Risk factors of HIV/AIDS among men who have sex with men in Akwa Ibom State, Nigeria.

Abstract

Introduction: Men who have sex with men (MSM) belong to the key population group which contributes to the high burden of human immunodeficiency viruses (HIV)/acquired immunodeficiency syndrome (AIDS) despite the ongoing HIV prevention programs in Nigeria. The current study assessed the risk factors of HIV/AIDS among men who have sex with men in Akwa-Ibom State, Nigeria.

Methods: This study was a cross-sectional study of 400 men who have sex with men selected from three senatorial zones in Akwa Ibom. A statistical package for service solution version 23 was used to analyze the data. Descriptive statistics, Relative risk and Binary logistic regression were used to compare proportions between risk factors and HIV/AIDS among the MSM.

Results: More than half (50.5%) of the respondents were between the ages of 20-29 years. Above 66% of the respondents made their debut into MSM at the age bracket of 13-19 years. 50% of the respondents preferred unprotected sex with fellow men. About 99% of the respondents have multiple sexual partners. More than 72% of the respondents had engaged in group sex. About 64% of the respondents use tramadol before sex. Greater than half (54%) of the respondents have shared injection needles. Averagely, 97% of the respondent engaged in transactional sex in the past 3 months. 11.8% of the 400 respondents tested positive for HIV. There was a significant association between risk factors and HIV among the MSM studied.

Conclusions: MSM in Akwa Ibom State engage in high-risk behaviors, therefore, a risk reduction program targeted at each specific identified risk is highly recommended.