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ANONYMOUS GAY DATING LOME TOGO

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on your desktop or mobile phone. Welcome to internet Porn0! PLOS ONE does not
copyedit accepted manuscripts, so the language in submitted articles must be
clear, correct, and unambiguous. Any typographical or grammatical errors should
be corrected at revision, so please note any specific errors here. Please use
the space provided to explain your answers to the questions above.

You may also include additional comments for the author, including concerns
about dual publication, research ethics, or publication ethics. Please upload
your review as an attachment if it exceeds 20, characters. Reviewer 1: Thanks
for the opportunity to read and learn about your interesting work. May I offer
the following suggestions. It is important to be clear about the direction of
associations in key places like the Abstract and in the first paragraph of
Discussion.

Where you refer to bivariate and multivariate methods, my understanding is these
should be labeled Univariable and Multivariable ending with -able instead of
-ate. There are several places where you splice two sentences together with the
word "and. Page 1 Abstract, last line in Methods section, should "model" have an
-s on it?

Also, not sure if you can use abbreviation PD without introducing it, even
though it appears later in the sentence in the name of the scale. Regarding
Results section of Abstract, see note below about so many zeros after decimal
points. For the percentages, some of the ". Although I did not calculate the
CI's, those too are not correct and you will have to calculate those yourself
where it says I would change the 1st 2 sentences around a bit: "Some population
subgroups, such as those at higher risk of HIV, are particularly burdened with
mental health issues. Need just a little more info on what "passives, actives"
refers to - is it sexual position?

Last paragraph on Kessler PD Scale - some of this text is repeated on the next
page; delete one or the other.


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Also in that paragraph, change "allows to categorize" to "allows categorization
of. With backward elimination approach, what was the criterion for elimination?
On the other hand, in the next sentence some of the zeros after decimal point in
the percentages are not correct. I don't think you need Figure 1. Instead, just
add the key population groups as another variable at the bottom of Table 2. In
Table 2, you need to make the same corrections to percentages first row only as
in the text, namely change On age, delete the ".

That helps the reader quickly approximate the odds ratios you will be presenting
in Table 3. Line 2, here I would say univariable analysis instead of univariate.
Add an s so it says odds in "The odd of psychological" and then change "was" to
"were". Table 3: change column headers to Univariable and Multivariable. I think
you should explain in a footnote that for nearly all variables, the left 2
columns are the same, and the right 2 columns are the same, because the
assumption of proportional odds was met for those variables and therefore you
used the same value for both columns.

In the sentence where you cite the Use of abbreviations should come after you
have spelled the long form earlier. In the abstract, the author has used the
abbreviation PD for the first time before it is written in full. In reporting
factors associated with PD, the author could choose to report such factors in
groups; that is those that increase the risk and those that reduce the risk. The
conclusion sounds more like a recommendation. I advise that you give concluding
statements based on your findings. You may want to title the section as
Conclusion and Recommendation and include a sentence on recommendations.

A statement, All percentages should be row percentages to make sense of the
relationships between variables. The p-value reported for the relationship
between age and psychological distress need to be described whether it is a
p-for trend or not.


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If it is not a p-value for trend, then there is also a need to mentions which
comparison is being made. In the limitations of your study, you have pointed out
some potential bias that could have been introduced in your study. However, you
did not show or describe the potential impact of the introduced bias to your
results. One of the limitations you have mentioned is the cross-sectional nature
of your study pointing that, you cannot elicit causality from this design. Does
this mean the findings are of no use? Can you mention how can we make use of
your findings despite the lack of causality?

The last paragraph of your discussion presents recommendations. I advise it be
moved to an appropriate section. Your conclusion presents recommendations. I
would advise you change the title of the section to Conclusion and
Recommendation and then include concluding remarks as well as recommendations.
PLOS authors have the option to publish the peer review history of their article
what does this mean?


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If published, this will include your full peer review and any attached files. Do
you want your identity to be public for this peer review? For information about
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link "View Attachments".

If this link does not appear, there are no attachment files to be viewed. To use
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 4. Prevalence and factors associated with psychological distress among key
    populations in Togo, 2017.;

Authors: We thank the reviewer for these comments which have been taken into
consideration in the abstract and discussion sections. Authors: We thank the
reviewer for these comments. All the words have been relabeled bivariate
relabeled univariable and multivariate relabeled multivariable. Authors: We
thank the reviewer for these comments which have been taken into consideration
in the document. Some population subgroups, such as those at higher risk of HIV,
are particularly burdened with mental health issues.

According to the UNAIDS, gay men and other men who have sex with men MSM ,
female sex workers FSW and their clients, transgender people, people who inject
drugs and prisoners and other incarcerated people are the main key population
groups 7. These two notions refer to sexual positions: the active designates the
one who penetrates and the passive, the penetrated. Page 4 -- should be only one
L in syphilis. Then 2 lines down, delete s on "tests". The overall prevalence of
mild psychological distress among the three populations was Among DU, the
prevalence of mild psychological distress was The relationships between
sociodemographic and clinical characteristics and psychological distress are
presented in Table 2.

Line 3, delete the word "factors" so it just says "were associated with …". Next
paragraph, change multivariate to multivariable. Results of ordinal logistic
regression models among key population are presented in table 3. In univariable
analysis, age, marital status, education level, religion, alcohol consumption,
tobacco consumption, HIV infection status and the group of key population were
associated with psychological distress Table 3.

Table 3: Factors associated with psychological distress among key population in
Togo Partial proportional Odds model. Moderate drinking 1. Hazardous consumption
2. Journal of substance abuse treatment. Prevalence and correlates of
psychological distress symptoms among patients with substance use disorders in
drug rehabilitation centers in urban Nepal: a cross-sectional study.

BMC psychiatry. Authors: We thank the reviewer for this encouraging comment and
for all the inputs to enhance the quality of the paper. Overall, the paper reads
well, congratulations! Mental health is a largely neglected issue among in
Sub-Saharan Africa, especially among key populations.

This is the first study conducted among a large, nationally representative
sample of Key Population in Togo. Authors: We thank the reviewer for the
comment. The statement above and the sentence which follows it in the text, have
the same citation 11— Indeed, MSM who are mentally depressed engage in
unprotected sex and substance abuse 11— We have put the p-value of the
chi-square test below figure 1 but have put it now in the text since we removed
the figure 1.

All percentages have been changed into row percentages in Table 2. The p-value
reported for the relationship between age and psychological distress is for a
Kruskall-Wallis test. Authors: We thank the reviewer for these comments which
have been taken into consideration in the revised document.


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website. Their speed? I guess this was the road we had to take. Moving slowly,
mostly on second gear, I maneuvered between big and bigger holes. Soon, however,
the ruts became bigger, full of water and slippery clay. I tried my best to
avoid a fall but I knew it might come any time. Few more maneuvers and the
thought realized.

We fell crossing one of the puddles. I was ok but Natasha felt pain in her leg.
The bike squished her ankle. We did not know if it was broken or just bruised.
It was our first fall. Pretty scary, it was probably because of the remoteness
of the area. All the boxes were intact and Natasha decided that she can
withstand the pain. We decided to continue. Luckily we got out of this wet area
without any more falls.

At the first rail crossing we asked a man, who appeared from nowhere, about the
road conditions. Indeed, the ruts were still big but at least there was no
water, what a relief. A quick set up, some food macaroni with bullion and we
were ready to retire.

Some people driving a car got stuck a mile away. Voices carry in the step but we
were too tired to listen and to care about it. The tracks crisscrossed at all
times so it really did not matter which one I took. At one time there would be
short stretches with reasonable surface at other times the ruts would be
unbelievably deep, yet if carefully negotiated they were passable.


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Around 1pm I spotted a village. It was still a couple of kilometers to reach it
but on the flat plain it seemed so close. I sped up a bit, shifted to the 3 rd
gear.

I tried to recover by leaning to the right but it was too late. Natasha somehow
managed to jump off the falling bike and landed on her back. I, however, almost
dug a hole in the ground. My left leg was trapped under the bike and my hand was
hurting. Somehow I crawled from under the bike and only then I noticed the
injury. I could not believe it, my little finger of my left hand was now
pointing left. It looked scary and funny at the same time. I thought, I could
not continue like that. I grabbed it with my right hand and with one fast move I
put it back in place.

The finger was ok now but probably due to pain and heat I felt I was loosing
consciousness. I lost control of my body and collapsed. Lying on the ground I
struggled not to vomit. It was pretty scary. After a while I was ok and ready to
get up. We assessed the damage and to our surprise nothing happened to Suzi. The
Kappa side cases were a bit squished but not broken. Dirty from dust and me with
a broken pinky finger we arrived to the Uzbeki village.

Bunches of small one-story houses were concentrated around the railway. A woman
was working in her garden in an unbearable heat.

Old Russian GAZ trucks, rusted equipment in off-road alleys. We asked walking
men where to get some products and gas. Further on we crossed the rails. There
was a market in front of the train station. At the stalls a limited choice of
products of mostly questionable quality and likely expired validation date. An
older woman sitting at one of the stalls offered help.

There we were greeted by her husband and offered whatever we wanted. We washed
up, ate some makeshift meal tomatoes, cucumbers, canned meat, bread and sipped
Uzbeki green tea while talking to the guys. Of course we had to answer all the
questions about our trip and the motorcycle. Although I had probably enough gas
to take us to Nukus, it was better to fill the tank. No problem, they had lots
of it in a big drum.


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We got 15 liters of the lowest grade, 76 octanes. At the end we took a couple of
pictures and exchanged money. I had no idea how much I paid for the whole
service but it surely was not much. Very nice Uzbeki people, with their help we
were physically and mentally ready to continue. They wished us a good journey
and we left their compound. We still had a long way to go to the nearest sealed
road. This section of the step became sandier or rather dustier.

We got bogged a couple of times and Natasha had to walk few hundred meters but
luckily there were no more falls.

During this kms stretch we saw several bogged LADAs and a bus which also seemed
to be broken down. It was quite a happy moment when we got to the asphalt road,
we made it. We looked at each other and saw two completely dirty-white, full of
dust people. The first border police just checked our passports and let us go.
After a quick 70kms we got to the main Uzbeki border point. The Soviet tradition
still continues since the format of the declarations is precisely the same in
all the republics.

The border police thoroughly inspected our luggage and let us go. My Uzbek visa
was valid for only two more days but I did not care much about it, I was now in
Uzbekistan, which was all that mattered. A woman with all gold teeth pleasantly
invited us. She showed me a decent room.

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I think we were the only tourists there if not the only guests. I checked the
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What a rip-off, this was a pure example of tourist segregation, still existing
in Uzbekistan. I haggled a bit telling that we were not westerners, we had
little money and it was too much. Especially for us they turned the water on so
we could wash. The entire luggage was completely dirty. There was sand and dust
in the cases and in our clothing. Precisely at 12am they turned the water off
while Natasha was all soaped up in the shower.

Upon my intervention we got the water back on. It was the day to remember for
life.

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