[Sexual Behaviours at Risk of HIV Infection among Male to Female Transgender People in Benin].

Abstract

Transgender people are a population vulnerable to the human immunodeficiency virus (HIV) due to frequent adoption of risky sexual behaviours. To reorient prevention interventions in this population, this study aims to identify factors associated with high-risk sexual behaviours. It's a cross-sectional study. The subjects were recruited by driven respondents sampling throughout the country in December 2017. They included subjects who identified themselves as Male to Female transgender and who adopted such an image. The data were collected by questionnaire. The variables were multi-partnership and condom use during sex. Proportion comparisons were made with Pearson's Chi2 test and multiple logistic modeling was performed. The prevalence of multipartnership was 83.85% and the prevalence of condom use during last intercourse was 92.41%. Sexual risk behaviours were associated with age (P = 0.004), occupation (P = 0.000), education level (P = 0.025), family and friends' attitudes towards transgender status (P = 0.044) and HIV prevention knowledge level (P < 0.05). The factors identified should be integrated into transgender interventions in Benin with a focus on improving knowledge in HIV prevention.