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- Title
The Emerging HIV Epidemic among Men Who have Sex with Men in Tamil Nadu, India: Geographic Diffusion and Bisexual Concurrency.
- Authors
Solomon, Sunil Suhas; Srikrishnan, Aylur K.; Sifakis, Frangiscos; Mehta, Shruti H.; Vasudevan, Canjeevaram K.; Balakrishnan, Pachamuthu; Mayer, Kenneth H.; Solomon, Suniti; Celentano, David D.
- Abstract
In India, men who have sex with men (MSM) remain hidden because anal intercourse was criminalized and marriage socially required. We characterize HIV/STI prevalence among MSM in Tamil Nadu. Eligible participants were recruited using respondent-driven sampling in eight cities ( n = 721). Median age was 28, 34% were married and 40% self-identified as homosexual. Median number of male partners in the prior year was 15; 45% reported any unprotected anal intercourse (UAI). HIV, herpes simplex virus- 2 (HSV-2), chronic hepatitis B virus (HBV) and syphilis prevalence were 9, 26, 2 and 8%, respectively; among married men, all were higher: 14, 32, 3 and 11% ( p < 0.01 for HIV and HSV-2). Less education, HSV-2, more male partners, UAI and not having a main male partner were associated with HIV prevalence. The high STI and UAI prevalence may lead to a burgeoning HIV epidemic among MSM, reinforcing the need for focused preventive measures incorporating complex circumstances.
- Subjects
INDIA; ANALYSIS of variance; BLOOD testing; CHI-squared test; COMPUTER software; CONFIDENCE intervals; ENZYME-linked immunosorbent assay; EPIDEMICS; HELP-seeking behavior; HIV infections; MULTIVARIATE analysis; POISSON distribution; POPULATION geography; QUESTIONNAIRES; RISK assessment; HUMAN sexuality; SEXUALLY transmitted diseases; U-statistics; COMORBIDITY; DATA analysis; EQUIPMENT &; supplies; EPIDEMIOLOGY
- Publication
AIDS & Behavior, 2010, Vol 14, Issue 5, p1001
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-010-9711-2