@article{fdi:010077916,
  title = {{C}ombined sexual behavioral profiles in {HIV}-seronegative men who have sex with men in {W}est {A}frica ({C}oh{MSM} {ANRS} 12324-{E}xpertise {F}rance)},
  author = {{C}oulaud, {P}. {J}. and {S}agaon {T}eyssier, {L}uis and {M}renda, {B}. {M}. and {M}aradan, {G}. and {M}ora, {M}. and {B}ourrelly, {M}. and {K}eita, {B}. {D}. and {K}eita, {A}. {A}. and {A}noma, {C}. and {Y}oro, {S}. {A}. {B}. and {D}ah, {T}. {T}. {E}. and {C}oulibaly, {C}. and {M}ensah, {E}. and {A}gbomadji, {S}. and {B}ernier, {A}. and {C}ouderc, {C}. and {L}aurent, {C}hristian and {S}pire, {B}. and {G}ranouillac, {B}runo and {I}zard, {S}uzanne and {L}aurent, {C}hristian and {M}arch, {L}aura and {P}eeters, {M}artine and {C}oh{MSM} {ANRS} 12324 {S}tudy {G}roup},
  editor = {},
  language = {{ENG}},
  abstract = {{U}nderstanding the dynamics of {HIV} infection in men who have sex with men ({MSM}) can help improve efficiency in existing prevention strategies. {W}e aimed to identify and describe the sexual behaviors of {MSM} most at risk of {HIV} infection in {W}est {A}frica. {HIV}-negative {MSM} were provided a quarterly preventive follow-up package in the community-based cohort {C}oh{MSM}. {T}hey completed face-to-face sociobehavioral questionnaires every 6 months. {T}his sub-study on 520 participants used a baseline, 6-, 12- and 18-month data cluster analysis to categorize two profiles (high risk [{HRE}] and moderate risk [{MRE}] of exposure to {HIV}) based on three risky sexual practices over the previous 6 months. {HRE}-{MSM} (61%) were more engaged in receptive practices, had a higher proportion of inconsistent condom use during anal sex, and reported more sexual partners than {MRE}-{MSM} (39%). {T}he proportion of {HIV} seroconversions observed during the first 18 months of follow-up using sexual behavioral profiles (92% are {HRE}-{MSM}) was higher than using the three risky sexual practices separately. {F}actors associated with the {HRE}-{MSM} profile were being younger (18-21 years), reporting stigma, and having had no female partner while being attracted only to men. {O}ur findings suggest that in order to identify {MSM} most at risk of {HIV} infection, several risky sexual practices need to be evaluated in a combined approach. {P}revention programs should pay particular attention to younger {MSM}, and implement activities addressing questions of {MSM} identity and stigma in order to reduce the dynamic of {HIV} infection in {W}estern {A}frican {MSM}.},
  keywords = {{MSM} ; {HIV} risk ; {S}exual behavior ; {I}dentity ; {W}est {A}frica ; {S}exual orientation ; {MALI} ; {COTE} {D}'{IVOIRE} ; {BURKINA} {FASO} ; {TOGO} ; {BAMAKO} ; {ABIDJAN} ; {OUAGADOUGOU} ; {LOME}},
  booktitle = {},
  journal = {{A}rchives of {S}exual {B}ehavior},
  volume = {49},
  numero = {1},
  pages = {331--345},
  ISSN = {0004-0002},
  year = {2020},
  DOI = {10.1007/s10508-019-01513-z},
  URL = {https://www.documentation.ird.fr/hor/fdi:010077916},
}