title: HIV and related risk behavior among men who have sex with men in Zanzibar, Tanzania: results of a behavioral surveillance survey.
abstract: We conducted a respondent driven sampling survey to estimate HIV prevalence and risk behavior among men who have sex with men (MSM) in Unguja, Zanzibar. Men aged ≥ 15 years living in Unguja and reporting anal sex with another man in the past 3 months were asked to complete a questionnaire and provide specimens for biologic testing. HIV prevalence was 12.3% (95% confidence interval 8.7, 16.3). HIV infection was associated with injecting drugs in the past 3 months, Hepatitis C virus infection and being paid for sex in the past year. Interventions for MSM in Zanzibar are needed and should include linkages to prevention, care and treatment services.
authors.affiliation: Zanzibar AIDS Control Programme, Ministry of Health and Social Welfare, Zanzibar, Tanzania.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Dahoma
authors.forename: Lisa G
authors.initials: LG
authors.lastname: Johnston
authors.forename: Abigail
authors.initials: A
authors.lastname: Holman
authors.forename: Leigh Ann
authors.initials: LA
authors.lastname: Miller
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Mussa
authors.forename: Asha
authors.initials: A
authors.lastname: Othman
authors.forename: Ahmed
authors.initials: A
authors.lastname: Khatib
authors.forename: Ramadhan
authors.initials: R
authors.lastname: Issa
authors.forename: Carl
authors.initials: C
authors.lastname: Kendall
authors.forename: Andrea A
authors.initials: AA
authors.lastname: Kim
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000635:transmission; D006679:HIV Seropositivity / Q000453:epidemiology; D006306:Health Surveys; D006526:Hepatitis C / Q000175:diagnosis / Q000453:epidemiology*; D018451:Homosexuality, Male / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D015995:Prevalence; D012307:Risk Factors; D012309:Risk-Taking; D057566:Self Report; D012959:Socioeconomic Factors; D015819:Substance Abuse, Intravenous / Q000453:epidemiology; D011795:Surveys and Questionnaires; D013636:Tanzania; D047568:Unsafe Sex / Q000706:statistics & numerical data; D055815:Young Adult