Risk factors for sexually transmitted infections among men who have sex with men

Matshidiso A. Malefo*, Olalekan Ayo-Yusuf, Mathildah M. Mokgatle

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Background: Sexually transmitted infections (STIs) are a global public health concern and sub-Saharan Africa, has limited data on STIs in the men who have sex with men (MSM) population. Syndromic management has controversies for treating asymptomatic STIs (ASTIs). Aim: The aim of this study was to describe the risk factors for STIs among MSM. Setting: This study was conducted in Tshwane North, Gauteng Province in South Africa. Methods: A cross-sectional quantitative design was employed using structured questionnaires, rapid plasma reagent test, from December 2021 to May 2022. Bivariate and multivariate analyses were used for statistical analysis. Results: A total of 200 MSM with the mean age of 27.6, standard deviations: 6.8 participated, and STIs prevalence was 66%, with 37% concurrent infections. Ureaplasma urealyticum was (24%), Mycoplasma hominis (23%), Chlamydia trachomatis (20%), Treponema pallidum (20%) and Neisseria gonorrhoeae (9%). The risk factors for acquisition of STI include having a new partner in the last month (OR = 1.68; CI: 0.98-3.13). Conclusion: The prevalence of ASTIs is high. Serial and multiple sexual partners are the risk factors. Contribution: This study contributes to the body of knowledge of the burden of STIs among high-risk population.

Original languageEnglish
Article numbera4080
JournalAfrican Journal of Primary Health Care and Family Medicine
Issue number1
Publication statusPublished - 2023


  • HIV
  • alcohol use
  • asymptomatic
  • men who have sex with men
  • risk factors
  • sexual behaviour
  • sexually transmitted infections


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