XIX International AIDS Conference

THAC03 Out in the World: Global MSM HIV Epidemics
  Oral Abstract Session : Track C
Venue: Session Room 3
Time: 26.07.2012, 16:30 - 18:00
Co-Chairs: David Malebranche, United States
Jorge Sanchez, Peru

Structural determinants in MSM HIV prevention: environmental and structural factors predict internalised homonegativity in men who have sex with men (MSM): findings from the European MSM internet survey (EMIS) in 38 countries
R.C. Berg1,2, M.W. Ross2,3, A.J. Schmidt4, P. Weatherburn4, EMIS Network
1Norwegian Knowledge Centre for the Health Services, Dept of Evidence-Based Health Services, Oslo, Norway, 2University of Texas Health Sciences Center, Houston, School of Public Health, Houston, United States, 3Malmö University, Faculty of Health and Society, Malmö, Sweden, 4London School of Hygiene and Tropical Medicine, London, United Kingdom
R. Berg, Norway

Men who have sex with men and the HIV epidemic in Morocco: results from a respondent-driven sampling study
O. Mellouk1,2, K. Alami3, H. El Rhilani3, N. Rafif1, A. Abadie1, L. Ouarsas4, A. Bennani5, B. El Omari6, I. Oumzil7, L. Johnston8
1ALCS, Marrakech, Morocco, 2ITPC North Africa, Marrakech, Morocco, 3UNAIDS Morocco, Rabat, Morocco, 4ALCS, Agadir, Morocco, 5PNLS, Rabat, Morocco, 6Fonds Mondial, Rabat, Morocco, 7INH, Rabat, Morocco, 8UNAIDS, Amsterdam, Netherlands
A. Abadie, Morocco

The recent impact of MSM on the prevalence of HIV-1 infection among young men in Thailand
R. Rangsin1, K. Kana2, T. Chuenchitra2, A. Sunantarod3, S. Meesiri2, W. Areekul1, K.E. Nelson4
1Phramongkutklao College of Medicine, Military and Community Medicine, Bangkok, Thailand, 2Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand, 3Royal Thai Army Institute of Pathology, Bangkok, Thailand, 4Johns Hopkins Bloomberg School Public Health, Epidemiology, Baltimore, United States
R. Rangsin, Thailand

Need for innovative intervention strategies to reduce HIV transmission among men who have sex with men in Andhra Pradesh, India: following a large-scale HIV prevention intervention
S. Khobragade1, P. Goswami2, L. Ramakrishnan2, B. George2, R. Adhikary3, S. Ramanathan2, S. Mathew2, R. Hari Kumar4, V. Kodali4
1FHI 360 India, Mumbai, India, 2FHI 360 India, Delhi, India, 3FHI 360 Washington DC, Washington, United States, 4National Institute of Nutrition (NIN), Hyderabad, India
P. Goswami, India

Concurrent drug use and sexual risk behaviour among men who have sex with men (MSM) in Peru
J. Peinado1, J.R. Lama1, P. Gonzales1, R. Cabello2, G. Sal y Rosas1, J. Sanchez1
1Asociacion Civil Impacta Salud y Educacion, Lima, Peru, 2Asociacion Via Libre, Lima, Peru
J. Lama, Peru

Rapporteur report

Track C report by Albert Liu

This session focuses on MSM HIV epidemics in a variety of settings in Africa and Asia.

 In an internet-based survey of >140,000 MSM in 38 countries in Europe, internalized homonegativity varied by the stage of socio-economic development in country and was predicted by macro/societal level factors (e.g. absence of legal rights), meso-level factors (e.g. social climate, whether individuals would like homosexuals as neighbors), and individual level factors (e.g. exposure to gay-related hostility, access to condoms and HIV/STI testing).  Results suggest that improved affirmative and protective policies may have positive health impacts on MSM populations.

In a respondent-driven sampling study of 669 MSM in Morocco in 2010-2011, HIV and syphilis prevalence was 5.6% and 7.0% in Agadir respectively, and 2.8% and 10.8% in Marrakech.   Among MSM who tested positive for HIV, 32% in Agadir and 56% in Marrakech were co-infected with syphilis. MSM reported multiple types of sexual partners, including occasional and commercial sex partners, and reported high levels of risky sexual behaviors.  These data highlight the importance of programs to provide HIV/STI outreach/services to MSM in Morocco.

Of >38,000 men enrolled in the Royal Thai Army in Thailand, HIV prevalence was 0.50% overall, and 2.6% among MSM.  Among MSM in this cohort, sex in exchange for money was an independent risk factor for HIV infection (AOR=1.97), along with higher education (AOR=3.51) and being the versatile (AOR=7.19) or receptive partner (AOR=10.77).  The authors conclude that sex between men remain an important risk factor for HIV infection in young Thai men, and public health interventions for this population are urgently needed in both urban and rural areas.

In 2 rounds of bio-behavioral surveys conducted in high-risk MSM in Andhra Pradesh, India in 2006 and 2009, reported condom use and exposure to HIV prevention services and HIV testing increased significantly as a result of an initiative targeting MSM.  Despite these favorable trends, HIV and STI prevalence did not significantly change.  Research into new and innovative approaches is recommended for reducing HIV transmission among MSM in this region.

In the 2011 HIV Sentinel Surveillance Survey among 5,575 high-risk MSM and transgender women in Peru, 12% reported concurrent drug use during last anal intercourse, and approximately one-third of these episodes were without a condom. Concurrent drug use with anal sex was associated with lower education, having an alcohol use disorder, and having a greater number of male sex partners.  The authors recommend tailored strategies to reduce risky sex behavior associated with drug consumption among MSM and trans women in Peru.


    The organizers reserve the right to amend the programme.

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