TY - JOUR
T1 - Online Sex-Seeking Among Men who have Sex with Men in Nigeria
T2 - Implications for Online Intervention
AU - on behalf of the TRUST/RV368 Study Group
AU - Stahlman, Shauna
AU - Nowak, Rebecca G.
AU - Liu, Hongjie
AU - Crowell, Trevor A.
AU - Ketende, Sosthenes
AU - Blattner, William A.
AU - Charurat, Manhattan E.
AU - Baral, Stefan D.
N1 - Publisher Copyright:
© 2016, Springer Science+Business Media New York.
PY - 2017/11/1
Y1 - 2017/11/1
N2 - The TRUST/RV368 project was undertaken to apply innovative strategies to engage Nigerian MSM into HIV care. In this analysis we evaluate characteristics of online sex-seekers from the TRUST/RV368 cohort of 1370 MSM in Abuja and Lagos. Logistic regression and generalized estimating equation models were used to assess associations with online sex-seeking. Online sex-seeking (n = 843, 61.5 %) was associated with participation in MSM community activities, larger social and sexual networks, and higher levels of sexual behavior stigma. In addition, online sex-seeking was associated with testing positive for HIV at a follow-up visit [adjusted odds ratio (aOR) = 2.02, 95 % confidence interval (CI) = 1.37, 2.98)] among those who were unaware of or not living with HIV at baseline. Across visits, online sex-seekers were marginally more likely to test positive for chlamydia/gonorrhea (aOR 1.28, 95 % CI 0.99, 1.64). Online sex-seekers in Nigeria are at increased risk for HIV/STIs but may not be benefiting from Internet-based risk reduction opportunities.
AB - The TRUST/RV368 project was undertaken to apply innovative strategies to engage Nigerian MSM into HIV care. In this analysis we evaluate characteristics of online sex-seekers from the TRUST/RV368 cohort of 1370 MSM in Abuja and Lagos. Logistic regression and generalized estimating equation models were used to assess associations with online sex-seeking. Online sex-seeking (n = 843, 61.5 %) was associated with participation in MSM community activities, larger social and sexual networks, and higher levels of sexual behavior stigma. In addition, online sex-seeking was associated with testing positive for HIV at a follow-up visit [adjusted odds ratio (aOR) = 2.02, 95 % confidence interval (CI) = 1.37, 2.98)] among those who were unaware of or not living with HIV at baseline. Across visits, online sex-seekers were marginally more likely to test positive for chlamydia/gonorrhea (aOR 1.28, 95 % CI 0.99, 1.64). Online sex-seekers in Nigeria are at increased risk for HIV/STIs but may not be benefiting from Internet-based risk reduction opportunities.
KW - Africa
KW - HIV
KW - Internet sex partners
KW - MSM
KW - STIs
UR - http://www.scopus.com/inward/record.url?scp=84971013883&partnerID=8YFLogxK
U2 - 10.1007/s10461-016-1437-3
DO - 10.1007/s10461-016-1437-3
M3 - Article
C2 - 27233248
AN - SCOPUS:84971013883
SN - 1090-7165
VL - 21
SP - 3068
EP - 3077
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 11
ER -