Are HIV Epidemics among Men Who Have Sex with Men Emerging in the Middle East and North Africa?: A Systematic Review and Data Synthesis
2011

HIV Epidemics among Men Who Have Sex with Men in the Middle East and North Africa

Sample size: 26 publication Evidence: moderate

Author Information

Author(s): Mumtaz Ghina, Hilmi Nahla, McFarland Willi, Kaplan Rachel L., Akala Francisca Ayodeji, Semini Iris, Riedner Gabriele, Tawil Oussama, Wilson David, Abu-Raddad Laith J.

Primary Institution: Weill Cornell Medical College-Qatar

Hypothesis

Are HIV epidemics among men who have sex with men emerging in the Middle East and North Africa?

Conclusion

HIV epidemics appear to be emerging among men who have sex with men in several countries in the Middle East and North Africa.

Supporting Evidence

  • Data indicates that HIV prevalence among MSM is low in most countries but high in others, with rates reaching up to 28%.
  • By 2008, MSM transmission accounted for over 25% of total HIV cases in several countries.
  • High levels of risk behavior were reported, with MSM averaging 4-14 partners in the last six months.
  • Low rates of consistent condom use were observed, generally below 25%.
  • MSM frequently reported engaging in male sex work, with rates between 20%-76%.

Takeaway

This study found that more men who have sex with men in the Middle East and North Africa are getting HIV, and we need to help them get tested and treated.

Methodology

A systematic review of biological, behavioral, and other related data on HIV and men who have sex with men in the Middle East and North Africa.

Potential Biases

Sampling may be biased towards visible MSM populations, such as male sex workers.

Limitations

The quality and quantity of epidemiological evidence varies from one country to another, and some studies may not be representative of the entire MSM population.

Participant Demographics

Men who have sex with men in various countries in the Middle East and North Africa.

Digital Object Identifier (DOI)

10.1371/journal.pmed.1000444

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