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| THAC03 |
Out in the World: Global MSM HIV Epidemics |
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Oral Abstract Session : Track C
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| Venue: |
Session Room 3 |
| Time: |
26.07.2012, 16:30 - 18:00 |
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Co-Chairs:
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David Malebranche, United States
Jorge Sanchez, Peru
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16:30
THAC0301
Abstract
Powerpoint
Webcast | 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
| 16:45
THAC0302
Abstract | 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
| 17:00
THAC0303
Abstract
Webcast | 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
| 17:15
THAC0304
Abstract
Powerpoint | 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
| 17:30
THAC0305
Abstract
Powerpoint
Webcast | 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
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| Powerpoints presentations |
| 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 - Rigmor C Berg | |
| 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 - Prabuddhagopal Goswami | |
| Concurrent drug use and sexual risk behaviour among men who have sex with men (MSM) in Peru - Javier R Lama | |
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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.
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