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It is also possible that the offer of VCT may have operated both as an additional recruitment incentive [ 26 , 27 ] as well as a disincentive to participating altogether, biasing the results in ways that would be difficult to account for. In addition, the multiple imputation procedure we followed for missing HIV results is untested, and to the extent that risk behavior may have been underreported, our imputation method would bias our prevalence estimate towards the extreme possibility of non-testers being HIV-negative.
We acknowledge that our adjusted results are likely a conservative estimate of HIV prevalence in the target population.
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It is always preferable to collaborate with and strengthen the capacity of LGBT organizations for MSM HIV research where possible, but the disadvantageous legal and social environment in much of sub-Saharan Africa may inhibit their ability to launch or sustain research and intervention initiatives in their respective communities. Like other MSM studies in the region, our findings show that it is critical to begin addressing the needs of MSM for HIV prevention and treatment, and that individual MSM, health care practitioners, and researchers can engage in effective collaborations to improve health outcomes in this highly vulnerable population.
Epidemiology of male same-sex behaviour and associated sexual health indicators in low- and middle-income countries: — estimates. Sex Transm Infect. Men who have sex with men and their HIV epidemics in Africa. HIV infection and sexually transmitted infections among men who have sex with men in Senegal. Gay and bisexual men in Kampala, Uganda. AIDS Behav. Alcohol and sexual risk behavior among men who have sex with men in South African Township Communities.
Background
Toronto, Canada; Elevated risk for HIV infection among men who have sex with men in low- and middle-income countries — a systematic review. PLoS Med. Johnson C. Google Scholar.
South Africa. Department of Health. Int J Epidemiol. Socio-demographic characteristics and sexual health related attitudes and practices of men having sex with men in central and southern Malawi. Tanzan J Health Res. Washington, DC: Population Council; Heckathorn D. Respondent-driven sampling: a new approach to the study of hidden populations. Soc Probl. Respondent-driven sampling II: deriving valid population estimates from chain-referral samples of hidden populations. AUDIT: the alcohol use disorders identification test.
Geneva: World Health Organization; Extensions of respondent driven sampling: analyzing continuous variables and controlling for differential recruitment. Soc Methodol.
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Alcohol use and sexual risks for HIV infection among men and women receiving sexually transmitted infection clinic services in Cape Town, South Africa. J Stud Alcohol. Subst Abus. Prev Sci. Circumcision status and risk of HIV and sexually transmitted infections among men who have sex with men: a meta-analysis.
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Meyer I, Wilson P. Sampling lesbian, gay, and bisexual populations. J Couns Psychol.
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Four items asked about being physically forced to have sex, having sex when frightened of the consequences, being forced to do oral or anal sex. In addition, many participants reported using lubricants that actually reduced the protective effect of condoms, such as Vaseline or lotion which are more readily available in South Africa and much less expensive that the water-based lubricants. Limiting your searches to just Soweto means you won't waste your time with people you'll never meet. Name: Madam. Paper Mentions.
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