Global burden of HIV among men who engage in transactional sex: a systematic review and meta-analysis.
<h4>Background</h4>Men who engage in transactional sex, the exchange of sex for money, goods, or other items of value, are thought to be at increased risk of HIV, but there have been no systematic attempts to characterize HIV burden in this population. We undertook a systematic review an...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2014-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0103549 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849254147846569984 |
|---|---|
| author | Catherine E Oldenburg Amaya G Perez-Brumer Sari L Reisner Jason Mattie Till Bärnighausen Kenneth H Mayer Matthew J Mimiaga |
| author_facet | Catherine E Oldenburg Amaya G Perez-Brumer Sari L Reisner Jason Mattie Till Bärnighausen Kenneth H Mayer Matthew J Mimiaga |
| author_sort | Catherine E Oldenburg |
| collection | DOAJ |
| description | <h4>Background</h4>Men who engage in transactional sex, the exchange of sex for money, goods, or other items of value, are thought to be at increased risk of HIV, but there have been no systematic attempts to characterize HIV burden in this population. We undertook a systematic review and meta-analysis to quantify the burden in this population compared with that of men in the general population to better inform future HIV prevention efforts.<h4>Methods</h4>We searched seven electronic databases, national surveillance reports, and conference abstracts for studies of men who engage in transactional sex published between 2004-2013. Random effects meta-analysis was used to determine pooled HIV prevalence and prevalence ratios (PR) for the difference in HIV prevalence among men who engage in transactional sex as compared to general population men.<h4>Findings</h4>Of 66 studies included representing 31,924 men who had engaged in transactional sex in 28 countries, pooled biological assay-confirmed HIV prevalence was 10.5% (95% CI = 9.4 to 11.5%). The highest pooled HIV prevalence was in Sub-Saharan Africa (31.5%, 95% CI = 21.6 to 41.5%), followed by Latin America (19.3%, 95% CI = 15.5 to 23.1%), North America (16.6%, 95% CI = 3.7 to 29.5%), and Europe (12.2%, 95% CI = 6.0 to 17.2%). Men who engaged in transactional sex had an elevated burden of HIV compared to the general male population (PR = 20.7, 95% CI = 16.8 to 25.5).<h4>Conclusions</h4>The global burden of HIV is disproportionately high among men who engage in transactional sex compared with the general male population. There is an urgent need to include this population in systematic surveillance as well as to scale-up access to quality HIV prevention programs. |
| format | Article |
| id | doaj-art-8bfbca42eda4452a9ed50efdb8645077 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-8bfbca42eda4452a9ed50efdb86450772025-08-20T03:56:05ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0197e10354910.1371/journal.pone.0103549Global burden of HIV among men who engage in transactional sex: a systematic review and meta-analysis.Catherine E OldenburgAmaya G Perez-BrumerSari L ReisnerJason MattieTill BärnighausenKenneth H MayerMatthew J Mimiaga<h4>Background</h4>Men who engage in transactional sex, the exchange of sex for money, goods, or other items of value, are thought to be at increased risk of HIV, but there have been no systematic attempts to characterize HIV burden in this population. We undertook a systematic review and meta-analysis to quantify the burden in this population compared with that of men in the general population to better inform future HIV prevention efforts.<h4>Methods</h4>We searched seven electronic databases, national surveillance reports, and conference abstracts for studies of men who engage in transactional sex published between 2004-2013. Random effects meta-analysis was used to determine pooled HIV prevalence and prevalence ratios (PR) for the difference in HIV prevalence among men who engage in transactional sex as compared to general population men.<h4>Findings</h4>Of 66 studies included representing 31,924 men who had engaged in transactional sex in 28 countries, pooled biological assay-confirmed HIV prevalence was 10.5% (95% CI = 9.4 to 11.5%). The highest pooled HIV prevalence was in Sub-Saharan Africa (31.5%, 95% CI = 21.6 to 41.5%), followed by Latin America (19.3%, 95% CI = 15.5 to 23.1%), North America (16.6%, 95% CI = 3.7 to 29.5%), and Europe (12.2%, 95% CI = 6.0 to 17.2%). Men who engaged in transactional sex had an elevated burden of HIV compared to the general male population (PR = 20.7, 95% CI = 16.8 to 25.5).<h4>Conclusions</h4>The global burden of HIV is disproportionately high among men who engage in transactional sex compared with the general male population. There is an urgent need to include this population in systematic surveillance as well as to scale-up access to quality HIV prevention programs.https://doi.org/10.1371/journal.pone.0103549 |
| spellingShingle | Catherine E Oldenburg Amaya G Perez-Brumer Sari L Reisner Jason Mattie Till Bärnighausen Kenneth H Mayer Matthew J Mimiaga Global burden of HIV among men who engage in transactional sex: a systematic review and meta-analysis. PLoS ONE |
| title | Global burden of HIV among men who engage in transactional sex: a systematic review and meta-analysis. |
| title_full | Global burden of HIV among men who engage in transactional sex: a systematic review and meta-analysis. |
| title_fullStr | Global burden of HIV among men who engage in transactional sex: a systematic review and meta-analysis. |
| title_full_unstemmed | Global burden of HIV among men who engage in transactional sex: a systematic review and meta-analysis. |
| title_short | Global burden of HIV among men who engage in transactional sex: a systematic review and meta-analysis. |
| title_sort | global burden of hiv among men who engage in transactional sex a systematic review and meta analysis |
| url | https://doi.org/10.1371/journal.pone.0103549 |
| work_keys_str_mv | AT catherineeoldenburg globalburdenofhivamongmenwhoengageintransactionalsexasystematicreviewandmetaanalysis AT amayagperezbrumer globalburdenofhivamongmenwhoengageintransactionalsexasystematicreviewandmetaanalysis AT sarilreisner globalburdenofhivamongmenwhoengageintransactionalsexasystematicreviewandmetaanalysis AT jasonmattie globalburdenofhivamongmenwhoengageintransactionalsexasystematicreviewandmetaanalysis AT tillbarnighausen globalburdenofhivamongmenwhoengageintransactionalsexasystematicreviewandmetaanalysis AT kennethhmayer globalburdenofhivamongmenwhoengageintransactionalsexasystematicreviewandmetaanalysis AT matthewjmimiaga globalburdenofhivamongmenwhoengageintransactionalsexasystematicreviewandmetaanalysis |