Are MSM in Guatemala practicing “safe sex”? Rapid assessment of condom use among MSM in Guatemala
C. Galindo1, T. Sanchez2, J.M. Aguilar1, M. Mazariegos1
1Colective Friends against AIDS (Colectivo Amigos contra el Sida), Guatemala, Guatemala, 2Colective Friends against AIDS (Colectivo Amigos contra el Sida), Manager, Guatemala, Guatemala
Background: The HIV profile in Guatemala corresponds to a concentrated epidemic affecting mainly MSM. Within the framework of UNGASS reporting, “Friends Against AIDS, Guatemalan NGO oriented to support diversity groups in the fight against AIDS, carried out a rapid assessment of condom use among MSM, to identify progress made in condom use.
Objectives: To assess condom use among MSM in Guatemala city and MazatenangoTo compare results between both sitesTo identify gaps and opportunities of improvement CBC strategies for MSM.
Methods: For this analysis where included one city of the South Coast, Mazatenango compared with the capital, for being these cities where more MSM were interviewed. Was used a questionnaire containing several questions related with knowledge and behavior. The question for this analysis was: Did you use a condom in your last sex relation with another man?
Results: 244 MSM were interviewed and provided information regarding the use of condom during last annal intercourse with a male partner.
Condom use during sexual intercourse among interviewed MSM is low: in the capital city of Guatemala, approximately one third of MSM age 15-18 reported condom use, increasing to almost one half in MSM age 25+.The situation worsens in Mazatenango were less than 20% of MSM reported condom use during their last sexual intercourse. Condom use was higher for younger MSM and decreased with age.
Conclusions: MSM in Guatemala remain a high risk group, predominantly not having “safer sex” (condom use). Thus, this population is urgently in need of more effective CCC interventions parallel to increased access to HIV prevention services. Lack of coherence between the epidemic profile and resource investments in prevention strategies should be revised and reoriented to ensure effective approaches for MSM.