1% associated with population that is nigerian nationally account fully for about 20per cent of brand new HIV infections 12. MSM are criminalized and stigmatized and also this has further worsened in the past few years using the passage of the Same-Sex Marriage Prohibition law of 2014 13,14,15,16,17. The brand new legislation included clauses that prohibited businesses from providing solutions to MSM and facilitation of meetings that support homosexual individuals, thus further criminalizing same-sex activities 12. Research reports have shown why these restrictive policies further restrict the coverage that is poor of prevention, therapy, and care programs among MSM 12, 18,19,20,21. Very few HIV that is MSM-targeted prevention therapy and care solutions occur in a restricted amount of states in Nigeria. It is mainly due to restricted information in the size estimate of MSM across states in addition to restricted capital for key population committed programs. Information on MSM are mainly from three rounds associated with population-based incorporated Biological and Behavioural Surveillance Survey (IBBSS) conducted in, 2007, 2010, and 2014. This research aimed to evaluate the noticeable improvement in HIV prevalence and figure out correlates of HIV among MSM in Nigeria. Proof using this study are going to be utilized by policy manufacturer and system supervisors for evidence-based choice making for HIV prevention among MSM in Nigeria.

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In 2007, only three states – Lagos, Kano and Cross River, had been contained in the IBBSS. An additional three states were included in the IBBSS – the Federal Capital Territory (FCT), Kaduna and Oyo, while in 2014, Enugu and Rivers states were added to the six states included in the 2010 IBBSS in 2010, following increased awareness of the contribution of MSM to the HIV epidemic. Their state selection ensured that five regarding the six zones that are geopolitical Nigeria had been represented into the study. Therefore, the west that is southLagos and Oyo), south east (Enugu), south south (streams), north central (FCT) and north west zones (Kano and Kaduna) contributed towards the research.