Patterns of condom use by men who have sex with men before and after the Avahan intervention in Andhra Pradesh state of India

BMC Public Health

Lalit Dandona⁴  Michel Alary²  S Anil Chandran¹  Ramesh Poluru³  Rakhi Dandona³  G Anil Kumar³ 

[1] Indian Institute of Public Health, Hyderabad, India;Département de médecine sociale et préventive, URESP, Centre de recherche du CHU de Québec, Université Laval, Québec, Canada;Public Health Foundation of India, New Delhi, India;Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA

关键词: Regular sex partner;    Men who have sex with men;    India;    HIV;    Condom use;   

Others  :  1161318
DOI  :  10.1186/1471-2458-14-64

 received in 2013-05-16, accepted in 2014-01-12,  发布年份 2014

【 摘 要 】

Background

Two rounds of integrated biological and behavioural assessment (IBBA) surveys were done among men who have sex with men (MSM) in Andhra Pradesh during 2006 and 2009. Avahan, the India AIDS initiative, funded by the Bill and Melinda Gates Foundation implemented HIV prevention interventions among MSM starting around the time of the first round of IBBA.

Methods

Data on socio-demographic, sex behaviour characteristics and HIV status of MSM from the two IBBA rounds were used. Changes in the rates of consistent condom use over the past one month by MSM with various types of partners between the two rounds were assessed. Multivariate analysis was performed to assess associations between various factors and inconsistent condom use for sex with regular partners as well as HIV in MSM.

Results

A significant increase in consistent condom use by MSM was noted from 2006 to 2009 for paid male partners (19.5% to 93.8%), occasional male partners (13.2% to 86.2%), and paid female partners (25.9% to 94.2%). Consistent condom use with regular sex partners also increased but remained lower with regular male partner (75.8%) and very low with regular female partners (15.7%). MSM who used condoms inconsistently with their regular male partner were also more likely to use condoms inconsistently with their regular female partner. Multivariate analysis showed MSM who used condoms inconsistently with regular male partner had higher odds of HIV (odds ratio 1.8; 95% CI 1.2-2.7). MSM who received condoms from Avahan had the lowest odds (odds ratio 0.3; 95% CI 0.1-0.5) of inconsistent condom use with regular male partners.

Conclusions

Condom use by MSM increased markedly after implementation of Avahan, though a causal association cannot be assessed with the available data. The relatively lower condom use with regular partners of MSM suggests that additional programme effort is needed to address this aspect specifically.

【 授权许可】

   
2014 Kumar et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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