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. 2019 Jan 3;19(1):5.
doi: 10.1186/s12889-018-6361-1.

Human immunodeficiency virus (HIV) among men who have sex with men: results of the first integrated biological and behavioral survey in Burkina Faso, West Africa

Henri Gautier Ouedraogo  1   2   3 , Odette Ky-Zerbo  4 , Ashley Grosso  5 , Sara Goodman  5 , Benoît Cesaire Samadoulougou  4 , Grissoum Tarnagda  6 , Adama Baguiya  6 , Simon Tiendrebeogo  6 , Marcel Lougue  4 , Nongoba Sawadogo  7 , Yves Traore  8 , Nicolas Barro  8 , Stefan Baral  5 , Seni Kouanda  6   9
Affiliations

Human immunodeficiency virus (HIV) among men who have sex with men: results of the first integrated biological and behavioral survey in Burkina Faso, West Africa

Henri Gautier Ouedraogo et al. BMC Public Health. .

Abstract

Background: Many men who have sex with men (MSM) are at significant risk for HIV infection. The objective of this study was to determine the prevalence and correlates of HIV infection among MSM in Burkina Faso.

Methods: A cross-sectional biological and behavioral survey was conducted from January to August 2013 among MSM in Ouagadougou and Bobo-Dioulasso. MSM 18 years old and above were recruited using respondent driven sampling (RDS). A survey was administered to study participants followed by HIV testing. Population prevalence estimates and 95% confidence intervals (CI) adjusted for the RDS design were produced using the RDS Analysis Tool version 6.0.1 (RDS, Inc., Ithaca, NY).

Results: A total of 662 MSM were enrolled in Ouagadougou (n = 333) and Bobo-Dioulasso (n = 329). The majority were unmarried, with an average age of 22.1 ± 4.4 years old in Ouagadougou and 23.1 ± 4.7 years old in Bobo-Dioulasso. RDS-adjusted HIV prevalence was 1.7% (95% CI: 0.9-3.1) in Ouagadougou and 2.7% (95% CI: 1.6-4.6) in Bobo-Dioulasso. HIV prevalence among MSM under 25 years old was 1.3% (95% CI: 0.6-2.8) and 0.9% (95% CI: 0.4-2.5) respectively in Ouagadougou and Bobo-Dioulasso, compared to 5.4% (95% CI: 2.2-12.5) and 6.6% (95% CI: 3.4-12.3) among those 25 years old or older in these cities (p = 0.010 and p < 0.001).

Conclusions: Results from this first biological and behavioral survey among MSM in Burkina Faso suggest a need for programs to raise awareness among MSM and promote safer sex, particularly for young MSM to prevent HIV transmission. These programs would need support from donors for innovative actions such as promoting and providing pre-exposure prophylaxis, condoms and water-based lubricants, HIV counseling, testing, early treatment initiation and effective involvement of the MSM communities.

Keywords: Burkina Faso; Epidemiology; HIV; Infection; MSM; West Africa.

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Conflict of interest statement

Ethics approval and consent to participate

All participants provided written informed consent. The study received ethical approval from the Johns Hopkins Bloomberg School of Public Health Institutional Review Board and the Ethics Committee for Health Research (Comité d’éthique pour la recherche en santé, CERS) of Burkina Faso.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Respondent driven sampling recruitment chains of MSM in Ouagadougou and Bobo-Dioulasso, Burkina Faso
See this image and copyright information in PMC

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