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ELIHoS Project (ANRS 12139)

MEN WHO HAVE SEX WITH MEN (MSM) AND RISK FACTORS ASSOCIATED WITH CONDOM USE AT LAST SEXUAL INTERCOURSE WITH A MAN AND A WOMAN IN SENEGAL. ELIHoS Project (ANRS 12139). Larmarange J. , Wade A. S., Diop A. K., Diop O., Gueye K., Marra A., Desgrées du Loû A. for ELIHoS Group

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ELIHoS Project (ANRS 12139)

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  1. MEN WHO HAVE SEX WITH MEN (MSM) AND RISK FACTORS ASSOCIATED WITH CONDOM USE AT LAST SEXUAL INTERCOURSE WITH A MAN AND A WOMAN IN SENEGAL ELIHoS Project (ANRS 12139) Larmarange J., Wade A. S., Diop A. K., Diop O., Gueye K., Marra A., Desgrées du Loû A. for ELIHoS Group Contact: joseph.larmarange@ceped.org AIDS 2010 CONFERENCE • ORAL POSTER PRESENTATION: WEPDC102SESSION : MSM and Transgender People: Addressing Prevention and Care Needs

  2. Context and Methods • In Senegal, among MSM (results from a previous survey): • high HIV prevalence: 21.5% in 2004 (<1% in general population) • high rate of bisexuality: 74% of MSM had had both male and female partners over the past year (in 2004) • ELIHoS Survey: • a new socio-behavioral survey conducted in 2007 • among 501 MSM recruiting using snowball sampling • in three places (Dakar, Mbour / Thiès, Saint-Louis) • Analysis: • factors associated with not using a condom for an anal or vaginal penetration • at last sexual intercourse with a man (among all MSM) and last sexual intercourse with a women (among bisexual over the past year only) • taking into account respondent’s characteristics, type of relationship and context of the sexual act MEN HAVING SEX WITH MEN AND FACTORS OF NOT USING A CONDOM IN SENEGAL

  3. Results:factors associated with unprotected sex MEN HAVING SEX WITH MEN AND FACTORS OF NOT USING A CONDOM IN SENEGAL

  4. Key findings • Type of relationship and context of sexual act are determinant to understand unprotected sex. • Prevention programs should insist upon the necessity of always carrying a condom. • Screening of both partners, in particular with the wife, should be highly recommended. • Having participated in a prevention program specifically targeting MSM constitutes a major prevention factor, both with men and women. • So, MSM programs are effective and must be pursed and extended. However, these programs must address heterosexual practices of MSM. MEN HAVING SEX WITH MEN AND FACTORS OF NOT USING A CONDOM IN SENEGAL

  5. Thank you Contact: joseph.larmarange@ceped.org

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