Association Between Alcohol Use and HIV-Related Sexual Risk Behaviors Among Men Who Have Sex with Men (MSM): Findings from a Multi-Site Bio-Behavioral Survey in India
Autor: | Prabuddhagopal Goswami, Ramesh S. Paranjape, Harikumar Rachakulla, Shreena Ramanathan, Venkatesan Chakrapani, Shrabanti Sen, Lakshmi Ramakrishnan, Diwakar Yadav, Bitra George, Thilakavathi Subramanian |
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Jazyk: | angličtina |
Rok vydání: | 2014 |
Předmět: |
Adult
Male medicine.medical_specialty Health Knowledge Attitudes Practice Social Psychology Adolescent Alcohol Drinking Cross-sectional study Sexual Behavior Psychological intervention India HIV Infections Logistic regression Health Services Accessibility Men who have sex with men Risk-Taking Surveys and Questionnaires medicine Humans Condom use MSM Homosexuality Male Sex work Original Paper business.industry Public health Incidence (epidemiology) Incidence Public Health Environmental and Occupational Health HIV Middle Aged Health psychology Infectious Diseases Cross-Sectional Studies Sexual Partners business Alcohol use Social psychology Demography Sexual risk |
Zdroj: | AIDS and Behavior |
ISSN: | 1573-3254 1090-7165 |
Popis: | This paper examines the association between alcohol use and HIV-related sexual risk behaviors among men who have sex with men (MSM). A cross-sectional bio-behavioral survey was conducted among 3,880 MSM, recruited using time-location cluster sampling from cruising sites in three Indian states. Nearly three-fifths of the participants reported alcohol use. Among frequent users (40 % of the sample), defined as those who consumed alcohol daily or at least once a week, 66 % were aged 25 years and above, 53 % self-identified as kothi (feminine/receptive), and 63 % consistently used condoms with male paying partners. Multivariate logistic regression demonstrated that frequent users were more likely to be aged 25 years and above, less likely to self-identify as kothi, and less likely to consistently use condoms with male paying (AOR = 0.7; 95 % CI 0.5–0.9) and male regular (AOR = 0.7; 95 % CI 0.6–0.9) partners. HIV prevention interventions for MSM need to provide tailored information on alcohol use-related sexual risk, especially for MSM in sex work and MSM with male regular partners. |
Databáze: | OpenAIRE |
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