@article{fdi:010092211,
  title = {{M}en who have sex with men perceiving that sex with women carries the greatest risk of {HIV} acquisition : results from a mixed-methods systematic review in sub-{S}aharan {A}frica},
  author = {{F}iorentino, {M}arion and {D}os {S}antos, {M}. and {E}ubanks, {A}. and {Y}anwou, {N}. and {L}aurent, {C}hristian and {R}oux, {P}. and {S}pire, {B}.},
  editor = {},
  language = {{ENG}},
  abstract = {{I}ntroduction{I}n sub-{S}aharan {A}frica ({SSA}), men who have sex with men ({MSM}) often have female sexual partners. {T}heir overall risk of acquiring {HIV} is higher with male partners. {R}isk perception is associated with {HIV} knowledge, sexual risk and preventive behaviours. {T}his synthesis aimed to summarize existing data about {HIV} knowledge and perceived {HIV} acquisition risk regarding sex with men and with women in {MSM} in {SSA}.{M}ethods{W}e conducted a systematic literature review of {MSM}'s relationships with women in {SSA} ({PROSPERO}-{CRD}42021237836). {Q}uantitative and qualitative data related to {MSM}'s perceived risk from sex with men and with women and {HIV} knowledge (published up to 2021) were selected and synthesized.{R}esults{T}wenty studies were selected. {M}ore {MSM} perceived that the greatest risk of {HIV} acquisition came from heterosexual/vaginal sex than from homosexual/anal sex (53% vs. 15%; 51% vs. 39%; 42% vs. 8%; 27% vs. 25%; 43% vs. 11%; 23% vs. 13%; 35% vs. 16%, cumulative sample n = 4396, six countries). {A} higher proportion of {MSM} received preventive information on heterosexual {HIV} transmission than on homosexual transmission (79% vs. 22%; 94% vs. 67%; 54% vs. 19%; cumulative sample n = 1199, four countries). {T}he qualitative synthesis (eight studies) highlighted biology- and behaviour-based misconceptions leading {MSM} to perceive lower or negligible {HIV} risk from sex with men, compared to sex with women. {T}hese misconceptions were partly fuelled by the predominant focus on heterosexual and vaginal {HIV} transmission in {HIV} prevention information.{D}iscussion{C}ommon misconceptions regarding sexual risk between men remain unaddressed by the heteronormative messaging of {HIV} prevention. {U}nderestimation by {MSM} of their {HIV} acquisition risk with male partners can pose significant barriers to effective {HIV} preventive behaviours and strengthen the transmission risk from {MSM} to their female partners.{C}onclusions{I}mproving access of {MSM} to tailored {HIV} prevention information and tools that address their practices with male and female partners is crucial. {I}ntegrating messages about anal sex into broader public health initiatives, including sexual health programmes targeting the general population, is essential. {F}urther research in diverse settings in {SSA} is necessary to gain a greater understanding of the drivers and implications of {HIV} risk perception in {MSM}.},
  keywords = {risk perception ; key and vulnerable populations ; men who have sex with ; men ; women ; {HIV} prevention ; {A}frica ; {AFRIQUE} {SUBSAHARIENNE}},
  booktitle = {},
  journal = {{J}ournal of the {I}nternational {A}ids {S}ociety},
  volume = {27},
  numero = {12},
  pages = {e26402 [12 ]},
  year = {2024},
  DOI = {10.1002/jia2.26402},
  URL = {https://www.documentation.ird.fr/hor/fdi:010092211},
}