Differing Identities but Comparably High HIV and Bacterial Sexually Transmitted Disease Burdens Among Married and Unmarried Men Who Have Sex With Men in Mumbai, India
| Autor: | Steven A. Safren, Vivek Anand, Arun Risbud, Matthew J. Mimiaga, Nadia N. Abuelezam, Sandeep Mane, Raman R. Gangakhedkar, Kenneth H. Mayer, Katie B. Biello, Murugesan Sivasubramanian |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Sexually Transmitted Diseases Bacterial Microbiology (medical) Gerontology Sexually transmitted disease Health Knowledge Attitudes Practice Social stigma Sexual Behavior Social Stigma Human immunodeficiency virus (HIV) India HIV Infections Dermatology medicine.disease_cause Logistic regression Article Sampling Studies Men who have sex with men Unsafe Sex Preventive Health Services Prevalence Humans Medicine Single person Homosexuality Male Marriage School education business.industry Public Health Environmental and Occupational Health virus diseases Single Person Health Surveys Logistic Models Infectious Diseases business Demography |
| Zdroj: | Sexually Transmitted Diseases. 42:629-633 |
| ISSN: | 0148-5717 |
| DOI: | 10.1097/olq.0000000000000344 |
| Popis: | BACKGROUND Although HIV incidence has declined in India, men and transgender women who have sex with men (MSM) continue to have high rates of HIV and sexually transmitted disease (STD). Indian MSM face substantial pressures to marry and have families, but the HIV/STD burden among married Indian MSM is not well characterized. METHODS A diverse sample of Indian MSM were recruited through respondent-driven sampling. Independent variables that produced a P value of 0.10 or less were then added to a multivariable logistic regression model. RESULTS Most of the 307 MSM (95 married and 212 unmarried) recruited into the study were younger than 30 years, and less than one-third had more than a high school education. Almost two-thirds of the married men had children, compared with 1.4% of the unmarried men (P < 0.001). The numbers of condomless anal sex acts did not differ by marriage status. Although unmarried MSM more often identified themselves as "kothi" (receptive role), their rates of HIV or bacterial STD were similar to married MSM, with 14.3% being HIV infected. The respondent-driven sampling-adjusted prevalence of any bacterial STD was 18.3% for married MSM and 20% for unmarried MSM (not significant). Participants reported high levels of psychological distress, with 27.4% of married and 20.1% of unmarried MSM reporting depressive symptoms (not significant). CONCLUSIONS Men who have sex with men in Mumbai had high rates of HIV, STD, and behavioral health concerns. Clinicians need to become more comfortable in eliciting sexual histories so that they can identify MSM who need HIV/STD treatment and/or prevention services. |
| Databáze: | OpenAIRE |
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