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Understanding Condom Use Among MSM in Senegal: Key Factors and Implications for Prevention

This study explores the risk factors associated with condom use during sexual intercourse among men who have sex with men (MSM) in Senegal. Conducted as part of the ELIHoS Project, the survey reveals a high HIV prevalence of 21.5% among MSM, significantly higher than the general population. Notably, 74% of MSM reported bisexual behavior. The analysis identifies the type of relationship and the context of the sexual act as critical factors influencing unprotected sex. The study advocates for targeted prevention programs that address both same-sex and heterosexual practices.

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Understanding Condom Use Among MSM in Senegal: Key Factors and Implications for Prevention

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  1. MEN WHO HAVE SEX WITH MEN (MSM) AND RISK FACTORS ASSOCIATED WITH CONDOM USE AT LAST SEXUAL INTERCOURSE WITH A MAN AND A WOMAN IN SENEGAL ELIHoS Project (ANRS 12139) Larmarange J., Wade A. S., Diop A. K., Diop O., Gueye K., Marra A., Desgrées du Loû A. for ELIHoS Group Contact: joseph.larmarange@ceped.org AIDS 2010 CONFERENCE • ORAL POSTER PRESENTATION: WEPDC102SESSION : MSM and Transgender People: Addressing Prevention and Care Needs

  2. Context and Methods • In Senegal, among MSM (results from a previous survey): • high HIV prevalence: 21.5% in 2004 (<1% in general population) • high rate of bisexuality: 74% of MSM had had both male and female partners over the past year (in 2004) • ELIHoS Survey: • a new socio-behavioral survey conducted in 2007 • among 501 MSM recruiting using snowball sampling • in three places (Dakar, Mbour / Thiès, Saint-Louis) • Analysis: • factors associated with not using a condom for an anal or vaginal penetration • at last sexual intercourse with a man (among all MSM) and last sexual intercourse with a women (among bisexual over the past year only) • taking into account respondent’s characteristics, type of relationship and context of the sexual act MEN HAVING SEX WITH MEN AND FACTORS OF NOT USING A CONDOM IN SENEGAL

  3. Results:factors associated with unprotected sex MEN HAVING SEX WITH MEN AND FACTORS OF NOT USING A CONDOM IN SENEGAL

  4. Key findings • Type of relationship and context of sexual act are determinant to understand unprotected sex. • Prevention programs should insist upon the necessity of always carrying a condom. • Screening of both partners, in particular with the wife, should be highly recommended. • Having participated in a prevention program specifically targeting MSM constitutes a major prevention factor, both with men and women. • So, MSM programs are effective and must be pursed and extended. However, these programs must address heterosexual practices of MSM. MEN HAVING SEX WITH MEN AND FACTORS OF NOT USING A CONDOM IN SENEGAL

  5. Thank you Contact: joseph.larmarange@ceped.org

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