Determinants of sexual risk behavior among men who have sex with men accessing public sex environments in Chennai, India.

P A Newman, V Chakrapani, C Cook, M Shunmugam, L Kakinami
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引用次数: 32

Abstract

We conducted structured interviews with 200 men who have sex with men (MSM) recruited using time-space sampling from public sex environments (PSEs) in Chennai, India. Predictors of sexual risk behavior were assessed with chi2 tests and multiple logistic regression. One-third reported unprotected receptive anal sex (URAS) last time and 36% inconsistent condom use in the past month. URAS was associated with younger age, less than high school education, low income, and low HIV transmission knowledge (adjusted odds ratio [AOR] = 2.1, 2.5, 3.7 and 2.5, respectively). Inconsistent condom use was associated with less than high school education (AOR = 3.2) and low HIV transmission knowledge (AOR = 3.5). Multilevel HIV prevention strategies tailored for low socioeconomic kothis and other MSM in PSEs in Chennai should include peer interventions to increase knowledge of HIV transmission risks and sexually transmitted infections (STIs), and structural interventions to expand economic and educational opportunities, and accessible STI testing and treatment.

在印度金奈,进入公共性环境的男男性行为风险的决定因素。
我们对200名男男性行为者(MSM)进行了结构化访谈,这些男男性行为者使用时空抽样从印度金奈的公共性环境(pse)中招募。性危险行为的预测因素采用chi2检验和多元logistic回归进行评估。三分之一的人报告上次有无保护的接受性肛交(URAS), 36%的人在过去一个月没有使用安全套。URAS与年龄小、高中以下教育程度、收入低、HIV传播知识低相关(调整后比值比[AOR]分别为2.1、2.5、3.7和2.5)。不一致的安全套使用与高中教育程度低(AOR = 3.2)和艾滋病毒传播知识低(AOR = 3.5)相关。针对金奈农村低社会经济人群和其他男男性行为者量身定制的多层次艾滋病毒预防战略应包括同伴干预,以提高对艾滋病毒传播风险和性传播感染(STI)的认识,以及结构性干预,以扩大经济和教育机会,以及获得性传播感染检测和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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