Men who have sex with men and HIV prevention in Lome, Togo

Although HIV infections are declining, certain population groups such as men who have sex (MSM) with men have been identified as people at higher risk of HIV. This study examines the sexual history and risky sexual behavior of MSM in Lome, Togo. Twenty MSM were recruited by the only HIV/AIDS center that caters to their needs in September-October, 2012. Semi-structured interviews asked participants questions about their sexual history, condom use and HIV prevention. The mean age was 22 years old. Participants were all single and had a mean number of 10.7 years of education. Three MSM were seropositive, three did not know their serostatus, and 14 were seronegative. The mean age at first sexual intercourse was 14.45 years. The mean number of sexual partners (of both sex) at the time of the study was 18. Fifty percent identified as gay, 35% as bisexual, and 15% as homosexual. Some of the MSM who identified as gay or homosexual had sex with females as well. Seventy percent of the MSM consistently used condoms in the past six months prior to the study. However, 30% did not use condoms consistently. The reasons for non-condom use fell under three main themes: partners ejaculate quicker; availability of antiretroviral drugs, and intense urge prior to anal sex did not allow time for condom use.