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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Characterizing social cohesion and gender identity as risk determinants of HIV among cisgender men who have sex with men and transgender women in Côte d'Ivoire
Annals of epidemiology, v 42, pp 25-32
Feb 2020
PMID: 31902624
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
HIV prevalence has been previously estimated among cisgender men who have sex with men (MSM) in Côte d'Ivoire; however, limited data exist relating to the role of social cohesion and gender identity within this population. This study aims to examine these factors as risk determinants of HIV among MSM in Côte d'Ivoire.
We conducted a cross-sectional study using respondent-driven sampling for recruitment with a structured sociobehavioral instrument and testing for HIV. After respondent-driven sampling adjustment, chi-squared tests and bivariate logistic regression and multivariate logistic regression analyses were performed to characterize social and identity-based risk determinants of biologically confirmed prevalent HIV infection.
HIV prevalence was 11.2% (n = 146/1301). Transgender woman identity was associated with higher odds of HIV compared with cisgender MSM (aOR = 3.4, 95% CI [2.0-5.8], P < .001). Having a combined social cohesion score of medium (aOR = 0.4, 95% CI [0.2-0.8], P < .01) or high (aOR = 0.2, 95% CI [0.1-0.3], P < .001) was associated with lower odds of HIV compared with a low score.
These data suggest that social cohesion is a determinant of prevalent HIV infection in Côte d'Ivoire among gay men, other cisgender MSM, and transgender women. The differences in HIV burden and social cohesion between transgender women and cisgender MSM highlight the need to better target the diversity of people traditionally included in the MSM umbrella to ensure comprehensive HIV prevention and treatment interventions.
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Details
- Title
- Characterizing social cohesion and gender identity as risk determinants of HIV among cisgender men who have sex with men and transgender women in Côte d'Ivoire
- Creators
- Alexander Moran - BloombergAyden Scheim - Drexel UniversityCarrie Lyons - BloombergBenjamin Liestman - BloombergFatou Drame - Université Gaston BergerSosthenes Ketende - BloombergDaouda Diouf - Environment and Development Action Third WorldIbrahima Ba - Environment and Development Action Third WorldRebecca Ezouatchi - Environment and Development Action Third WorldAmara Bamba - Environment and Development Action Third WorldAbo Kouame - Ministry of Health and the Fight against AIDSStefan Baral - Bloomberg
- Publication Details
- Annals of epidemiology, v 42, pp 25-32
- Publisher
- Elsevier
- Grant note
- R01 MH110358 / NIMH NIH HHS P30 AI094189 / NIAID NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000519149800005
- Scopus ID
- 2-s2.0-85077370624
- Other Identifier
- 991019168605704721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health