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- Title
Effects of In-country and Cross-Border Mobility on Condom Use Among Transgender Women (hijras) in Bangladesh: A Cross-Sectional Study.
- Authors
Rana, A; Reza, Md.; Alam, Md.; Khatun, Mahmuda; Khan, Sharful; Azim, Tasnim
- Abstract
In Bangladesh transgender women (hijras) are thought to be highly mobile that may be an impediment to condom use. This cross-sectional study was conducted to determine the extent of mobility of hijras, in-country and cross-border, and whether mobility affects condom use in anal intercourse. Hijras ≥15 years of age, receiving services from the Global Fund supported HIV prevention program were enrolled. A behavioral questionnaire was administered and blood was tested for antibodies to HIV and syphilis. Of 889 hijras sampled, 41.3 % never traveled, 26.4 % traveled in-country and 32.3 % crossed the border in the last year. HIV and active syphilis was at 0.8 and 1.8 % respectively. Among hijras who crossed the border condom use was less likely in last anal intercourse (AOR 0.68; 95 % CI 0.48-0.96), and consistently with new (AOR 0.59; 95 % CI 0.34-1.01) and regular clients (AOR 0.45; 95 % CI 0.27-0.76) in the last week. This study concludes that in Bangladesh hijras are highly mobile and cross-border mobility negatively affects condom use.
- Subjects
BANGLADESH; DIAGNOSIS of syphilis; DIAGNOSIS of HIV infections; NOMADS; CONFIDENCE intervals; CROSS-sectional method; MEDICAL screening; QUESTIONNAIRES; CONDOMS; ANAL sex; ODDS ratio
- Publication
AIDS & Behavior, 2016, Vol 20, Issue 10, p2165
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-015-1275-8