@article{fdi:010084712,
  title = {{R}ate and predictors of ineffective {HIV} protection in {A}frican men who have sex with men taking pre-exposure prophylaxis},
  author = {{E}ubanks, {A}. and {C}oulibaly, {B}. and {K}eita, {B}. {D}. and {A}noma, {C}. and {D}ah, {T}. {E}. and {M}ensah, {E}. and {M}aradan, {G}. and {B}ourrelly, {M}. and {M}ora, {M}. and {R}iegel, {L}. and {C}astro, {D}. {R}. and {Y}aya, {I}ssifou and {S}pire, {B}. and {L}aurent, {C}hristian and {S}agaon {T}eyssier, {L}uis and {C}oh{MSM}-{P}r{EP} {S}tudy {G}roup,},
  editor = {},
  language = {{ENG}},
  abstract = {{W}e investigated the rate and predictors of ineffective {HIV} protection in men who have sex with men ({MSM}) taking pre-exposure prophylaxis ({P}r{EP}) in a prospective cohort study from {N}ovember 2017 to {N}ovember 2020 in {M}ali, {C}ote d'{I}voire, {B}urkina {F}aso, and {T}ogo. {MSM} had to be 18 years or older and at high risk of {HIV} infection to participate. {T}hey also received a comprehensive sexual health prevention package, including {P}r{EP}, in community-based clinics as part of the cohort study. {U}sing socio-behavioral/clinical data, {HIV} protection during their most recent anal intercourse with a male partner was categorized as effective or ineffective (i.e., incorrect {P}r{EP} adherence and no condom use). {S}eventeen percent (500/2839) of intercourses were ineffectively protected for the 520 study participants. {P}redictors of ineffective {HIV} protection included being an event-driven user with financial difficulties, having a high alcohol misuse score, and not being a member of a community association. {P}r{EP} programs in {W}est {A}frica must be tailored to socially vulnerable {MSM} who struggle to adopt {P}r{EP}.},
  keywords = {{MSM} ; {P}r{EP} ; {HIV} ; {C}ommunity-based research ; {W}est {A}frica ; {AFRIQUE} {DE} {L}'{OUEST} ; {MALI} ; {COTE} {D}'{IVOIRE} ; {BURKINA} {FASO} ; {TOGO} ; {BAMAKO} ; {ABIDJAN} ; {OUAGADOUGOU} ; {LOME}},
  booktitle = {},
  journal = {{A}ids and {B}ehavior},
  volume = {[{E}arly access]},
  numero = {},
  pages = {[14 ]},
  ISSN = {1090-7165},
  year = {2022},
  DOI = {10.1007/s10461-022-03692-8},
  URL = {https://www.documentation.ird.fr/hor/fdi:010084712},
}