HIV prevalence and risk practices among men who have sex with men in two South African cities.

摘要: BACKGROUND: In South Africa information on HIV among men who have sex with (MSM) is limited and prevention programs for MSM are not widely available despite global evidence that at substantial risk infection. The Johannesburg/eThekwini Mens Study was conducted during 2008 to provide in Johannesburg Durban. METHODS: aged 18 years or older were recruited using respondent-driven sampling. Participants completed a questionnaire provided finger-prick blood specimens anonymous testing laboratory. RESULTS: From July December 285 (n = 204) Durban 81). had median age of 22 predominantly black Africans (88.3%). prevalence 49.5% [95% confidence interval (CI): 42.5% 56.5%] 27.5% CI: 17.0% 38.1%] infection associated gay identification [adjusted odds ratio (aOR): 8.4; 95% 3.7 19]. Factors the previous year included receptive unprotected anal intercourse [aOR 4.3; 2.4 7.6]; person known be positive [aOR: 2.3; 1.1 4.9]; sexually transmitted diagnosis 2.4; 5.2]. CONCLUSIONS: considerably higher compared general population. There an urgent need establish national surveillance expand availability MSM.