HIV sero-prevalence and related risky sexual beahviours among insertive MSM (IMSM) in Khartoum state, Sudan, 2007
Background: This is the first study ever to target IMSM in Sudan to complement a similar study done on Receptive MSM (RMSM) in 2006. It aimed to measure HIV prevalence and to generate information related to sexual practices including condom use among IMSM in Khartoum, capital city of Sudan.
Methods: 406 of IMSM were reached within 30 days in this cross-sectional community based study following a convenient sampling "snow balling" technique. Respondents were selected on the assumption that their sexual practices put them at risk of contracting and/or transmitting HIV to their Receptive MSM. IMSM were interviewed using an adapted questionnaire prepared by Family Health International (FHI). 5 ml of venous blood were collected for HIV testing using ELISA method.
Results: HIV prevalence was found to be (7.8%). Almost all of IMSM interviewed (97%) were Muslims. (44.6%) were originally from Khartoum State, and more than half of them (52.5%) were either university students or completed a university level at the time of the study. Mean age of first sexual intercourse is (13) years. (97.6%) of IMSM who allow oral sex to be practiced with them did this during the last six months prior of the commencement of the study, either as a stand alone practice or as part of the sexual act. Majority (85.7%) of the IMSM who ever used oral sex ejaculated in the mouths of their RMSM partners. Paying RMSM for anal and/or oral sex was a practice mentioned by more than tow third (80.3%) of the respondents. (27.6%) of IMSM used condom consistently while having anal sex with a commercial RMSM, compared to ONLY (8.8%) with a non commercial RMSM.
Conclusions: The reported HIV prevalence was lower than that of RMSM (9.3%), but still high. It is apparent that MSM (both Receptive and Insertive) fueling HIV epidemic in Sudan.
-Abstract available at link below-