Oral sex practices among men who have sex with men and transgender women at risk for and living with HIV in Nigeria
Men who have sex with men (MSM) and transgender women (TGW) are at risk for sexually transmitted infections (STIs), including those of the oropharynx. We estimated the prevalence and factors associated with oral sex practices and characterized oropharyngeal STIs among a cohort of MSM and TGW in Nige...
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| Veröffentlicht in: | PloS one 2020-09, Vol.15 (9), p.e0238745-e0238745 |
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| creator | Robbins, Sarah J Dauda, Wuese Kokogho, Afoke Ndembi, Nicaise Mitchell, Andrew Adebajo, Sylvia Gaydos, Charlotte A Peel, Sheila Ramadhani, Habib O Robb, Merlin L Baral, Stefan D Ake, Julie A Charurat, Man E Crowell, Trevor A Nowak, Rebecca G |
| description | Men who have sex with men (MSM) and transgender women (TGW) are at risk for sexually transmitted infections (STIs), including those of the oropharynx. We estimated the prevalence and factors associated with oral sex practices and characterized oropharyngeal STIs among a cohort of MSM and TGW in Nigeria.
From 2013 to 2018, TRUST/RV368 recruited MSM and TGW into HIV/STI diagnosis and treatment at community-based clinics in Nigeria. Participants who completed HIV testing and oral sex questions at enrollment were selected. Cross-sectional analyses with bivariate and multivariable logistic regression models estimated odds ratios (ORs) and 95% confidence intervals (CIs). Oropharyngeal swab testing for Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) began in 2014 and for those with diagnostic results at enrollment, the unadjusted association of oral sex practices with oropharyngeal STIs was conducted.
A total of 1342 participants had a median age of 25 years (interquartile range: 22-29), 58% were living with HIV, and 69% reported oral sex practices. Factors associated with increased odds of engaging in oral sex included living with HIV (adjusted [a]OR: 1.4, 95% CI: 1.1-1.8), self-identifying as a woman (aOR:1.8, 95% CI: 1.1-2.8), mobile phone ownership (aOR:2.3, 95% CI: 1.3-3.9), receptive anal sex (aOR:1.7, 95% CI:1.3-2.3) and multiple male sexual partners (2 to 4 vs. ≤1, aOR:1.5, 95% CI: 1.0-2.2; 5+ vs ≤1, aOR:2.9, 95% CI:1.9-4.3). Oropharyngeal STI prevalence was 7% (52/752) and higher among those who engaged in oral sex compared to those who did not (unadjusted OR: 2.5, 95% CI:1.2-5.3).
Oral sex was common and associated with an increased odds of oropharyngeal STIs among MSM and TGW from Nigeria. In the absence of screening and treatment guidelines, condoms continue to be the mainstay for oral STI prevention. A pre-exposure prophylaxis for bacterial STIs would complement current prevention strategies to curb transmission. |
| doi_str_mv | 10.1371/journal.pone.0238745 |
| format | Article |
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From 2013 to 2018, TRUST/RV368 recruited MSM and TGW into HIV/STI diagnosis and treatment at community-based clinics in Nigeria. Participants who completed HIV testing and oral sex questions at enrollment were selected. Cross-sectional analyses with bivariate and multivariable logistic regression models estimated odds ratios (ORs) and 95% confidence intervals (CIs). Oropharyngeal swab testing for Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) began in 2014 and for those with diagnostic results at enrollment, the unadjusted association of oral sex practices with oropharyngeal STIs was conducted.
A total of 1342 participants had a median age of 25 years (interquartile range: 22-29), 58% were living with HIV, and 69% reported oral sex practices. Factors associated with increased odds of engaging in oral sex included living with HIV (adjusted [a]OR: 1.4, 95% CI: 1.1-1.8), self-identifying as a woman (aOR:1.8, 95% CI: 1.1-2.8), mobile phone ownership (aOR:2.3, 95% CI: 1.3-3.9), receptive anal sex (aOR:1.7, 95% CI:1.3-2.3) and multiple male sexual partners (2 to 4 vs. ≤1, aOR:1.5, 95% CI: 1.0-2.2; 5+ vs ≤1, aOR:2.9, 95% CI:1.9-4.3). Oropharyngeal STI prevalence was 7% (52/752) and higher among those who engaged in oral sex compared to those who did not (unadjusted OR: 2.5, 95% CI:1.2-5.3).
Oral sex was common and associated with an increased odds of oropharyngeal STIs among MSM and TGW from Nigeria. In the absence of screening and treatment guidelines, condoms continue to be the mainstay for oral STI prevention. A pre-exposure prophylaxis for bacterial STIs would complement current prevention strategies to curb transmission.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0238745</identifier><identifier>PMID: 32886722</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Anal sex ; Antiretroviral drugs ; Armed forces ; Biology and Life Sciences ; Bivariate analysis ; Chlamydia ; Chlamydia trachomatis - physiology ; Cohort Studies ; Condoms ; Confidence intervals ; Cross-Sectional Studies ; Demographic aspects ; Diagnostic systems ; Disease prevention ; Disease transmission ; Engineering and Technology ; Female ; Gays & lesbians ; Health aspects ; Health risks ; HIV ; HIV infections ; HIV Infections - complications ; HIV Infections - epidemiology ; HIV Infections - microbiology ; Homosexuality, Male - statistics & numerical data ; Human immunodeficiency virus ; Humans ; Laboratories ; Male ; Medical diagnosis ; Medicine ; Medicine and Health Sciences ; Men ; Mens health ; Middle Aged ; Military medicine ; MSM (Men who have sex with men) ; Neisseria gonorrhoeae - physiology ; Nigeria ; Oral sex ; Oropharynx ; People and Places ; Physical Sciences ; Prevention ; Prophylaxis ; Regression analysis ; Regression models ; Risk ; Risk factors ; Sex ; Sexual behavior ; Sexual Behavior - statistics & numerical data ; Sexual partners ; Sexually transmitted diseases ; Statistical analysis ; STD ; Supervision ; Transgender people ; Transgender persons ; Transgender Persons - statistics & numerical data ; Virology ; Women ; Young Adult</subject><ispartof>PloS one, 2020-09, Vol.15 (9), p.e0238745-e0238745</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Robbins 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>2020 Robbins et al 2020 Robbins et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c585t-9d14bf04f30296cb484818b2e6a98ebb4190eca8a259057f90fd1a4595c5990a3</citedby><cites>FETCH-LOGICAL-c585t-9d14bf04f30296cb484818b2e6a98ebb4190eca8a259057f90fd1a4595c5990a3</cites><orcidid>0000-0001-8404-4569 ; 0000-0001-5947-265X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473579/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473579/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32886722$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Robbins, Sarah J</creatorcontrib><creatorcontrib>Dauda, Wuese</creatorcontrib><creatorcontrib>Kokogho, Afoke</creatorcontrib><creatorcontrib>Ndembi, Nicaise</creatorcontrib><creatorcontrib>Mitchell, Andrew</creatorcontrib><creatorcontrib>Adebajo, Sylvia</creatorcontrib><creatorcontrib>Gaydos, Charlotte A</creatorcontrib><creatorcontrib>Peel, Sheila</creatorcontrib><creatorcontrib>Ramadhani, Habib O</creatorcontrib><creatorcontrib>Robb, Merlin L</creatorcontrib><creatorcontrib>Baral, Stefan D</creatorcontrib><creatorcontrib>Ake, Julie A</creatorcontrib><creatorcontrib>Charurat, Man E</creatorcontrib><creatorcontrib>Crowell, Trevor A</creatorcontrib><creatorcontrib>Nowak, Rebecca G</creatorcontrib><creatorcontrib>TRUST/RV368 Study Group</creatorcontrib><creatorcontrib>on behalf of the TRUST/RV368 Study Group</creatorcontrib><title>Oral sex practices among men who have sex with men and transgender women at risk for and living with HIV in Nigeria</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Men who have sex with men (MSM) and transgender women (TGW) are at risk for sexually transmitted infections (STIs), including those of the oropharynx. We estimated the prevalence and factors associated with oral sex practices and characterized oropharyngeal STIs among a cohort of MSM and TGW in Nigeria.
From 2013 to 2018, TRUST/RV368 recruited MSM and TGW into HIV/STI diagnosis and treatment at community-based clinics in Nigeria. Participants who completed HIV testing and oral sex questions at enrollment were selected. Cross-sectional analyses with bivariate and multivariable logistic regression models estimated odds ratios (ORs) and 95% confidence intervals (CIs). Oropharyngeal swab testing for Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) began in 2014 and for those with diagnostic results at enrollment, the unadjusted association of oral sex practices with oropharyngeal STIs was conducted.
A total of 1342 participants had a median age of 25 years (interquartile range: 22-29), 58% were living with HIV, and 69% reported oral sex practices. Factors associated with increased odds of engaging in oral sex included living with HIV (adjusted [a]OR: 1.4, 95% CI: 1.1-1.8), self-identifying as a woman (aOR:1.8, 95% CI: 1.1-2.8), mobile phone ownership (aOR:2.3, 95% CI: 1.3-3.9), receptive anal sex (aOR:1.7, 95% CI:1.3-2.3) and multiple male sexual partners (2 to 4 vs. ≤1, aOR:1.5, 95% CI: 1.0-2.2; 5+ vs ≤1, aOR:2.9, 95% CI:1.9-4.3). Oropharyngeal STI prevalence was 7% (52/752) and higher among those who engaged in oral sex compared to those who did not (unadjusted OR: 2.5, 95% CI:1.2-5.3).
Oral sex was common and associated with an increased odds of oropharyngeal STIs among MSM and TGW from Nigeria. In the absence of screening and treatment guidelines, condoms continue to be the mainstay for oral STI prevention. A pre-exposure prophylaxis for bacterial STIs would complement current prevention strategies to curb transmission.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anal sex</subject><subject>Antiretroviral drugs</subject><subject>Armed forces</subject><subject>Biology and Life Sciences</subject><subject>Bivariate analysis</subject><subject>Chlamydia</subject><subject>Chlamydia trachomatis - physiology</subject><subject>Cohort Studies</subject><subject>Condoms</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Demographic aspects</subject><subject>Diagnostic systems</subject><subject>Disease prevention</subject><subject>Disease transmission</subject><subject>Engineering and Technology</subject><subject>Female</subject><subject>Gays & lesbians</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>HIV</subject><subject>HIV infections</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - microbiology</subject><subject>Homosexuality, Male - statistics & numerical data</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Laboratories</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Men</subject><subject>Mens health</subject><subject>Middle Aged</subject><subject>Military medicine</subject><subject>MSM (Men who have sex with men)</subject><subject>Neisseria gonorrhoeae - physiology</subject><subject>Nigeria</subject><subject>Oral sex</subject><subject>Oropharynx</subject><subject>People and Places</subject><subject>Physical Sciences</subject><subject>Prevention</subject><subject>Prophylaxis</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Risk</subject><subject>Risk factors</subject><subject>Sex</subject><subject>Sexual behavior</subject><subject>Sexual Behavior - statistics & numerical data</subject><subject>Sexual partners</subject><subject>Sexually transmitted diseases</subject><subject>Statistical analysis</subject><subject>STD</subject><subject>Supervision</subject><subject>Transgender people</subject><subject>Transgender persons</subject><subject>Transgender Persons - statistics & numerical data</subject><subject>Virology</subject><subject>Women</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNptkl1v0zAUhiMEYqPwDxBYQkLctDj-SOybSdMErNLEboBb68RxEpfULnbawr_HTbOpRVzZOn7Oez78ZtnrHC9yWuYfV34bHPSLjXdmgQkVJeNPsstcUjIvCKZPT-4X2YsYVxhzKorieXZBiRBFSchlFu8D9Cia32gTQA9Wm4hg7V2L1sahfedRBzszAns7dGMUXI2GAC62xtUmoL0fowMKNv5EjQ8j0dudTTJj1u3yB7IOfbWtCRZeZs8a6KN5NZ2z7PvnT99ubud391-WN9d3c80FH-ayzlnVYNZQTGShKyaYyEVFTAFSmKpiucRGgwDCJeZlI3FT58C45JpLiYHOsrdH3U3vo5r2FRVhDBPBeV4mYnkkag8rtQl2DeGP8mDVGPChVRDSUnqjJC9oU2Cia20YNUYSBsAA68ZUwrA6aV1N1bbV2iTKpR31Z6LnL852qvU7VbKS8lImgQ-TQPC_tiYOam2jNn0PzvjtsW9WEpF-cZa9-wf9_3QT1UIawLrGp7r6IKquC8qYZITiRL0_oToD_dBF328H6108B9kR1MHHGEzzOFuO1cGSD02ogyXVZMmU9uZ0L49JDx6kfwHevN3N</recordid><startdate>20200904</startdate><enddate>20200904</enddate><creator>Robbins, Sarah J</creator><creator>Dauda, Wuese</creator><creator>Kokogho, Afoke</creator><creator>Ndembi, Nicaise</creator><creator>Mitchell, Andrew</creator><creator>Adebajo, Sylvia</creator><creator>Gaydos, Charlotte A</creator><creator>Peel, Sheila</creator><creator>Ramadhani, Habib O</creator><creator>Robb, Merlin L</creator><creator>Baral, Stefan D</creator><creator>Ake, Julie A</creator><creator>Charurat, Man E</creator><creator>Crowell, Trevor A</creator><creator>Nowak, Rebecca G</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-8404-4569</orcidid><orcidid>https://orcid.org/0000-0001-5947-265X</orcidid></search><sort><creationdate>20200904</creationdate><title>Oral sex practices among men who have sex with men and transgender women at risk for and living with HIV in Nigeria</title><author>Robbins, Sarah J ; Dauda, Wuese ; Kokogho, Afoke ; Ndembi, Nicaise ; Mitchell, Andrew ; Adebajo, Sylvia ; Gaydos, Charlotte A ; Peel, Sheila ; Ramadhani, Habib O ; Robb, Merlin L ; Baral, Stefan D ; Ake, Julie A ; Charurat, Man E ; Crowell, Trevor A ; Nowak, Rebecca G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c585t-9d14bf04f30296cb484818b2e6a98ebb4190eca8a259057f90fd1a4595c5990a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anal sex</topic><topic>Antiretroviral drugs</topic><topic>Armed forces</topic><topic>Biology and Life Sciences</topic><topic>Bivariate analysis</topic><topic>Chlamydia</topic><topic>Chlamydia trachomatis - physiology</topic><topic>Cohort Studies</topic><topic>Condoms</topic><topic>Confidence intervals</topic><topic>Cross-Sectional Studies</topic><topic>Demographic aspects</topic><topic>Diagnostic systems</topic><topic>Disease prevention</topic><topic>Disease transmission</topic><topic>Engineering and Technology</topic><topic>Female</topic><topic>Gays & lesbians</topic><topic>Health aspects</topic><topic>Health risks</topic><topic>HIV</topic><topic>HIV infections</topic><topic>HIV Infections - complications</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - microbiology</topic><topic>Homosexuality, Male - statistics & numerical data</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Laboratories</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Men</topic><topic>Mens health</topic><topic>Middle Aged</topic><topic>Military medicine</topic><topic>MSM (Men who have sex with men)</topic><topic>Neisseria gonorrhoeae - physiology</topic><topic>Nigeria</topic><topic>Oral sex</topic><topic>Oropharynx</topic><topic>People and Places</topic><topic>Physical Sciences</topic><topic>Prevention</topic><topic>Prophylaxis</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Risk</topic><topic>Risk factors</topic><topic>Sex</topic><topic>Sexual behavior</topic><topic>Sexual Behavior - statistics & numerical data</topic><topic>Sexual partners</topic><topic>Sexually transmitted diseases</topic><topic>Statistical analysis</topic><topic>STD</topic><topic>Supervision</topic><topic>Transgender people</topic><topic>Transgender persons</topic><topic>Transgender Persons - statistics & numerical data</topic><topic>Virology</topic><topic>Women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Robbins, Sarah J</creatorcontrib><creatorcontrib>Dauda, Wuese</creatorcontrib><creatorcontrib>Kokogho, Afoke</creatorcontrib><creatorcontrib>Ndembi, Nicaise</creatorcontrib><creatorcontrib>Mitchell, Andrew</creatorcontrib><creatorcontrib>Adebajo, Sylvia</creatorcontrib><creatorcontrib>Gaydos, Charlotte A</creatorcontrib><creatorcontrib>Peel, Sheila</creatorcontrib><creatorcontrib>Ramadhani, Habib O</creatorcontrib><creatorcontrib>Robb, Merlin L</creatorcontrib><creatorcontrib>Baral, Stefan D</creatorcontrib><creatorcontrib>Ake, Julie A</creatorcontrib><creatorcontrib>Charurat, Man E</creatorcontrib><creatorcontrib>Crowell, Trevor A</creatorcontrib><creatorcontrib>Nowak, Rebecca G</creatorcontrib><creatorcontrib>TRUST/RV368 Study Group</creatorcontrib><creatorcontrib>on behalf of the TRUST/RV368 Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection (ProQuest)</collection><collection>Natural Science Collection (ProQuest)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Applied & Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Robbins, Sarah J</au><au>Dauda, Wuese</au><au>Kokogho, Afoke</au><au>Ndembi, Nicaise</au><au>Mitchell, Andrew</au><au>Adebajo, Sylvia</au><au>Gaydos, Charlotte A</au><au>Peel, Sheila</au><au>Ramadhani, Habib O</au><au>Robb, Merlin L</au><au>Baral, Stefan D</au><au>Ake, Julie A</au><au>Charurat, Man E</au><au>Crowell, Trevor A</au><au>Nowak, Rebecca G</au><aucorp>TRUST/RV368 Study Group</aucorp><aucorp>on behalf of the TRUST/RV368 Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oral sex practices among men who have sex with men and transgender women at risk for and living with HIV in Nigeria</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-09-04</date><risdate>2020</risdate><volume>15</volume><issue>9</issue><spage>e0238745</spage><epage>e0238745</epage><pages>e0238745-e0238745</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Men who have sex with men (MSM) and transgender women (TGW) are at risk for sexually transmitted infections (STIs), including those of the oropharynx. We estimated the prevalence and factors associated with oral sex practices and characterized oropharyngeal STIs among a cohort of MSM and TGW in Nigeria.
From 2013 to 2018, TRUST/RV368 recruited MSM and TGW into HIV/STI diagnosis and treatment at community-based clinics in Nigeria. Participants who completed HIV testing and oral sex questions at enrollment were selected. Cross-sectional analyses with bivariate and multivariable logistic regression models estimated odds ratios (ORs) and 95% confidence intervals (CIs). Oropharyngeal swab testing for Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) began in 2014 and for those with diagnostic results at enrollment, the unadjusted association of oral sex practices with oropharyngeal STIs was conducted.
A total of 1342 participants had a median age of 25 years (interquartile range: 22-29), 58% were living with HIV, and 69% reported oral sex practices. Factors associated with increased odds of engaging in oral sex included living with HIV (adjusted [a]OR: 1.4, 95% CI: 1.1-1.8), self-identifying as a woman (aOR:1.8, 95% CI: 1.1-2.8), mobile phone ownership (aOR:2.3, 95% CI: 1.3-3.9), receptive anal sex (aOR:1.7, 95% CI:1.3-2.3) and multiple male sexual partners (2 to 4 vs. ≤1, aOR:1.5, 95% CI: 1.0-2.2; 5+ vs ≤1, aOR:2.9, 95% CI:1.9-4.3). Oropharyngeal STI prevalence was 7% (52/752) and higher among those who engaged in oral sex compared to those who did not (unadjusted OR: 2.5, 95% CI:1.2-5.3).
Oral sex was common and associated with an increased odds of oropharyngeal STIs among MSM and TGW from Nigeria. In the absence of screening and treatment guidelines, condoms continue to be the mainstay for oral STI prevention. A pre-exposure prophylaxis for bacterial STIs would complement current prevention strategies to curb transmission.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32886722</pmid><doi>10.1371/journal.pone.0238745</doi><orcidid>https://orcid.org/0000-0001-8404-4569</orcidid><orcidid>https://orcid.org/0000-0001-5947-265X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2020-09, Vol.15 (9), p.e0238745-e0238745 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2440285517 |
| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adolescent Adult Anal sex Antiretroviral drugs Armed forces Biology and Life Sciences Bivariate analysis Chlamydia Chlamydia trachomatis - physiology Cohort Studies Condoms Confidence intervals Cross-Sectional Studies Demographic aspects Diagnostic systems Disease prevention Disease transmission Engineering and Technology Female Gays & lesbians Health aspects Health risks HIV HIV infections HIV Infections - complications HIV Infections - epidemiology HIV Infections - microbiology Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Humans Laboratories Male Medical diagnosis Medicine Medicine and Health Sciences Men Mens health Middle Aged Military medicine MSM (Men who have sex with men) Neisseria gonorrhoeae - physiology Nigeria Oral sex Oropharynx People and Places Physical Sciences Prevention Prophylaxis Regression analysis Regression models Risk Risk factors Sex Sexual behavior Sexual Behavior - statistics & numerical data Sexual partners Sexually transmitted diseases Statistical analysis STD Supervision Transgender people Transgender persons Transgender Persons - statistics & numerical data Virology Women Young Adult |
| title | Oral sex practices among men who have sex with men and transgender women at risk for and living with HIV in Nigeria |
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