@article{fdi:010088707,
  title = {{M}en who have sex with both men and women in {W}est {A}frica : factors associated with a high behavioral risk of acquiring {HIV} from male partners and transmission to women ({C}oh{MSM} {ANRS} 12324-{E}xpertise {F}rance)},
  author = {{F}iorentino, {M}arion and {C}oulibaly, {B}. and {C}ouderc, {C}. and {K}eita, {B}. {D}. and {A}noma, {C}. and {D}ah, {E}. and {M}ensah, {E}. and {A}ka, {T}. {N}. and {T}our{\'e}, {J}. {R}. and {C}amara, {D}. and {K}okouba, {A}. {R}. and {M}aradan, {G}. and {M}ora, {M}. and {B}ourrelly, {M}. and {R}iegel, {L}. and {R}ojas-{C}astro, {D}. and {S}pire, {B}. and {L}aurent, {C}hristian and {S}agaon {T}eyssier, {L}uis},
  editor = {},
  language = {{ENG}},
  abstract = {{HIV} is highly prevalent in men who have sex with men ({MSM}) in {W}est {A}frica. {M}any {MSM} in the region also have sex with women ({MSMW}). {A}ccordingly, they are a potential bridge subpopulation for {HIV} transmission to women. {W}e aimed to evaluate the proportions and characteristics of {W}est {A}frican {MSMW} at high behavioral risk of acquiring {HIV} from male partners and transmitting it to female partners ({HBRMF}). {T}he cohort {ANRS}-12324 {C}oh{MSM} {S}tudy included 630 {HIV}-negative {MSM} in {B}urkina {F}aso, {C}ote d'{I}voire, {M}ali, and {T}ogo. {A}mong {MSMW} (i.e., with >= 1 female partner) in the cohort, {HBRMF} was identified using trajectory models based on seven at-risk sexual practices with male and female partners, including inconsistent condom use, multiple partnerships, and receptive same-sex anal intercourse. {T}o assess the relevance of using trajectory models, we compared the proportions of participants who seroconverted during the cohort follow-up among those at {HBRMF} and those not at {HBRMF}. {F}actors associated with {HBRMF} were identified using a generalized estimation equation logistic regression model accounting for longitudinal data. {A}pproximately half (47%) of the 304 {MSMW} (22% of all {C}oh{MSM} study participants) were at {HBRMF}. {T}his group accounted for 75% of the 28 {HIV} seroconversions observed during follow-up (p = 0.001). {HBRMF} was positively associated with being aged < 25 years (a{OR} 95% {CI} 1.67 [1.23-2.27]), being sexually attracted only to men (1.97 [1.38-2.78]), feelings of loneliness (1.92 [1.38-2.65]), and homonegative violence score (1.22 [1.05-1.41]). {HBRMF} was negatively associated with having had both stable and casual female partners in the previous 6 months (0.34 [0.20-0.60] vs. only a stable female partner). {HBRMF} tended to be negatively associated with having >= 4 sexual intercourses with female partners in the previous four weeks (0.54 [0.27-1.06] vs. no intercourse). {E}stablishing official relationships with women might be a strategy for young and/or stigmatized {MSMW} to comply with social pressure to display a heterosexual lifestyle. {H}owever, this seems to increase the risk of {HIV} transmission to female partners. {I}n the present study, almost half of {MSMW} were at {HBRMF}. {T}his result stresses the need to adapt {HIV} research and prevention to {MSMW} and their female partners.},
  keywords = {{M}en who have sex with men and women ; {B}isexual ; {W}estern {A}frica ; {HIV} ; {S}exual orientation ; {AFRIQUE} {DE} {L}'{OUEST} ; {BURKINA} {FASO} ; {COTE} {D}'{IVOIRE} ; {MALI} ; {TOGO}},
  booktitle = {},
  journal = {{A}rchives of {S}exual {B}ehavior},
  volume = {53},
  numero = {},
  pages = {757--769},
  ISSN = {0004-0002},
  year = {2024},
  DOI = {10.1007/s10508-023-02715-2},
  URL = {https://www.documentation.ird.fr/hor/fdi:010088707},
}