Article Text

PDF
Sexual behaviour and HIV infection in black-Africans in England: results from the Mayisha II survey of sexual attitudes and lifestyles
  1. K E Sadler1,
  2. C A McGarrigle1,
  3. G Elam1,
  4. W Ssanyu-Sseruma2,
  5. O Davidson3,
  6. T Nichols1,
  7. D Mercey4,
  8. J V Parry1,
  9. K A Fenton1,4
  1. 1Health Protection Agency Centre for Infections, London, UK
  2. 2London, UK
  3. 3Sexual Health Psychology Services, Mortimer Market Centre, Camden Primary Care Trust, London, UK
  4. 4Centre for Sexual Health and HIV Research, Department of Primary Care and Population Sciences, Royal Free and University College Medical School London, London, UK
  1. Correspondence to:
 K Sadler
 Centre for Sexual Health and HIV Research, Mortimer Market Centre, off Capper Street, London WC1E 6JB, UK; k.sadler{at}pcps.ucl.ac.uk

Abstract

Objectives: To estimate HIV prevalence and the distribution of high risk sexual behaviours, sexual health service use, and HIV testing among black Africans aged 16 years or over in England. To determine demographic, behavioural and service use factors associated with HIV prevalence.

Methods: A cross-sectional community-based survey (Mayisha II) in London, Luton and the West Midlands. A short (24-item) anonymous self-completion questionnaire with linked voluntary anonymous oral fluid sampling, using an Orasure™ device for HIV testing.

Results: A total of 1359 eligible black African men (51.9%) and women (48.1%) were recruited, of whom 74% (1006) provided a sufficient oral fluid sample for HIV testing. 42.9% of men and 50.9% of women reported ever having had an HIV test. Overall, 14.0% (141, 95% CI 11.9 to 16.3) of respondents tested HIV positive (13.1% of men and 15.0% of women); 9.2% (93) had undiagnosed HIV infection, while 4.8% (48) had a diagnosed HIV infection. HIV prevalence was significantly higher in men: born in East Africa; who had had a previous STI diagnosis; or who were recruited in bars and clubs; and in women: born in East or Southern Africa; aged 25 years and over; who had had two new sexual partners in the past 12 months; or who had had a previous STI diagnosis.

Conclusions: Despite about half the sample having had an HIV test at some time in the past, 9.2% of respondents had an undiagnosed HIV infection. This study supports current policy efforts to further promote HIV testing and serostatus awareness.

Statistics from Altmetric.com

Footnotes

  • Funding: This work was supported by grant funding from the Medical Research Council Sexual Health and HIV Research Strategy Committee.

  • Competing interests: None.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.