Correlates of prior HIV testing among MSM in Cameroon: a cross-sectional analysis

Published: November 25, 2014

7th Space
Original Article: 

Regular HIV testing is vital for timely linkage to the HIV care continuum and ensuring the success of behavioral and biomedical interventions to prevent HIV acquisition. Men who have sex with men (MSM) are a key population for HIV prevention, treatment, and care efforts globally.

This study measures the factors associated with prior HIV testing among MSM in Cameroon.

Methods: In 2011, 272 and 239 MSM aged >= 18 were recruited from Douala and Yaounde respectively using respondent-driven sampling (RDS) for a cross-sectional surveillance study. Participants completed a structured socio-behavioral survey and were offered HIV and syphilis testing and counseling.

Results: The majority of men self-reported ever testing for HIV (81.6%; 413/506) and receiving their last HIV test result (95.4%; 394/413).

Testing in the last 12 months was more prevalent in Douala (63.3%; 169/267) compared to Yaounde (55.9%; 132/236). Median frequency of testing was every 18 months in Douala and every two years in Yaounde.

In multivariate RDS-weighted analysis, correlates of ever testing for HIV in Douala were: having higher than secondary education compared to having secondary education or less (aOR = 3.51, 95% CI: 1.32-9.34), ever accessing a community-based HIV service for MSM (aOR = 3.37, 95% CI: 1.57-7.24) and having >=4 male oral or anal sexual partners in the past 12 months (aOR = 2.49, 1.08-5.74). In Yaounde, having higher than secondary education (aOR = 7.96, 95% CI: 1.31-48.41) was associated with ever testing for HIV.

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