An exploration of elevated HIV and STI risk among male sex workers from India

BMC Public Health

Arun Risbud⁴  Raman Gangakhedkar⁴  Gururaj Rao Deshpande⁴  Parimi Prabhakar²  Guy Morineau³  Anjana Das¹  Prakash Narayanan¹ 

[1] FHI 360, India Country Office, New Delhi, India;India HIV/AIDS Alliance, Hyderabad, India;FHI 360, Asia Pacific Regional Office, Bangkok, Thailand;National AIDS Research Institute, Pune, India

关键词: India;    HIV;    Men who have sex with men;    Male sex worker;   

Others  :  1161568
DOI  :  10.1186/1471-2458-13-1059

 received in 2013-04-02, accepted in 2013-11-04,  发布年份 2013

【 摘 要 】

Background

Men who have sex with men (MSM) who also report transactional sex (male sex workers or MSWs) are known to be at higher risk for HIV and sexually transmitted infections (STIs). The study aimed to profile socio-demographic characteristics and risk factors associated with high HIV prevalence among MSWs.

Methods

A cross-sectional study was conducted in 2008–9 among 483 high-risk MSM who attended STI clinics at Mumbai and Hyderabad, two large cities in India.

Results

About 70% of the MSM reported transactional sex. As compared to other MSM, MSWs had more male partners (8.9 versus 2.5, p < 0.001) and higher rates of receptive anal sex (96% versus 72%, p < 0.001). HIV prevalence among MSWs and other MSM was 43.6% and 18.1% respectively. HIV prevalence among MSWs was associated with the place of residence (MSWs from Hyderabad were 7.3 times more likely to be infected), positive syphilis serology (3.8 times) and duration of sex work (increased by 8% for every additional year).

Conclusion

The study showed that MSWs are at high risk for HIV acquisition/transmission, which highlights the need for intensified interventions for personalized risk-reduction counselling and STI screening. Newer biomedical interventions such as pre-exposure prophylaxis and treatment as prevention could also be considered.

【 授权许可】

   
2013 Narayanan et al.; licensee BioMed Central Ltd.

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