%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Eubanks, A.
%A Keita, B. D.
%A Anoma, C.
%A Dah, T. T. E.
%A Mensah, E.
%A Maradan, G.
%A Bourrelly, M.
%A Mora, M.
%A Riegel, L.
%A Castro, D. R.
%A Yaya, Issifou
%A Spire, B.
%A Laurent, Christian
%A Sagaon Teyssier, Luis
%A CohMSM-PrEP Study Group
%T Reaching a different population of MSM in West Africa with the integration of PrEP into a comprehensive prevention package (CohMSM-PrEP ANRS 12369-Expertise France)
%D 2020
%L fdi:010079988
%G ENG
%J JAIDS : Journal of Acquired Immune Deficiency Syndromes
%@ 1525-4135
%K MSM ; HIV ; PrEP ; behavior ; community-based research ; West Africa
%K AFRIQUE DE L'OUEST ; MALI ; COTE D'IVOIRE ; BURKINA FASO ; TOGO ; AFRIQUE SUBSAHARIENNE
%M ISI:000587802600009
%N 3
%P 292-301
%U https://www.documentation.ird.fr/hor/fdi:010079988
%> https://www.documentation.ird.fr/intranet/publi/2020/12/010079988.pdf
%V 85
%W Horizon (IRD)
%X Background: In West Africa, few HIV services target men who have sex with men (MSM). In 2015, the interventional cohort CohMSM started offering a community-based prevention package for MSM. Participants expressed interest in pre-exposure prophylaxis (PrEP) and their eligibility was demonstrated. In 2017, PrEP was added to services already offered as part of a new program, CohMSM-PrEP, which recruited CohMSM participants and new participants. We aimed to determine whether the introduction of PrEP as an additional prevention tool influenced the type of participant signing up for CohMSM-PrEP. Methods: CohMSM-PrEP recruited HIV-negative MSM in community-based clinics in Mali, Cote d'Ivoire, Burkina Faso, and Togo. Quarterly follow-up included free clinical examinations, PrEP, HIV/sexually transmitted infection screening, peer education, condoms, and lubricants. Sociobehavioral data were collected every 3 months using face-to-face questionnaires. Our outcome was participant type: new participants vs CohMSM participants. Logistic regression was performed to identify the factors associated with being a new participant. Results: Of the 524 MSM included in CohMSM-PrEP, 41% were new participants. After adjustment, multivariate analysis showed they were more socioeconomically disadvantaged with financial insecurity, social isolation-including isolation within the MSM community-and riskier sexual practices. Conclusion: The introduction of PrEP as an additional prevention tool and the use of peer-based outreach services over time influenced the type of participant signing up for a community-based HIV prevention cohort in West Africa. Adding these elements to existing interventions in Sub-Saharan Africa could be the key to reaching MSM marginalized from HIV prevention and care programs.
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