Risky behaviors for HIV/AIDS infection among a sample of homosexuals in Cairo city, Egypt
Background: young children and adults were considered among high risk groups for HIV infection due to sexual relations including homosexuality.
Methodology: with the help of well trained 2 male homosexual volunteers a sample of male homosexuals were interviewed for studying their risky behaviors for HIV/AIDS. A questionnaire was used for data collection and the group were screened for HIV infection.
Results: the sample included 73 homosexuals, the majority was in the age group 15-25 years 79%, not married 84% and were manual workers 71%, their educational level was either of primary 48% or secondary 32%. Most of them 66% had initiated sexual activity before 15 years with equal active and passive role in sexual acts. Persons aged 25 years or more has infrequent sexual acts in 73% of them compared to 52% among younger persons less than 25 years who reported multi sexual acts daily among 26% of them. Sexual partners may be single or multiple in each act as reported by 77%. Heterosexuality reported by 73% of older age compared to 71% of younger age reporting exclusively homosexuality. Knowledge about HIV/AIDS was found to be greater in higher level of education. Past history of manifestation of STI was reported by 64% of illiterate persons, 49% of persons having primary education and 38% of persons having higher levels of education. Drugs used by 32% of studied homosexuals with bango the most commonly used 22%. Condoms use was regular in 19% of study sample. The highest percentage of non condom users were illiterate persons 86% who reported never hearing about it 64%. HIV screening revealed only one positive case representing 1.37%.
Conclusion male homosexuality, although not accepted in our community, dose rarely exists. This group is living at the margin of the society and they are of low socioeconomic level, which has its negative effect on KAP of this group, and posses them to higher risks for HIV infection. Although prevalence of HIV infection among them is still low but preventive intervention are urgently needed to keep this prevalence at lower level.