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. 2019 Oct 22;9(1):15142.
doi: 10.1038/s41598-019-51688-7.

Prevalence of HIV and other sexually transmitted infections and their association with sexual practices and substance use among 2238 MSM in Lebanon

Ayman Assi  1   2 , Sara Abu Zaki  3 , Jade Ghosn  4   5 , Nizar Kinge  3 , Jihane Naous  3 , Antoine Ghanem  3   6 , Diana Abou Abbas  3 , Ziad Bakouny  6 , Georges Azzi  3 , Roland Tomb  6
Affiliations

Prevalence of HIV and other sexually transmitted infections and their association with sexual practices and substance use among 2238 MSM in Lebanon

Ayman Assi et al. Sci Rep. .

Abstract

UNAIDS report documents 95% increase in new HIV infections among key populations in Eastern Europe and Middle East and North Africa region. Data on HIV and STIs among MSM in Lebanon is still scarce. Therefore, the aim was to assess prevalence of HIV and sexually transmitted infections (STIs) among men who have sex with men (MSM) in Lebanon and associations with sexual practices and substance-use. 2238 MSM attended a sexual health clinic in Lebanon between 2015-2018. Demographics, substance-use and sexual practices were collected. Attendees tested for HIV and other STIs. HIV infection was diagnosed in 5.6% of the sample. Only 19% received sexual health education from reliable sources (school/university/healthcare workers), 78% reported having multiple partners in the past three months (2-5 partners: 58%, 6+: 20%) and 67% reported inconsistent condom-use. Moreover, 40% of HIV + cases were returning attendees who already received information about condom-use. Additionally, having only a school level education (11%) increases the odds of having inconsistent condom-use with casual partners (adj.OR:1.9, p < 0.001). The results reflect the urgent need for: (1) accurate and comprehensive sexual health and harm reduction education and promotion in Lebanon; (2) making pre-exposure prophylaxis available for free to key populations to contain the epidemics at an early stage.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Substance use in 2238 MSM in Lebanon: recreational drug use in addition to the reported types of drugs.
See this image and copyright information in PMC

References

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