Condom use and associated factors among men who have sex with men in Togo, West Africa.
BACKGROUND
In 2011, the prevalence of HIV among men who have sex with men (MSM) in Togo was estimated at 19.6% compared to 3.4% in the general population. This study aimed to describe condom use and associated factors among MSM in Togo.


METHODS
In 2011, a cross-sectional survey was conducted using the snowball sampling method among MSM in Togo. This study enrolled MSM aged 18 years and above who reported having sexual contact with other men within the last 30 days. A standardized survey form was used for data collection, and multivariate analyses were performed.


RESULTS
A total of 724 MSM were included in this study. The median age was 25 years [22-28], 90.3% had at least a secondary school level. The sexual practices during the last sexual encounter with another man included: insertive anal sex (62.2%), receptive anal sex (56.6%), oral sex (33.8%) and oral-anal sex (8.6%). A condom was used during the last insertive and receptive anal encounters in 78.4% and 81.2% of the time, respectively. In multivariate analysis, condom use was positively associated with previous participation in HIV/STD prevention activities (aOR=1.72; 95% CI=[1.09-2.71]), with the consideration of the last sexual partner as a casual one (aOR=1.87; 95% CI=[1.24-2.82]) and with having at least a secondary school level (aOR=2.40; 95% CI=[1.22-4.69]).


CONCLUSIONS
One out of five MSM did not use a condom during the last anal encounter with another man. HIV prevention programs in Africa should develop specific interventions targeting MSM to reduce the incidence of HIV in this hidden population.
Université de Lomé, Département de Santé Publique, Faculté des Sciences de la Santé, Lomé, Togo; Centre Africain de Recherche en Epidémiologie et Sante Publique (CARESP), Lomé, Togo; Université de Bordeaux, ISPED, Centre INSERM U897- Epidémiologie-Biostatistique, Bordeaux, France.
Tchaa Abalo
TA
Bakai
Université de Lomé, Département de Santé Publique, Faculté des Sciences de la Santé, Lomé, Togo; Centre Africain de Recherche en Epidémiologie et Sante Publique (CARESP), Lomé, Togo; Université de Bordeaux, ISPED, Centre INSERM U897- Epidémiologie-Biostatistique, Bordeaux, France; Inserm U897, ISPED, Université de Bordeaux, Bordeaux France.
Didier Koumavi
DK
Ekouevi
Centre Africain de Recherche en Epidémiologie et Sante Publique (CARESP), Lomé, Togo; Université de Bordeaux, ISPED, Centre INSERM U897- Epidémiologie-Biostatistique, Bordeaux, France; Inserm U897, ISPED, Université de Bordeaux, Bordeaux France; Programme PAC-CI, CHU de Treichville, Abidjan, Côte d'Ivoire.
Boris Kévin
BK
Tchounga
Université de Bordeaux, ISPED, Centre INSERM U897- Epidémiologie-Biostatistique, Bordeaux, France; Inserm U897, ISPED, Université de Bordeaux, Bordeaux France.
Eric
E
Balestre
Université de Lomé, Département de Santé Publique, Faculté des Sciences de la Santé, Lomé, Togo.
Kossivi Agbélénko
KA
Afanvi
Centre Africain de Recherche en Epidémiologie et Sante Publique (CARESP), Lomé, Togo.
Kariyiare Benjamin
KB
Goilibe
Université de Lomé, Département de Santé Publique, Faculté des Sciences de la Santé, Lomé, Togo.
Yao
Y
Kassankogno
Programme National de Lutte contre le VIH/Sida, Lomé, Togo; CHU Sylvanus Olympio, Service de Dermatologie et Infectiologie, Lomé, Togo.
Vincent Palokinam
VP
Pitche
D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000517:prevention & control*; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014037:Togo; D055815:Young Adult
HIV prevalence; MSM; Togo; condom use