HIV, sexually transmitted infections and sexual behaviour of male clients of female sex workers in Andhra Pradesh, Tamil Nadu and Maharashtra, India: results of a cross-sectional survey
| Autor: | Thilakavathi, Subramanian, Mohan D, Gupte, Ramesh S, Paranjape, Ginnela N V, Brahmam, Lakshmi, Ramakrishnan, Rajatashuvra, Adhikary, Boopathi, Kangusamy, Beena E, Thomas, Srinivasan, Kallam, C P K, Girish, Umesh, Chawla |
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| Rok vydání: | 2008 |
| Předmět: |
Sexual partner
Adult Male medicine.medical_specialty Adolescent Cross-sectional study Sexual Behavior Immunology Sexually Transmitted Diseases India HIV Infections Women in development Condoms Young Adult Risk Factors medicine Immunology and Allergy Humans Socioeconomic status Gynecology Chlamydia Unsafe Sex business.industry virus diseases Odds ratio Middle Aged medicine.disease Sex Work Infectious Diseases Clinical research Cross-Sectional Studies Sexual Partners Syphilis Female business Demography |
| Zdroj: | AIDS (London, England). 22 |
| ISSN: | 1473-5571 |
| Popis: | Objective: To characterize and describe patterns of HIV, sexually transmitted infections (STI) and sexual behaviour of male clients of female sex workers (FSW). Methods: A cross-sectional study was conducted among 4821 clients of FSW from 12 districts in three states in India: Andhra Pradesh, Maharashtra and Tamil Nadu. A structured questionnaire was administered to elicit demographic characteristics and sexual behavioural patterns. Blood and urine samples were tested for HIV, syphilis and herpes simplex type 2 serology, gonococal and chlamydial infection. Results: The median age of clients surveyed was 30 years; 57% were married and 64% had a steady sexual partner; 61% had sex with more than one FSW and 39% had four or more sexual encounters in the past month. The prevalence of HIV ranged from 2.0% to 10.9%, syphilis ranged from 3.1% to 10.1%; gonorrhoea and chlamydia ranged between 0% and 4.5%. Clients older than 30 years [odds ratio (OR) 1.65; 95% confidence interval (CI) 1.33–2.05] and having a different mix of commercial and non-commercial partners (OR 1.56; 95% CI 1.25–1.96) had a higher volume of sex acts with FSW. Inconsistent condom use with FSW was significantly associated with older clients (OR 4.2; 95% CI 3.33–5.29), illiteracy (OR 1.39; 95% CI 1.14–1.69), age |
| Databáze: | OpenAIRE |
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