There is strong evidence that gay, bisexual and other men who have sex with men (GBMSM) in African countries experience high prevalence of HIV. However, missing from the literature is an understanding of the HIV risk behaviors and prevention needs of partnered GBMSM in African countries. The Together Tomorrow project sampled 440 partnered GBMSM (220 couples) in South Africa and Namibia. Prevalence of HIV was high at 42%, with 33% of men in sero-discordant relationships. Despite high levels of HIV testing in the past 6 months (65%), condom use with main and outside sex partners was low. Men reported low levels of willingness to use pre-exposure prophylaxis (PrEP) (16%). HIV testing in the past 12 months and willingness to use PrEP were significantly associated with recent binge drinking and substance use. Men in sero-discordant relationships, those with sexual agreements and those who had experienced any form of IPV were all less likely to report that they had recently tested for HIV. There is a need to develop interventions that meet the unique needs of African partnered GBMSM and tackle stigma and discrimination as drivers of HIV risk in these settings.

有强有力的证据表明，非洲国家的男同性恋，双性恋和其他与男性发生性关系的男人（GBMSM）的艾滋病毒感染率很高。但是，文献中缺少对非洲国家GBMSM合作伙伴的HIV风险行为和预防需求的了解。该共创明天该项目在南非和纳米比亚抽取了440个GBMSM合作伙伴（220对）。HIV的患病率高达42％，其中33％的男性处于血清不一致的关系。尽管在过去的六个月中，艾滋病毒检测水平很高（65％），但主要和外部性伴侣的安全套使用率仍然很低。男性报告使用暴露前预防（PrEP）的意愿较低（16％）。过去12个月中的HIV检测和使用PrEP的意愿与近期的暴饮暴食和药物使用密切相关。具有血清流变关系的男性，具有性协议的男性和经历过任何形式的IPV的男性都不太可能报告他们最近进行了HIV检测。