Geographic and behavioral differences associated with sexually transmitted infection prevalence among Indian men who have sex with men in Chennai and Mumbai

Autor: Vivek Anand, Ramesh Karunaianantham, Kristen S. Regenauer, Kenneth H Mayer, Bella Devaleenal, Dicky Baruah, Vinoth Balu, Beena E Thomas, Sunil Menon, Steven A. Safren, Rakesh Thorat, Matthew J. Mimiaga, Shruta Rawat, Luke Elizabeth Hanna, Soumya Swaminathan, Alpana Dange, Conall O'Cleirigh, Katie B. Biello, C. Andres Bedoya
Rok vydání: 2020
Předmět:
Zdroj: International Journal of STD & AIDS. 32:144-151
ISSN: 1758-1052
0956-4624
DOI: 10.1177/0956462420943016
Popis: India has one of the largest numbers of men who have sex with men (MSM) globally; however, geographic data on sexually transmitted infection (STI) prevalence and associations with sexual behavior are limited. Six-hundred and eight MSM in Chennai and Mumbai underwent screening for a behavioral trial and were assessed for bacterial STIs (syphilis, chlamydia, gonorrhea), HIV, and past-month self-reported condomless anal sex (CAS). Mumbai (37.8%) had a greater prevalence of any STI than Chennai (27.6%) (prevalence ratio [PR] = 1.37, 95% CI: 1.09, 1.73). This pattern also emerged for gonorrhea and chlamydia separately but not syphilis. Conversely, Mumbai MSM reported lower rates of CAS (mean = 2.2) compared to Chennai MSM (mean = 14.0) (mean difference = −11.8, 95% CI: −14.6, −9.1). The interaction of city by CAS on any STI prevalence (PR = 2.09, 95% CI: 1.45, 3.01, p
Databáze: OpenAIRE