@article{fdi:010064493,
  title = {{P}roximity to {HIV} is associated with a high rate of {HIV} testing among men who have sex with men living in {D}ouala, {C}ameroon},
  author = {{L}orente, {N}. and {H}enry, {E}. and {F}ugon, {L}. and {Y}omb, {Y}. and {C}arrieri, {M}.{P}. and {E}boko, {F}red and {S}pire, {B}.},
  editor = {},
  language = {{ENG}},
  abstract = {{I}n low- and middle-income countries, men who have sex with men ({MSM}) are 19 times more likely to be {HIV} positive compared with background populations. {C}riminalisation and social rejection of homosexuality in most sub-{S}aharan {A}frican countries reinforce stigma and exclude {MSM} from prevention activities, including {HIV} testing. {T}his paper's purpose is to identify factors associated with never having been {HIV} tested ({NHT}), among a sample of {C}ameroonian {MSM}. {I}n 2008, a community-based study was conducted in {D}ouala, the economic capital city of {C}ameroon, by a local {NGO} {A}lternatives-{C}ameroun, recruiting participants through the snowball technique and administering a questionnaire during face-to-face interviews. {P}roximity to {HIV} was investigated according to the following criteria: knowing at least one person living with {HIV} and having been exposed to {HIV} prevention interventions. {NHT} was defined as reporting to have never been {HIV} tested. {A} logistic regression was used to identify factors associated with {NHT}. {A}mong the 165 {MSM} of our study group who reported that they were not {HIV} positive, 19% reported {NHT}. {F}actors independently associated with {NHT} were as follows: being younger, being {M}uslim, not having a steady male partner, not knowing any person living with {HIV} and never having been exposed to {HIV} prevention interventions. {I}n this {MSM} population, a small proportion reported that they had never been {HIV} tested and among these, the percentage was higher among individuals not in proximity to {HIV}. {D}espite the hostile context of sub-{S}aharan {A}frican countries towards {MSM}, local and national {HIV} testing campaigns to date may have played a substantial role in raising {HIV} awareness in the {MSM} population living in {D}ouala, and peer-based counselling may have educated those in contact with {A}lternatives-{C}ameroun regarding the positive value of {HIV} testing. {T}his result is a further argument for continuing community-based prevention and extending it to difficult-to-reach {MSM}.},
  keywords = {{SIDA} ; {EPIDEMIOLOGIE} ; {HOMME} ; {EXCLUSION} {SOCIALE} ; {PREVENTION} {SANITAIRE} ; {TEST} ; {ENQUETE} ; {MILIEU} {URBAIN} ; {HOMOSEXUALITE} ; {CAMEROUN} ; {DOUALA}},
  booktitle = {},
  journal = {{AIDS} {C}are : {P}sychological and {S}ocio-medical {A}spects of {AIDS}/{HIV}},
  volume = {24},
  numero = {8},
  pages = {1020--1027},
  ISSN = {0954-0121},
  year = {2012},
  DOI = {10.1080/09540121.2012.668172},
  URL = {https://www.documentation.ird.fr/hor/fdi:010064493},
}