The Mpumalanga Men's Study (MPMS): results of a baseline biological and behavioral HIV surveillance survey in two MSM communities in South Africa
The Mpumalanga Men's Study (MPMS) is the assessment of the Project Boithato HIV prevention intervention for South African MSM. Boithato aims to increase consistent condom use, regular testing for HIV-negative MSM, and linkage to care for HIV-positive MSM. The MPMS baseline examined HIV prevalen...
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| Veröffentlicht in: | PloS one 2014-11, Vol.9 (11), p.e111063-e111063 |
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| creator | Lane, Tim Osmand, Thomas Marr, Alexander Shade, Starley B Dunkle, Kristin Sandfort, Theodorus Struthers, Helen Kegeles, Susan McIntyre, James A |
| description | The Mpumalanga Men's Study (MPMS) is the assessment of the Project Boithato HIV prevention intervention for South African MSM. Boithato aims to increase consistent condom use, regular testing for HIV-negative MSM, and linkage to care for HIV-positive MSM. The MPMS baseline examined HIV prevalence and associated risk behaviors, and testing, care, and treatment behaviors among MSM in Gert Sibande and Ehlanzeni districts in Mpumalanga province, South Africa in order to effectively target intervention activities. We recruited 307 MSM in Gert Sibande and 298 in Ehlanzeni through respondent-driven sampling (RDS) between September 2012-March 2013. RDS-adjusted HIV prevalence estimates are 28.3% (95% CI 21.1%-35.3%) in Gert Sibande, and 13.7% (95% CI 9.1%-19.6%) in Ehlanzeni. Prevalence is significantly higher among MSM over age 25 [57.8% (95% CI 43.1%-72.9%) vs. 17.9% (95% CI 10.6%-23.9%), P |
| doi_str_mv | 10.1371/journal.pone.0111063 |
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Boithato aims to increase consistent condom use, regular testing for HIV-negative MSM, and linkage to care for HIV-positive MSM. The MPMS baseline examined HIV prevalence and associated risk behaviors, and testing, care, and treatment behaviors among MSM in Gert Sibande and Ehlanzeni districts in Mpumalanga province, South Africa in order to effectively target intervention activities. We recruited 307 MSM in Gert Sibande and 298 in Ehlanzeni through respondent-driven sampling (RDS) between September 2012-March 2013. RDS-adjusted HIV prevalence estimates are 28.3% (95% CI 21.1%-35.3%) in Gert Sibande, and 13.7% (95% CI 9.1%-19.6%) in Ehlanzeni. Prevalence is significantly higher among MSM over age 25 [57.8% (95% CI 43.1%-72.9%) vs. 17.9% (95% CI 10.6%-23.9%), P<0.001 in Gert Sibande; 34.5% (95%CI 20.5%-56.0%) vs. 9.1% (95% CI 4.6%-13.9%), P<0.001 in Ehlanzeni]. In Gert Sibande, prevalence is higher among self-identified gay and transgender MSM vs. other MSM [39.3% (95%CI, 28.3%-47.9%), P<0.01], inconsistent condom users [38.1% (18.1%-64.2%), P<0.05], those with a current regular male partner [35.0% (27.1%-46.4%), P<0.05], and those with lifetime experience of intimate partner violence with men [40.4%, (95%CI 28.9%-50.9%), P<0.05]. Prevalence of previous HIV testing was 65.8% (95%CI 58.8%-74.0%) in Gert Sibande, and 69.3% (95%CI 61.9%-76.8%) in Ehlanzeni. Regular HIV testing was uncommon [(34.6%, (95%CI 27.9%-41.4%) in Gert Sibande; 31.0% (95%CI 24.9%-37.8%) in Ehlanzeni]. Among HIV-positive participants, few knew their status (28.1% in Gert Sibande and 14.5% in Ehlanzeni), or were appropriately linked to care (18.2% and 11.3%, respectively), or taking antiretroviral therapy (13.6% and 9.6% respectively). MPMS results demonstrate the importance of implementing interventions for MSM to increase consistent condom use, regular HIV testing, and linkage and engagement in care for HIV-infected MSM.]]></description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0111063</identifier><identifier>PMID: 25401785</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; Aggression ; AIDS ; Alcohol ; Ambulatory care ; Antiretroviral agents ; Antiretroviral therapy ; Behavior ; Biological effects ; Biology and Life Sciences ; Disease prevention ; Domestic violence ; Epidemiology ; Female ; Geography, Medical ; Health risks ; Health surveillance ; HIV ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; HIV Infections - transmission ; HIV tests ; Human immunodeficiency virus ; Humans ; Infections ; Intervention ; Intimate partner violence ; Male ; Medical diagnosis ; Medical tests ; Medicine and health sciences ; Men ; Mens health ; Middle Aged ; People and places ; Population ; Population Surveillance ; Prevalence ; Prevention ; Public health ; Research and Analysis Methods ; Risk behavior ; Risk Factors ; Risk taking ; Roads & highways ; Sociology ; South Africa - epidemiology ; Studies ; Surveillance ; Transgender persons ; Violence ; Young Adult</subject><ispartof>PloS one, 2014-11, Vol.9 (11), p.e111063-e111063</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Lane et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Lane et al 2014 Lane et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c593t-43553918c94cccc32e93ff8f38eb70a18a925ec1dab97f366ee06a35fdc526193</citedby><cites>FETCH-LOGICAL-c593t-43553918c94cccc32e93ff8f38eb70a18a925ec1dab97f366ee06a35fdc526193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4234301/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4234301/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23847,27323,27903,27904,33753,53769,53771,79346,79347</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25401785$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Graham, Susan Marie</contributor><creatorcontrib>Lane, Tim</creatorcontrib><creatorcontrib>Osmand, Thomas</creatorcontrib><creatorcontrib>Marr, Alexander</creatorcontrib><creatorcontrib>Shade, Starley B</creatorcontrib><creatorcontrib>Dunkle, Kristin</creatorcontrib><creatorcontrib>Sandfort, Theodorus</creatorcontrib><creatorcontrib>Struthers, Helen</creatorcontrib><creatorcontrib>Kegeles, Susan</creatorcontrib><creatorcontrib>McIntyre, James A</creatorcontrib><title>The Mpumalanga Men's Study (MPMS): results of a baseline biological and behavioral HIV surveillance survey in two MSM communities in South Africa</title><title>PloS one</title><addtitle>PLoS One</addtitle><description><![CDATA[The Mpumalanga Men's Study (MPMS) is the assessment of the Project Boithato HIV prevention intervention for South African MSM. Boithato aims to increase consistent condom use, regular testing for HIV-negative MSM, and linkage to care for HIV-positive MSM. The MPMS baseline examined HIV prevalence and associated risk behaviors, and testing, care, and treatment behaviors among MSM in Gert Sibande and Ehlanzeni districts in Mpumalanga province, South Africa in order to effectively target intervention activities. We recruited 307 MSM in Gert Sibande and 298 in Ehlanzeni through respondent-driven sampling (RDS) between September 2012-March 2013. RDS-adjusted HIV prevalence estimates are 28.3% (95% CI 21.1%-35.3%) in Gert Sibande, and 13.7% (95% CI 9.1%-19.6%) in Ehlanzeni. Prevalence is significantly higher among MSM over age 25 [57.8% (95% CI 43.1%-72.9%) vs. 17.9% (95% CI 10.6%-23.9%), P<0.001 in Gert Sibande; 34.5% (95%CI 20.5%-56.0%) vs. 9.1% (95% CI 4.6%-13.9%), P<0.001 in Ehlanzeni]. In Gert Sibande, prevalence is higher among self-identified gay and transgender MSM vs. other MSM [39.3% (95%CI, 28.3%-47.9%), P<0.01], inconsistent condom users [38.1% (18.1%-64.2%), P<0.05], those with a current regular male partner [35.0% (27.1%-46.4%), P<0.05], and those with lifetime experience of intimate partner violence with men [40.4%, (95%CI 28.9%-50.9%), P<0.05]. Prevalence of previous HIV testing was 65.8% (95%CI 58.8%-74.0%) in Gert Sibande, and 69.3% (95%CI 61.9%-76.8%) in Ehlanzeni. Regular HIV testing was uncommon [(34.6%, (95%CI 27.9%-41.4%) in Gert Sibande; 31.0% (95%CI 24.9%-37.8%) in Ehlanzeni]. Among HIV-positive participants, few knew their status (28.1% in Gert Sibande and 14.5% in Ehlanzeni), or were appropriately linked to care (18.2% and 11.3%, respectively), or taking antiretroviral therapy (13.6% and 9.6% respectively). MPMS results demonstrate the importance of implementing interventions for MSM to increase consistent condom use, regular HIV testing, and linkage and engagement in care for HIV-infected MSM.]]></description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aggression</subject><subject>AIDS</subject><subject>Alcohol</subject><subject>Ambulatory care</subject><subject>Antiretroviral agents</subject><subject>Antiretroviral therapy</subject><subject>Behavior</subject><subject>Biological effects</subject><subject>Biology and Life Sciences</subject><subject>Disease prevention</subject><subject>Domestic violence</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Geography, Medical</subject><subject>Health risks</subject><subject>Health surveillance</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - transmission</subject><subject>HIV tests</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infections</subject><subject>Intervention</subject><subject>Intimate partner violence</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical tests</subject><subject>Medicine and health sciences</subject><subject>Men</subject><subject>Mens health</subject><subject>Middle Aged</subject><subject>People and places</subject><subject>Population</subject><subject>Population Surveillance</subject><subject>Prevalence</subject><subject>Prevention</subject><subject>Public health</subject><subject>Research and Analysis Methods</subject><subject>Risk behavior</subject><subject>Risk Factors</subject><subject>Risk taking</subject><subject>Roads & highways</subject><subject>Sociology</subject><subject>South Africa - epidemiology</subject><subject>Studies</subject><subject>Surveillance</subject><subject>Transgender 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Mpumalanga Men's Study (MPMS): results of a baseline biological and behavioral HIV surveillance survey in two MSM communities in South Africa</title><author>Lane, Tim ; Osmand, Thomas ; Marr, Alexander ; Shade, Starley B ; Dunkle, Kristin ; Sandfort, Theodorus ; Struthers, Helen ; Kegeles, Susan ; McIntyre, James A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c593t-43553918c94cccc32e93ff8f38eb70a18a925ec1dab97f366ee06a35fdc526193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aggression</topic><topic>AIDS</topic><topic>Alcohol</topic><topic>Ambulatory care</topic><topic>Antiretroviral agents</topic><topic>Antiretroviral therapy</topic><topic>Behavior</topic><topic>Biological effects</topic><topic>Biology and Life Sciences</topic><topic>Disease 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Marie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Mpumalanga Men's Study (MPMS): results of a baseline biological and behavioral HIV surveillance survey in two MSM communities in South Africa</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-11-17</date><risdate>2014</risdate><volume>9</volume><issue>11</issue><spage>e111063</spage><epage>e111063</epage><pages>e111063-e111063</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract><![CDATA[The Mpumalanga Men's Study (MPMS) is the assessment of the Project Boithato HIV prevention intervention for South African MSM. Boithato aims to increase consistent condom use, regular testing for HIV-negative MSM, and linkage to care for HIV-positive MSM. The MPMS baseline examined HIV prevalence and associated risk behaviors, and testing, care, and treatment behaviors among MSM in Gert Sibande and Ehlanzeni districts in Mpumalanga province, South Africa in order to effectively target intervention activities. We recruited 307 MSM in Gert Sibande and 298 in Ehlanzeni through respondent-driven sampling (RDS) between September 2012-March 2013. RDS-adjusted HIV prevalence estimates are 28.3% (95% CI 21.1%-35.3%) in Gert Sibande, and 13.7% (95% CI 9.1%-19.6%) in Ehlanzeni. Prevalence is significantly higher among MSM over age 25 [57.8% (95% CI 43.1%-72.9%) vs. 17.9% (95% CI 10.6%-23.9%), P<0.001 in Gert Sibande; 34.5% (95%CI 20.5%-56.0%) vs. 9.1% (95% CI 4.6%-13.9%), P<0.001 in Ehlanzeni]. In Gert Sibande, prevalence is higher among self-identified gay and transgender MSM vs. other MSM [39.3% (95%CI, 28.3%-47.9%), P<0.01], inconsistent condom users [38.1% (18.1%-64.2%), P<0.05], those with a current regular male partner [35.0% (27.1%-46.4%), P<0.05], and those with lifetime experience of intimate partner violence with men [40.4%, (95%CI 28.9%-50.9%), P<0.05]. Prevalence of previous HIV testing was 65.8% (95%CI 58.8%-74.0%) in Gert Sibande, and 69.3% (95%CI 61.9%-76.8%) in Ehlanzeni. Regular HIV testing was uncommon [(34.6%, (95%CI 27.9%-41.4%) in Gert Sibande; 31.0% (95%CI 24.9%-37.8%) in Ehlanzeni]. Among HIV-positive participants, few knew their status (28.1% in Gert Sibande and 14.5% in Ehlanzeni), or were appropriately linked to care (18.2% and 11.3%, respectively), or taking antiretroviral therapy (13.6% and 9.6% respectively). MPMS results demonstrate the importance of implementing interventions for MSM to increase consistent condom use, regular HIV testing, and linkage and engagement in care for HIV-infected MSM.]]></abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25401785</pmid><doi>10.1371/journal.pone.0111063</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2014-11, Vol.9 (11), p.e111063-e111063 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1625576985 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry; Sociological Abstracts; Public Library of Science (PLoS) |
| subjects | Acquired immune deficiency syndrome Adolescent Adult Aggression AIDS Alcohol Ambulatory care Antiretroviral agents Antiretroviral therapy Behavior Biological effects Biology and Life Sciences Disease prevention Domestic violence Epidemiology Female Geography, Medical Health risks Health surveillance HIV HIV Infections - epidemiology HIV Infections - prevention & control HIV Infections - transmission HIV tests Human immunodeficiency virus Humans Infections Intervention Intimate partner violence Male Medical diagnosis Medical tests Medicine and health sciences Men Mens health Middle Aged People and places Population Population Surveillance Prevalence Prevention Public health Research and Analysis Methods Risk behavior Risk Factors Risk taking Roads & highways Sociology South Africa - epidemiology Studies Surveillance Transgender persons Violence Young Adult |
| title | The Mpumalanga Men's Study (MPMS): results of a baseline biological and behavioral HIV surveillance survey in two MSM communities in South Africa |
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