Epidemiological, Immuno-virological and Evolutionary Profiles of Men who have Sex with Men with HIV/AIDS Followed in Niamey/Niger
Gado AM1, Ayouba Tinni I1*, Daou M2,4, MoussaSaley S1, Yacouba N1, Souley C1, Boulama Malam BM1, Kossi Odjo Dogbé YZ1 and Adehossi E3,4
1Department of Infectious Disease, Raymond Madras Pavilion of the National Hospital of Niamey, Niger
2Department of Internal Medicine, Men's Section of the National Hospital of Niamey, Niger
3Department of Internal Medicine of the General Reference Hospital VIP Section, Niger
4Faculty of Health Sciences of the Abdou Moumouni University of Niamey, Niger
*Corresponding Author: Ayouba Tinni I, Department of Infectious Disease, Raymond Madras Pavilion of the National Hospital of Niamey, Niger.
January 10, 2022; Published: April 18, 2022
Background: Since the beginning of the HIV epidemic, MSM(Men Who Have Sex with Men)has been disproportionately affected. In Niger, data on MSM with HIV are not available. In order to strengthen preventive strategies, it would be essential to determine the profile of HIV-positive MSM patients.
Objective: The aim of this study was to determine the prevalence, the immunological and evolutionary profiles of MSM living with HIV followed in Niamey.
Materials and Methods: This is a retrospective cross-sectional study based on the use of files of HIV-positive MSM followed up in the 3 centers of Niamey (Cedav, ATC and NHN) over a period of 13 years, from 2007 to 2020; on 65 cases.
Results: We identified 4601 patients living with HIV at the time of our study, including 65 MSM cases, i.e. a prevalence of 1.41%. The average age of the patients was 30.57 ± 8.453 with extremes of 18 to 66 years. The age range of 25 to 35 years represented 32 (49.2%) of our patients. Single people represented 49 (75.4%) of our patients. Thus, 21 (32.3%) of our patients had a higher level (32.3%) and 15 (23.1%) patients were bisexual. All the 65 (100%) patients were HIV-1 infected. The mean CD4 count at initiation was 382.95 ± 263.974 and 34 (52.3%) of the patients had a CD4 count between 200 and 500/mmᶾ at initiation. No patients had viral load testing at initiation. So, 56 (86.2%) patients had a favorable course.
Conclusion: MSM have been a highly vulnerable segment of the population to HIV infection since the 1980s. Behavioral change, regular screening and condom use are weapons to control the spread of this disease.
Keywords: Epidemiology; Immunovirology; MSM; HIV/AIDS; Niamey/Niger; West Africa
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