The Perceived Added Value of Bimonthly Injectable Pre-Exposure Prophylaxis According to West African Men Who Have Sex with Men: A Focus Group Study

Reyniers, Thijs; Fiorentino, Marion; Babo, Stéphane Alain Yoro; Ouedraogo, Mamadou; Kanta, Ibrahima; Agbegnigan, Laurette Ekon; Rojas, Daniela; Anoma, Camille; Dah, Ter Tiero Elias; Mensah, Ephrem; Keita, Bintou Dembélé; Spire, Bruno; Vuylsteke, Bea; Laurent, Christian; ,

doi:10.1089/apc.2023.0097

Cited by 3 publications

(1 citation statement)

References 49 publications

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“…However, the current low levels of PrEP awareness, acceptability, retention and adherence in this setting warrant increased efforts to improve PrEP information, delivery and access, especially for the most vulnerable and hidden MSM [139–143]. In addition, having female partners may pose specific barriers to oral PrEP uptake for MSM (in terms of secrecy); long-acting injectable PrEP may help to overcome this potential problem in the future [144].…”

Section: Discussionmentioning

confidence: 99%

Sexual behaviours and risk with women in MSM in sub-Saharan Africa

Fiorentino,

Yanwou,

Gravier-Dumonceau Mazelier

et al. 2024

Aids

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In sub-Saharan Africa (SSA), MSM – a high HIV prevalence group – experience strong social stigma and pressure to have female partners. Accordingly, they could constitute a bridging group for HIV transmission to cisgender women. We developed a multilevel summary of MSM sexual behaviors and risk with women in various SSA regions. Following PRISMA guidelines, we conducted a mixed-method systematic review of data of sex with women in MSM in SSA. We performed meta-analyses on quantitative data (i.e. percent of recent sex and condomless sex with women) for each SSA region (when proportions reported in ≥4 studies). Pooled proportions were calculated using random-effects models. Qualitative data were analyzed using the three-step thematic synthesis methodology. The pooled proportion of MSM who had sex with women was 58% (33–83%) in East Africa (in the previous 3 months), and 27% (13–48%) in Southern Africa and 50% (95% CI 39–62%) in West Africa (in the previous 6 months); 23% (16–32%) of MSM in West Africa had condomless sex with a woman (during the most recent encounter). Approximately one quarter of MSM had recent multiple female partners. MSM reported having sex with women because of heteronormative pressure, erotic/romantic attraction, or financial needs leading to transactional sex. MSM may act as a bridging population to women in SSA, as they commonly practice sex with women and risky sexual behaviors with them. HIV programmes and community-based support for MSM should be adapted to this population to reduce this risk.

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Section: Discussionmentioning

confidence: 99%