Transactional Sex, Condom and Lubricant use among Men who have Sex with Men in Lagos State, Nigeria

Oluyemisi O. Ayoola, Adekemi O. Sekoni, Kofoworola A. Odeyemi

Abstract

Men who have unprotected sex with men may also have unprotected sex with women and thus serve as an epidemiological bridge for HIV to the general population. This cross sectional descriptive study assessed condom and lubricant use and practice of transactional sex among men who have sex with men (MSM) in Lagos state. Simple random sampling was used to select three community centres and snowball sampling technique was used to recruit 321 respondents. Almost half (50.9%) had received payment for sex while 45.4% had paid for sex in the past. Consistent condom use was practiced by 40.5% of respondents during the last 10 sexual encounters, 85.6% used lubricants mostly with condom, products used were KY jelly, body cream, saliva and Vaseline. There is need for behavioural change to reduce risky practices which predisposes this group of MSM to HIV and sexually transmitted infections. Afr J Reprod Health 2013 (Special Edition); 17[4]: 90-98).

 

Keywords: MSM, sex for money, unprotected sex, lubricants

 

Résumé

 

Les hommes qui ont des rapports sexuels non protégés avec des hommes peuvent aussi avoir des rapports sexuels non protégés avec des femmes et servent ainsi de  pont épidémiologique pour la transmission du VIH à la population générale. Cette étude descriptive transversale a évalué l’emploi des préservatifs et du lubrifiant  et la pratique de rapports sexuels transactionnels chez les hommes qui ont des rapports sexuels avec des hommes (HSH) dans l'Etat de Lagos. L'échantillonnage aléatoire simple a été utilisé pour sélectionner trois centres communautaires et  la technique d'échantillonnage en boule de neige a été utilisée pour recruter 321 personnes interrogées. Près de la moitié (50,9 %) avaient reçu le paiement pour le sexe alors que 45,4 % avaient payé pour le sexe dans le passé. L’utilisation systématique du préservatif a été pratiquée par 40,5% des personnes interrogées au cours des 10 derniers rapports sexuels, 85,6 % ont utilisé des lubrifiants surtout avec le préservatif, les produits utilisés étaient gelée KY, crème pour le corps, la salive et la vaseline. Il faut un changement de comportement afin de réduire les pratiques à risque qui prédispose ce groupe des HSH au VIH et aux infections sexuellement transmissibles. Afr J Reprod Health 2013 (Edition Spéciale); 17[4]: 90-98).

 


Mots-clés: HSH, sexe transactionnel,  préservatif,  lubrifiants

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