The effect of mobility on sexual risk behaviour and HIV infection: a cross-sectional study of men who have sex with men in southern India
| Autor: | Karikalan Nagarajan, Purnima Mehrotra, Sowmya Ramesh, Deepika Ganju, Niranjan Saggurti, Bidhubhusan Mahapatra |
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| Rok vydání: | 2014 |
| Předmět: |
Sexual partner
Gerontology Adult Male Cross-sectional study Epidemiology Sexual Behavior Population India HIV Infections Dermatology Men who have sex with men Condoms Young Adult SEXUAL BEHAVIOUR Risk-Taking Unsafe Sex Acquired immunodeficiency syndrome (AIDS) Risk Factors Odds Ratio Medicine Humans Homosexuality Male education Sex work education.field_of_study Travel business.industry virus diseases HIV MEN Odds ratio medicine.disease Sex Work Infectious Diseases Cross-Sectional Studies Logistic Models Multivariate Analysis business Demography |
| Zdroj: | Sexually Transmitted Infections |
| ISSN: | 1472-3263 |
| Popis: | Objectives Mobility is an important factor contributing to the spread of HIV among key population at risk for HIV; however, research linking this relationship among men who have sex men (MSM) is scarce in India. This study examines the association between mobility and sexual risk behaviour and HIV infection among MSM in southern India. Methods Data are drawn from a cross-sectional biobehavioural survey of 1608 self-identified MSM from four districts of Andhra Pradesh in India, recruited through a probability-based sampling in 2009–2010. Logistic regression models were used to estimate odds ratios and 95% CIs for sexual risk behaviours (unprotected sex with any male partner) and HIV infection based on the mobility status (travelled and had sex in the past year) after adjusting for sociodemographics and risk behaviours. Results Of the 1608 MSM, one-fourth (26%) were mobile. Of these, three-fourths had travelled across districts but within the state (56%), and one-fifth (20%) across states. As compared to non-mobile MSM, a higher proportion of MSM who were mobile across districts (adjusted (OR=1.42, 95% CI 1.04 to 1.95) or states (adjusted OR=3.20, 95% CI 1.65 to 6.17) reported having unprotected sex with any male sexual partner. Further, mobility across districts (adjusted OR=1.43, 95% CI 1.01 to 2.03) or states (adjusted OR=2.45, 95% CI 1.46 to 4.10) was significantly associated with HIV infection. Conclusions Mobile MSM have a higher likelihood of contracting HIV. Interventions extending the ways to reach out to MSM with greater mobility may augment ongoing efforts to reduce the spread of HIV/AIDS in India. |
| Databáze: | OpenAIRE |
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